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overflow: hidden; text-overflow: ellipsis; -webkit-line-clamp: 3; -webkit-box-orient: vertical; }</style><div class="col-xs-12 clearfix"><div class="u-floatLeft"><h1 class="PageHeader-title u-m0x u-fs30">Mental Health Services Research</h1><div class="u-tcGrayDark">12,227 Followers</div><div class="u-tcGrayDark u-mt2x">Recent papers in <b>Mental Health Services Research</b></div></div></div></div></div></div><div class="TabbedNavigation"><div class="container"><div class="row"><div class="col-xs-12 clearfix"><ul class="nav u-m0x u-p0x list-inline u-displayFlex"><li class="active"><a href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research">Top Papers</a></li><li><a href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research/MostCited">Most Cited Papers</a></li><li><a href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research/MostDownloaded">Most Downloaded Papers</a></li><li><a href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research/MostRecent">Newest Papers</a></li><li><a class="" href="https://www.academia.edu/People/Mental_Health_Services_Research">People</a></li></ul></div><style type="text/css">ul.nav{flex-direction:row}@media(max-width: 567px){ul.nav{flex-direction:column}.TabbedNavigation li{max-width:100%}.TabbedNavigation li.active{background-color:var(--background-grey, #dddde2)}.TabbedNavigation li.active:before,.TabbedNavigation li.active:after{display:none}}</style></div></div></div><div class="container"><div class="row"><div class="col-xs-12"><div class="u-displayFlex"><div class="u-flexGrow1"><div class="works"><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_3126134" data-work_id="3126134" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/3126134/Psychology_and_the_Perennial_Philosophy_Studies_in_Comparative_Religion">Psychology and the Perennial Philosophy: Studies in Comparative Religion</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">In order to better cope with the pressures and stresses of the current day, modern psychology is anxiously seeking to find new therapies to address the increasing disorders within the human psyche. In the process new fields of research,... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_3126134" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">In order to better cope with the pressures and stresses of the current day, modern psychology is anxiously seeking to find new therapies to address the increasing disorders within the human psyche. In the process new fields of research, such as humanistic and transpersonal psychology, curiously appear to borrow more and more from the wisdom of the ages. This volume, containing eighteen articles by noteworthy expositors of the perennial philosophy such as Huston Smith, Seyyed Hossein Nasr, and Frithjof Schuon, presents the spiritual psychology of the wisdom traditions as a much-needed antidote to the current impasse in modern psychology.<br /><br />Some Endorsements for Psychology and the Perennial Philosophy:<br /><br />“[Psychology and the Perennial Philosophy] is more than an anthology. It is a wisely crafted collection of classic and contemporary scholarship noting that what many are seeking is what has always been, a perennial philosophy, that remains foundational. As one of the authors, Tage Lindbom, properly notes, ‘Secularization is a fish in troubled waters.’ This book claims the waters and is essential reading for all those who may have forgotten or are simply ignorant of the rich foundation provided by the perennial philosophy.”<br />—Ralph W. Hood, Professor of Psychology at the University of Tennessee at Chattanooga, past president of the Psychology of Religion division of the American Psychological Association, co-founder of The International Journal for the Psychology of Religion and co-author of The Psychology of Religion<br /><br />“A necessary and bracing critique of the assumptions and limitations of contemporary Western psychology, this generous volume is also a passionate call and learned guide towards a truer perspective that embraces man's spiritual nature.”<br />—Gabor Maté, M.D., and author of In the Realm of Hungry Ghosts: Close Encounters with Addiction <br /><br />“Knowing the nature of the mind is perhaps the most difficult undertaking, especially in today’s world. To comprehend the nature of mind one needs to turn to the domain of religion and spirituality. Yet the truth of the mind and its complexity cannot explicitly be defined in words. Inner or transcendent wisdom sees the mind’s own nature without the duality of the seer. Suchness (tathatā) of mind is only experiential and not expressible. The words used to describe thought are themselves a product of thought, which is conditioned and limited. Thus, differences and contradictions are unavoidable. Therefore, a comparative study of different viewpoints and commentaries is immensely important to awaken the inner intelligence to see the mind as it is. Psychology and the Perennial Philosophy: Studies in Comparative Religion edited by Samuel Bendeck Sotillos is an outstanding effort in this direction.”<br />—Samdhong Rinpoche, former Prime Minister (Kalon Tripa) of the Tibetan Government-in-exile, author of Uncompromising Truth for a Compromised World: Tibetan Buddhism and Today’s World <br /><br />“The rise of psychology has impacted the study and practice of spirituality, the experiences and attitudes relevant to ultimate human values that transcend ordinary behavior. Each chapter of this remarkable book demonstrates this interaction in a unique and provocative way. But rather than using psychology to reduce and ‘psychologize’ spiritual topics, its authors demonstrate how directives from the spiritual traditions can enhance and even illuminate the enduring importance of psychology in the 21st century.”<br />—Stanley Krippner, Saybrook University, co-author of Spiritual Dimensions of Healing <br /><br />“The work at hand is a thinking and debating man’s delight. If you have any interest at all in attempting to include an educated and enlightened view of man’s higher functions in your purview of the world, you will learn from and enjoy this collection of essays. If you already have some knowledge in this area, brace yourself: you may see some of your favorites sharply criticized. A thought-provoking work.”<br />—Bruce W. Scotton, University of California, San Francisco, co-editor of Textbook of Transpersonal Psychiatry and Psychology <br /><br />“This book, superbly edited by Samuel Bendeck Sotillos, is a masterful critique of the field of psychology and its loss of the sacred ground in which it once was rooted. It offers depth psychologists an opportunity to contemplate timeless truths echoed through the centuries by perennial philosophers who have always claimed psyche is subordinate to Spirit. Although ignored in depth psychology’s early years due to prejudice and lack of understanding, this is a message today’s psychotherapists must take seriously. Human beings need a deeper and wider transpersonal vision of who and what we are, which the saints and sages of the world’s spiritual traditions have always pointed to. In psychotherapy with a therapist committed to such a vision, patients penetrate into their unconscious depths and not infrequently awaken to the Ground of all Being. Their suffering itself occurred because they had turned away from Spirit. Above all, this volume passionately calls upon depth psychology to remember its origin in the perennial wisdom at the core of the great religions. There is something of a polemic in these pages. It deserves to be considered by depth psychologists of all persuasions.” <br />—Bryan Wittine, Transpersonal psychologist and Jungian psychoanalyst <br /><br />“This anthology from Samuel Bendeck Sotillos is a must reference for anyone who is interested in psychology and its relationship to spirituality, and in developing an inclusive dialogue between disciplines that favor an integral outlook on the person and his or her potential. Selections in this anthology will inspire us to reexamine the metaphysical underpinnings of psychology, and remind us how important it is to rise above science’s attempt to reduce the human being to an epistemic object.”<br />—Sangeetha Menon, National Institute of Advanced Studies (Bangalore, India), Board Member of the International Transpersonal Association (ITA), author of The Beyond Experience: Consciousness in Bhagavad Gita <br /><br />“This anthology has some of the most discerning essays and reviews on spirituality and psychology, which provide much-needed care and caution to all those engaged in bringing them together or who wish to do so in future. Therefore, it is a must-read for all those who teach, research, consult, or study in such frontier areas as transpersonal psychology, states of consciousness, mind-body relation, holistic health, Indian psychology, and so on. It will be an invaluable textbook for courses in these and other related areas. I congratulate the editor of the book.”<br />—Kiran Kumar K. Salagame, University of Mysore (India), Board Member of the International Transpersonal Association (ITA), author of The Psychology of Meditation: A Contextual Approach <br /><br />“One of the finest collections of essays on the Perennial Philosophy—a must-read for all psychologists who are engaged with spirituality and transpersonal psychology. The essays which critique modern psychology (including transpersonal psychology, and the framework of Carl Jung), in the light of the Perennial Philosophy are a revelation and make compelling reading. The book serves as a corrective to the excesses of modern psychology, and to this end Sotillos has done a commendable job. I for one will include the book in some of the graduate courses that I teach.”<br />—Suneet Varma, University of Delhi, co-editor of Foundations of Indian Psychology <br /><br />“To its credit modern science by-and-large is becoming more cognizant of the essential connection between spirituality and psychological health and well-being and most of all its positive implications within the field of psychology. While there is ample data to document this in a plethora of academic journals and books, this new book Psychology and the Perennial Philosophy adds a novel contribution to the dialogue between psychology and spirituality, which captures many nuances that for the most part go unnoticed within these discussions, and last but not least, it provides a keen eye of discernment to understand this intricate relationship on a deeper level that is crucially needed. This work will be a valuable asset to students and long term mental health practitioners and professors alike who seek to better understand the relationship between psychology and spirituality.”<br />—Harold G. Koenig, Duke University, Director of the Center for Spirituality, Theology and Health, co-author of The Handbook of Religion and Health</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/3126134" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="aa1590a6dc8d2971f359b3ef0af85d35" rel="nofollow" data-download="{"attachment_id":99206902,"asset_id":3126134,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/99206902/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="2316045" href="https://independent.academia.edu/SamuelBendeckSotillos">Samuel Bendeck Sotillos</a><script data-card-contents-for-user="2316045" type="text/json">{"id":2316045,"first_name":"Samuel","last_name":"Bendeck Sotillos","domain_name":"independent","page_name":"SamuelBendeckSotillos","display_name":"Samuel Bendeck Sotillos","profile_url":"https://independent.academia.edu/SamuelBendeckSotillos?f_ri=68217","photo":"https://0.academia-photos.com/2316045/1097554/28540525/s65_samuel.bendeck_sotillos.jpg"}</script></span></span></li><li class="js-paper-rank-work_3126134 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="3126134"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 3126134, container: ".js-paper-rank-work_3126134", }); 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In the process new fields of research, such as humanistic and transpersonal psychology, curiously appear to borrow more and more from the wisdom of the ages. This volume, containing eighteen articles by noteworthy expositors of the perennial philosophy such as Huston Smith, Seyyed Hossein Nasr, and Frithjof Schuon, presents the spiritual psychology of the wisdom traditions as a much-needed antidote to the current impasse in modern psychology.\n\nSome Endorsements for Psychology and the Perennial Philosophy:\n\n“[Psychology and the Perennial Philosophy] is more than an anthology. It is a wisely crafted collection of classic and contemporary scholarship noting that what many are seeking is what has always been, a perennial philosophy, that remains foundational. As one of the authors, Tage Lindbom, properly notes, ‘Secularization is a fish in troubled waters.’ This book claims the waters and is essential reading for all those who may have forgotten or are simply ignorant of the rich foundation provided by the perennial philosophy.”\n—Ralph W. Hood, Professor of Psychology at the University of Tennessee at Chattanooga, past president of the Psychology of Religion division of the American Psychological Association, co-founder of The International Journal for the Psychology of Religion and co-author of The Psychology of Religion\n\n“A necessary and bracing critique of the assumptions and limitations of contemporary Western psychology, this generous volume is also a passionate call and learned guide towards a truer perspective that embraces man's spiritual nature.”\n—Gabor Maté, M.D., and author of In the Realm of Hungry Ghosts: Close Encounters with Addiction \n\n“Knowing the nature of the mind is perhaps the most difficult undertaking, especially in today’s world. To comprehend the nature of mind one needs to turn to the domain of religion and spirituality. Yet the truth of the mind and its complexity cannot explicitly be defined in words. Inner or transcendent wisdom sees the mind’s own nature without the duality of the seer. Suchness (tathatā) of mind is only experiential and not expressible. The words used to describe thought are themselves a product of thought, which is conditioned and limited. Thus, differences and contradictions are unavoidable. Therefore, a comparative study of different viewpoints and commentaries is immensely important to awaken the inner intelligence to see the mind as it is. Psychology and the Perennial Philosophy: Studies in Comparative Religion edited by Samuel Bendeck Sotillos is an outstanding effort in this direction.”\n—Samdhong Rinpoche, former Prime Minister (Kalon Tripa) of the Tibetan Government-in-exile, author of Uncompromising Truth for a Compromised World: Tibetan Buddhism and Today’s World \n\n“The rise of psychology has impacted the study and practice of spirituality, the experiences and attitudes relevant to ultimate human values that transcend ordinary behavior. Each chapter of this remarkable book demonstrates this interaction in a unique and provocative way. But rather than using psychology to reduce and ‘psychologize’ spiritual topics, its authors demonstrate how directives from the spiritual traditions can enhance and even illuminate the enduring importance of psychology in the 21st century.”\n—Stanley Krippner, Saybrook University, co-author of Spiritual Dimensions of Healing \n\n“The work at hand is a thinking and debating man’s delight. If you have any interest at all in attempting to include an educated and enlightened view of man’s higher functions in your purview of the world, you will learn from and enjoy this collection of essays. If you already have some knowledge in this area, brace yourself: you may see some of your favorites sharply criticized. A thought-provoking work.”\n—Bruce W. Scotton, University of California, San Francisco, co-editor of Textbook of Transpersonal Psychiatry and Psychology \n\n“This book, superbly edited by Samuel Bendeck Sotillos, is a masterful critique of the field of psychology and its loss of the sacred ground in which it once was rooted. It offers depth psychologists an opportunity to contemplate timeless truths echoed through the centuries by perennial philosophers who have always claimed psyche is subordinate to Spirit. Although ignored in depth psychology’s early years due to prejudice and lack of understanding, this is a message today’s psychotherapists must take seriously. Human beings need a deeper and wider transpersonal vision of who and what we are, which the saints and sages of the world’s spiritual traditions have always pointed to. In psychotherapy with a therapist committed to such a vision, patients penetrate into their unconscious depths and not infrequently awaken to the Ground of all Being. Their suffering itself occurred because they had turned away from Spirit. Above all, this volume passionately calls upon depth psychology to remember its origin in the perennial wisdom at the core of the great religions. There is something of a polemic in these pages. It deserves to be considered by depth psychologists of all persuasions.” \n—Bryan Wittine, Transpersonal psychologist and Jungian psychoanalyst \n\n“This anthology from Samuel Bendeck Sotillos is a must reference for anyone who is interested in psychology and its relationship to spirituality, and in developing an inclusive dialogue between disciplines that favor an integral outlook on the person and his or her potential. Selections in this anthology will inspire us to reexamine the metaphysical underpinnings of psychology, and remind us how important it is to rise above science’s attempt to reduce the human being to an epistemic object.”\n—Sangeetha Menon, National Institute of Advanced Studies (Bangalore, India), Board Member of the International Transpersonal Association (ITA), author of The Beyond Experience: Consciousness in Bhagavad Gita \n\n“This anthology has some of the most discerning essays and reviews on spirituality and psychology, which provide much-needed care and caution to all those engaged in bringing them together or who wish to do so in future. Therefore, it is a must-read for all those who teach, research, consult, or study in such frontier areas as transpersonal psychology, states of consciousness, mind-body relation, holistic health, Indian psychology, and so on. It will be an invaluable textbook for courses in these and other related areas. I congratulate the editor of the book.”\n—Kiran Kumar K. Salagame, University of Mysore (India), Board Member of the International Transpersonal Association (ITA), author of The Psychology of Meditation: A Contextual Approach \n\n“One of the finest collections of essays on the Perennial Philosophy—a must-read for all psychologists who are engaged with spirituality and transpersonal psychology. The essays which critique modern psychology (including transpersonal psychology, and the framework of Carl Jung), in the light of the Perennial Philosophy are a revelation and make compelling reading. The book serves as a corrective to the excesses of modern psychology, and to this end Sotillos has done a commendable job. I for one will include the book in some of the graduate courses that I teach.”\n—Suneet Varma, University of Delhi, co-editor of Foundations of Indian Psychology \n\n“To its credit modern science by-and-large is becoming more cognizant of the essential connection between spirituality and psychological health and well-being and most of all its positive implications within the field of psychology. While there is ample data to document this in a plethora of academic journals and books, this new book Psychology and the Perennial Philosophy adds a novel contribution to the dialogue between psychology and spirituality, which captures many nuances that for the most part go unnoticed within these discussions, and last but not least, it provides a keen eye of discernment to understand this intricate relationship on a deeper level that is crucially needed. This work will be a valuable asset to students and long term mental health practitioners and professors alike who seek to better understand the relationship between psychology and spirituality.”\n—Harold G. 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class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/46046942/PEC_Syllabus_Curriculum_Autonomous_Stream_unitedwecare_com">PEC Syllabus Curriculum Autonomous Stream - unitedwecare.com</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest">This is the syllabus of the curriculum  of the autonomous stream of BTech and MTech students. Powered by <a href="http://www.unitedwecare.com" rel="nofollow">www.unitedwecare.com</a></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/46046942" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="06bc4533ee49e9d8f86d36949b06b281" rel="nofollow" data-download="{"attachment_id":66213326,"asset_id":46046942,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/66213326/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="149667352" href="https://mit.academia.edu/NGautam">Nitish Gautam</a><script data-card-contents-for-user="149667352" type="text/json">{"id":149667352,"first_name":"Nitish","last_name":"Gautam","domain_name":"mit","page_name":"NGautam","display_name":"Nitish Gautam","profile_url":"https://mit.academia.edu/NGautam?f_ri=68217","photo":"https://0.academia-photos.com/149667352/52811250/40928031/s65_nitish.gautam.jpeg"}</script></span></span></li><li class="js-paper-rank-work_46046942 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="46046942"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 46046942, container: ".js-paper-rank-work_46046942", }); 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Powered by www.unitedwecare.com","downloadable_attachments":[{"id":66213326,"asset_id":46046942,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":149667352,"first_name":"Nitish","last_name":"Gautam","domain_name":"mit","page_name":"NGautam","display_name":"Nitish Gautam","profile_url":"https://mit.academia.edu/NGautam?f_ri=68217","photo":"https://0.academia-photos.com/149667352/52811250/40928031/s65_nitish.gautam.jpeg"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=68217","nofollow":false},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false},{"id":3279,"name":"Psychotherapy and Counseling","url":"https://www.academia.edu/Documents/in/Psychotherapy_and_Counseling?f_ri=68217","nofollow":false},{"id":6535,"name":"Psychiatric \u0026 Mental Health Nursing","url":"https://www.academia.edu/Documents/in/Psychiatric_and_Mental_Health_Nursing?f_ri=68217","nofollow":false},{"id":8974,"name":"Quality of Mental Health Care","url":"https://www.academia.edu/Documents/in/Quality_of_Mental_Health_Care?f_ri=68217"},{"id":16317,"name":"Mental Health Promotion","url":"https://www.academia.edu/Documents/in/Mental_Health_Promotion?f_ri=68217"},{"id":20175,"name":"Global Mental Health","url":"https://www.academia.edu/Documents/in/Global_Mental_Health?f_ri=68217"},{"id":37905,"name":"Counseling","url":"https://www.academia.edu/Documents/in/Counseling?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_15797594 coauthored" data-work_id="15797594" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/15797594/Trends_in_Hospital_Discharges_and_Dispositions_for_Episodes_of_Co_occurring_Severe_Mental_Illness_and_Substance_Use_Disorders">Trends in Hospital Discharges and Dispositions for Episodes of Co-occurring Severe Mental Illness and Substance Use Disorders</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/15797594" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="240fbc19110467246c5ae9ffab2b4b69" rel="nofollow" data-download="{"attachment_id":42883752,"asset_id":15797594,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/42883752/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="34970973" href="https://independent.academia.edu/JenniferIManuel">Jennifer I. Manuel</a><script data-card-contents-for-user="34970973" type="text/json">{"id":34970973,"first_name":"Jennifer I.","last_name":"Manuel","domain_name":"independent","page_name":"JenniferIManuel","display_name":"Jennifer I. Manuel","profile_url":"https://independent.academia.edu/JenniferIManuel?f_ri=68217","photo":"https://0.academia-photos.com/34970973/10187570/11368725/s65_jennifer_i..manuel.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-15797594">+1</span><div class="hidden js-additional-users-15797594"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/DavidRieker">David Rieker</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-15797594'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-15797594').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_15797594 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="15797594"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 15797594, container: ".js-paper-rank-work_15797594", }); 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$(".js-view-count[data-work-id=15797594]").text(description); $(".js-view-count-work_15797594").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_15797594").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="15797594"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">5</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="221" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2827" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="68217" href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research">Mental Health Services Research</a>, <script data-card-contents-for-ri="68217" type="text/json">{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a><script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=15797594]'), work: {"id":15797594,"title":"Trends in Hospital Discharges and Dispositions for Episodes of Co-occurring Severe Mental Illness and Substance Use Disorders","created_at":"2015-09-17T02:28:15.079-07:00","url":"https://www.academia.edu/15797594/Trends_in_Hospital_Discharges_and_Dispositions_for_Episodes_of_Co_occurring_Severe_Mental_Illness_and_Substance_Use_Disorders?f_ri=68217","dom_id":"work_15797594","summary":null,"downloadable_attachments":[{"id":42883752,"asset_id":15797594,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":34970973,"first_name":"Jennifer I.","last_name":"Manuel","domain_name":"independent","page_name":"JenniferIManuel","display_name":"Jennifer I. Manuel","profile_url":"https://independent.academia.edu/JenniferIManuel?f_ri=68217","photo":"https://0.academia-photos.com/34970973/10187570/11368725/s65_jennifer_i..manuel.jpg"},{"id":65139183,"first_name":"David","last_name":"Rieker","domain_name":"independent","page_name":"DavidRieker","display_name":"David Rieker","profile_url":"https://independent.academia.edu/DavidRieker?f_ri=68217","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=68217","nofollow":false},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=68217","nofollow":false},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_61647417" data-work_id="61647417" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/61647417/STORIES_Y_RETRATOS_CL%C3%8DNICO_ASISTENCIALES_DE_LA_HOSPITALIZACI%C3%93N_PSIQUIATRICA_EN_OURENSE_GALICIA_ESPA%C3%91A_del_Siglo_XIX_al_XXI_2020_Hist%C3%B3ria_interdisciplinar_da_loucura_psiquiatr%C3%ADa_e_sa%C3%BAde_mental_X_Coimbra_SHIS_CEIS20_Universidade_de_Coimbra_2020_P_79_90">STORIES Y “RETRATOS” CLÍNICO-ASISTENCIALES DE LA HOSPITALIZACIÓN PSIQUIATRICA EN OURENSE-GALICIA-ESPAÑA (del Siglo XIX al XXI)" (2020): História interdisciplinar da loucura, psiquiatría e saúde mental— X. Coimbra: SHIS - CEIS20, Universidade de Coimbra, 2020. P.79-90.</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">This article analyses the activity of psychiatric hospitalization between 1896-2019 in four different times (stories) in a peripheric territory in Spain: Ourense (Galicia). In 1896 at the Provincial General Hospital (Hospital de As... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_61647417" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">This article analyses the activity of psychiatric hospitalization between 1896-2019 in four different times (stories) in a peripheric territory in Spain: Ourense (Galicia). In 1896 at the Provincial General Hospital (Hospital de As Mercedes), in 1956 al the Mental State Hospital (monographic psychiatric asylum), in 2001 at the psychiatric hospitalization in a general hospital, and finally in the new ward of psychiatry at the Ourense’s Hospital. This article provides unpublished documents that allows to know the clinical aspects and the assistance given to mental patients at the different hospitals along the time studied</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/61647417" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="9bad2c47711189c6e73e03f601627cea" rel="nofollow" data-download="{"attachment_id":74621324,"asset_id":61647417,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/74621324/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="3099596" href="https://sergas.academia.edu/DavidSim%C3%B3n">David Simón-Lorda</a><script data-card-contents-for-user="3099596" type="text/json">{"id":3099596,"first_name":"David","last_name":"Simón-Lorda","domain_name":"sergas","page_name":"DavidSimón","display_name":"David Simón-Lorda","profile_url":"https://sergas.academia.edu/DavidSim%C3%B3n?f_ri=68217","photo":"https://0.academia-photos.com/3099596/1018399/44103597/s65_david.sim_n-lorda.jpeg"}</script></span></span></li><li class="js-paper-rank-work_61647417 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="61647417"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 61647417, container: ".js-paper-rank-work_61647417", }); 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$(".js-view-count[data-work-id=61647417]").text(description); $(".js-view-count-work_61647417").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_61647417").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="61647417"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">6</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2255" href="https://www.academia.edu/Documents/in/Galician_Studies">Galician Studies</a>, <script data-card-contents-for-ri="2255" type="text/json">{"id":2255,"name":"Galician Studies","url":"https://www.academia.edu/Documents/in/Galician_Studies?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2273" href="https://www.academia.edu/Documents/in/History_of_Medicine">History of Medicine</a>, <script data-card-contents-for-ri="2273" type="text/json">{"id":2273,"name":"History of Medicine","url":"https://www.academia.edu/Documents/in/History_of_Medicine?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2827" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="6182" href="https://www.academia.edu/Documents/in/History_of_Psychiatry">History of Psychiatry</a><script data-card-contents-for-ri="6182" type="text/json">{"id":6182,"name":"History of Psychiatry","url":"https://www.academia.edu/Documents/in/History_of_Psychiatry?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=61647417]'), work: {"id":61647417,"title":"STORIES Y “RETRATOS” CLÍNICO-ASISTENCIALES DE LA HOSPITALIZACIÓN PSIQUIATRICA EN OURENSE-GALICIA-ESPAÑA (del Siglo XIX al XXI)\" (2020): História interdisciplinar da loucura, psiquiatría e saúde mental— X. Coimbra: SHIS - CEIS20, Universidade de Coimbra, 2020. P.79-90.","created_at":"2021-11-13T11:07:51.518-08:00","url":"https://www.academia.edu/61647417/STORIES_Y_RETRATOS_CL%C3%8DNICO_ASISTENCIALES_DE_LA_HOSPITALIZACI%C3%93N_PSIQUIATRICA_EN_OURENSE_GALICIA_ESPA%C3%91A_del_Siglo_XIX_al_XXI_2020_Hist%C3%B3ria_interdisciplinar_da_loucura_psiquiatr%C3%ADa_e_sa%C3%BAde_mental_X_Coimbra_SHIS_CEIS20_Universidade_de_Coimbra_2020_P_79_90?f_ri=68217","dom_id":"work_61647417","summary":"This article analyses the activity of psychiatric hospitalization between 1896-2019 in four different times (stories) in a peripheric territory in Spain: Ourense (Galicia). In 1896 at the Provincial General Hospital (Hospital de As Mercedes), in 1956 al the Mental State Hospital (monographic psychiatric asylum), in 2001 at the psychiatric hospitalization in a general hospital, and finally in the new ward of psychiatry at the Ourense’s Hospital. This article provides unpublished documents that allows to know the clinical aspects and the assistance given to mental patients at the different hospitals along the time studied","downloadable_attachments":[{"id":74621324,"asset_id":61647417,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":3099596,"first_name":"David","last_name":"Simón-Lorda","domain_name":"sergas","page_name":"DavidSimón","display_name":"David Simón-Lorda","profile_url":"https://sergas.academia.edu/DavidSim%C3%B3n?f_ri=68217","photo":"https://0.academia-photos.com/3099596/1018399/44103597/s65_david.sim_n-lorda.jpeg"}],"research_interests":[{"id":2255,"name":"Galician Studies","url":"https://www.academia.edu/Documents/in/Galician_Studies?f_ri=68217","nofollow":false},{"id":2273,"name":"History of Medicine","url":"https://www.academia.edu/Documents/in/History_of_Medicine?f_ri=68217","nofollow":false},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false},{"id":6182,"name":"History of Psychiatry","url":"https://www.academia.edu/Documents/in/History_of_Psychiatry?f_ri=68217","nofollow":false},{"id":26916,"name":"Spain (History)","url":"https://www.academia.edu/Documents/in/Spain_History_?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_165920" data-work_id="165920" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/165920/Outreach_and_support_in_South_London_OASIS_implementation_of_a_clinical_service_for_prodromal_psychosis_and_the_at_risk_mental_state">Outreach and support in South London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state </a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/165920" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="881676a1a5ad441f8c93746a29afc2ba" rel="nofollow" data-download="{"attachment_id":87961,"asset_id":165920,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/87961/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="17744" href="https://oxford.academia.edu/MBroome">Matthew Broome</a><script data-card-contents-for-user="17744" type="text/json">{"id":17744,"first_name":"Matthew","last_name":"Broome","domain_name":"oxford","page_name":"MBroome","display_name":"Matthew Broome","profile_url":"https://oxford.academia.edu/MBroome?f_ri=68217","photo":"https://0.academia-photos.com/17744/5942/3173293/s65_matthew.broome.jpg"}</script></span></span></li><li class="js-paper-rank-work_165920 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="165920"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 165920, container: ".js-paper-rank-work_165920", }); });</script></li><li class="js-percentile-work_165920 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 165920; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_165920"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_165920 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="165920"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 165920; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=165920]").text(description); $(".js-view-count-work_165920").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_165920").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="165920"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">5</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="635" href="https://www.academia.edu/Documents/in/Psychiatry">Psychiatry</a>, <script data-card-contents-for-ri="635" type="text/json">{"id":635,"name":"Psychiatry","url":"https://www.academia.edu/Documents/in/Psychiatry?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="1059" href="https://www.academia.edu/Documents/in/Early_Intervention">Early Intervention</a>, <script data-card-contents-for-ri="1059" type="text/json">{"id":1059,"name":"Early Intervention","url":"https://www.academia.edu/Documents/in/Early_Intervention?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="1312" href="https://www.academia.edu/Documents/in/Psychosis">Psychosis</a>, <script data-card-contents-for-ri="1312" type="text/json">{"id":1312,"name":"Psychosis","url":"https://www.academia.edu/Documents/in/Psychosis?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="68217" href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research">Mental Health Services Research</a><script data-card-contents-for-ri="68217" type="text/json">{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=165920]'), work: {"id":165920,"title":"Outreach and support in South London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state ","created_at":"2008-11-30T21:31:40.097-08:00","url":"https://www.academia.edu/165920/Outreach_and_support_in_South_London_OASIS_implementation_of_a_clinical_service_for_prodromal_psychosis_and_the_at_risk_mental_state?f_ri=68217","dom_id":"work_165920","summary":null,"downloadable_attachments":[{"id":87961,"asset_id":165920,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":17744,"first_name":"Matthew","last_name":"Broome","domain_name":"oxford","page_name":"MBroome","display_name":"Matthew Broome","profile_url":"https://oxford.academia.edu/MBroome?f_ri=68217","photo":"https://0.academia-photos.com/17744/5942/3173293/s65_matthew.broome.jpg"}],"research_interests":[{"id":635,"name":"Psychiatry","url":"https://www.academia.edu/Documents/in/Psychiatry?f_ri=68217","nofollow":false},{"id":1059,"name":"Early Intervention","url":"https://www.academia.edu/Documents/in/Early_Intervention?f_ri=68217","nofollow":false},{"id":1312,"name":"Psychosis","url":"https://www.academia.edu/Documents/in/Psychosis?f_ri=68217","nofollow":false},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false},{"id":116018,"name":"Prodromal Schizophrenia","url":"https://www.academia.edu/Documents/in/Prodromal_Schizophrenia?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_44233040" data-work_id="44233040" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/44233040/MANAGING_MENTAL_HEALTH_SYSTEM_COMPLEXITY_IN_CHILE_SYMPOSIUM_PROPOSAL">MANAGING MENTAL HEALTH SYSTEM COMPLEXITY IN CHILE SYMPOSIUM PROPOSAL</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">In the past 30 years, Chile has undergone a transition from a care system centred in large psychiatric hospitals to networks of mental health services integrated into the public health system and decentralized into 29 health districts.... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_44233040" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">In the past 30 years, Chile has undergone a transition from a care system centred in large psychiatric hospitals to networks of mental health services integrated into the public health system and decentralized into 29 health districts.<br />All primary care facilities have integrated a mental health program delivered mainly by general physicians and psychologists, and new facilities have been implemented, including community mental health centres, day hospitals, group homes and inpatient units in general hospitals. Collaborative work with other sectors (e.g. education, social services, child protection, justice, etc.) has been a fundamental aspect at the national policies, each health district and in every mental health facility.<br />Considering the increasing level of complexity that mental health systems have reached in the 29 health districts, it seems interesting to analyze how these systems are being managed and what factors influence this process.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/44233040" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="f085878d99beec257d749e58348d953b" rel="nofollow" data-download="{"attachment_id":64602816,"asset_id":44233040,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/64602816/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="151624496" href="https://uchile.academia.edu/RafaelSepulveda">Rafael Sepúlveda</a><script data-card-contents-for-user="151624496" type="text/json">{"id":151624496,"first_name":"Rafael","last_name":"Sepúlveda","domain_name":"uchile","page_name":"RafaelSepulveda","display_name":"Rafael Sepúlveda","profile_url":"https://uchile.academia.edu/RafaelSepulveda?f_ri=68217","photo":"https://0.academia-photos.com/151624496/42451387/34059112/s65_rafael.sepulveda.jpg"}</script></span></span></li><li class="js-paper-rank-work_44233040 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="44233040"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 44233040, container: ".js-paper-rank-work_44233040", }); });</script></li><li class="js-percentile-work_44233040 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 44233040; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_44233040"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_44233040 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="44233040"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 44233040; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=44233040]").text(description); $(".js-view-count-work_44233040").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_44233040").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="44233040"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">2</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2827" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="68217" href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research">Mental Health Services Research</a><script data-card-contents-for-ri="68217" type="text/json">{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=44233040]'), work: {"id":44233040,"title":"MANAGING MENTAL HEALTH SYSTEM COMPLEXITY IN CHILE SYMPOSIUM PROPOSAL","created_at":"2020-10-05T09:02:05.613-07:00","url":"https://www.academia.edu/44233040/MANAGING_MENTAL_HEALTH_SYSTEM_COMPLEXITY_IN_CHILE_SYMPOSIUM_PROPOSAL?f_ri=68217","dom_id":"work_44233040","summary":"In the past 30 years, Chile has undergone a transition from a care system centred in large psychiatric hospitals to networks of mental health services integrated into the public health system and decentralized into 29 health districts.\nAll primary care facilities have integrated a mental health program delivered mainly by general physicians and psychologists, and new facilities have been implemented, including community mental health centres, day hospitals, group homes and inpatient units in general hospitals. Collaborative work with other sectors (e.g. education, social services, child protection, justice, etc.) has been a fundamental aspect at the national policies, each health district and in every mental health facility.\nConsidering the increasing level of complexity that mental health systems have reached in the 29 health districts, it seems interesting to analyze how these systems are being managed and what factors influence this process.","downloadable_attachments":[{"id":64602816,"asset_id":44233040,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":151624496,"first_name":"Rafael","last_name":"Sepúlveda","domain_name":"uchile","page_name":"RafaelSepulveda","display_name":"Rafael Sepúlveda","profile_url":"https://uchile.academia.edu/RafaelSepulveda?f_ri=68217","photo":"https://0.academia-photos.com/151624496/42451387/34059112/s65_rafael.sepulveda.jpg"}],"research_interests":[{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_5557268" data-work_id="5557268" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/5557268/Mielenterveyspalvelujen_kehitt%C3%A4minen_kansalaisten_ehdotusten_perusteella_Development_of_mental_health_services_based_on_users_suggestions_">Mielenterveyspalvelujen kehittäminen kansalaisten ehdotusten perusteella [Development of mental health services based on users' suggestions]</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5557268" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="d134ca6559e27668c291207c4396579d" rel="nofollow" data-download="{"attachment_id":32649759,"asset_id":5557268,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/32649759/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="4200045" href="https://thl.academia.edu/KristianWahlbeck">Kristian Wahlbeck</a><script data-card-contents-for-user="4200045" type="text/json">{"id":4200045,"first_name":"Kristian","last_name":"Wahlbeck","domain_name":"thl","page_name":"KristianWahlbeck","display_name":"Kristian Wahlbeck","profile_url":"https://thl.academia.edu/KristianWahlbeck?f_ri=68217","photo":"https://0.academia-photos.com/4200045/1649200/1986261/s65_kristian.wahlbeck.jpg"}</script></span></span></li><li class="js-paper-rank-work_5557268 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="5557268"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 5557268, container: ".js-paper-rank-work_5557268", }); 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$(".js-view-count[data-work-id=5557268]").text(description); $(".js-view-count-work_5557268").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_5557268").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="5557268"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">6</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2827" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="14238" href="https://www.academia.edu/Documents/in/Survey_Research">Survey Research</a>, <script data-card-contents-for-ri="14238" type="text/json">{"id":14238,"name":"Survey Research","url":"https://www.academia.edu/Documents/in/Survey_Research?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="46676" href="https://www.academia.edu/Documents/in/Finland">Finland</a>, <script data-card-contents-for-ri="46676" type="text/json">{"id":46676,"name":"Finland","url":"https://www.academia.edu/Documents/in/Finland?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="67750" href="https://www.academia.edu/Documents/in/Service_user_perspectives_in_mental_health">Service user perspectives in mental health</a><script data-card-contents-for-ri="67750" type="text/json">{"id":67750,"name":"Service user perspectives in mental health","url":"https://www.academia.edu/Documents/in/Service_user_perspectives_in_mental_health?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=5557268]'), work: {"id":5557268,"title":"Mielenterveyspalvelujen kehittäminen kansalaisten ehdotusten perusteella [Development of mental health services based on users' suggestions]","created_at":"2013-12-29T22:03:13.796-08:00","url":"https://www.academia.edu/5557268/Mielenterveyspalvelujen_kehitt%C3%A4minen_kansalaisten_ehdotusten_perusteella_Development_of_mental_health_services_based_on_users_suggestions_?f_ri=68217","dom_id":"work_5557268","summary":null,"downloadable_attachments":[{"id":32649759,"asset_id":5557268,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":4200045,"first_name":"Kristian","last_name":"Wahlbeck","domain_name":"thl","page_name":"KristianWahlbeck","display_name":"Kristian Wahlbeck","profile_url":"https://thl.academia.edu/KristianWahlbeck?f_ri=68217","photo":"https://0.academia-photos.com/4200045/1649200/1986261/s65_kristian.wahlbeck.jpg"}],"research_interests":[{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false},{"id":14238,"name":"Survey Research","url":"https://www.academia.edu/Documents/in/Survey_Research?f_ri=68217","nofollow":false},{"id":46676,"name":"Finland","url":"https://www.academia.edu/Documents/in/Finland?f_ri=68217","nofollow":false},{"id":67750,"name":"Service user perspectives in mental health","url":"https://www.academia.edu/Documents/in/Service_user_perspectives_in_mental_health?f_ri=68217","nofollow":false},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":519365,"name":"Health measurement / population health surveys","url":"https://www.academia.edu/Documents/in/Health_measurement_population_health_surveys?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_38976763" data-work_id="38976763" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/38976763/The_Mental_Health_Imbroglio_To_Treat_or_to_Heal">The Mental Health Imbroglio - To Treat or to Heal</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The question that needs to be asked is, how many of those being treated for mental illness are recovering? Does the current treatment regimen help people with recovery, or is it only a “treatment” option with an entry and no exit point?... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_38976763" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The question that needs to be asked is, how many of those being treated for mental illness are recovering? Does the current treatment regimen help people with recovery, or is it only a “treatment” option with an entry and no exit point? Psychiatric professionals need to focus on recovery</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/38976763" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="8198813adabbdd2eea754a3b5b590732" rel="nofollow" data-download="{"attachment_id":59082047,"asset_id":38976763,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/59082047/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="3239260" href="https://independent.academia.edu/PrateekshaSharma">Prateeksha Sharma</a><script data-card-contents-for-user="3239260" type="text/json">{"id":3239260,"first_name":"Prateeksha","last_name":"Sharma","domain_name":"independent","page_name":"PrateekshaSharma","display_name":"Prateeksha Sharma","profile_url":"https://independent.academia.edu/PrateekshaSharma?f_ri=68217","photo":"https://0.academia-photos.com/3239260/1068226/139462456/s65_prateeksha.sharma.jpeg"}</script></span></span></li><li class="js-paper-rank-work_38976763 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="38976763"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 38976763, container: ".js-paper-rank-work_38976763", }); });</script></li><li class="js-percentile-work_38976763 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 38976763; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_38976763"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_38976763 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="38976763"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 38976763; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=38976763]").text(description); $(".js-view-count-work_38976763").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_38976763").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="38976763"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">8</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="3138" href="https://www.academia.edu/Documents/in/Community-Based_Mental_Health_Services">Community-Based Mental Health Services</a>, <script data-card-contents-for-ri="3138" type="text/json">{"id":3138,"name":"Community-Based Mental Health Services","url":"https://www.academia.edu/Documents/in/Community-Based_Mental_Health_Services?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="7467" href="https://www.academia.edu/Documents/in/Sociology_of_Mental_Health_and_Illness">Sociology of Mental Health & Illness</a>, <script data-card-contents-for-ri="7467" type="text/json">{"id":7467,"name":"Sociology of Mental Health \u0026 Illness","url":"https://www.academia.edu/Documents/in/Sociology_of_Mental_Health_and_Illness?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="22839" href="https://www.academia.edu/Documents/in/Mental_Health_and_the_Law">Mental Health and the Law</a>, <script data-card-contents-for-ri="22839" type="text/json">{"id":22839,"name":"Mental Health and the Law","url":"https://www.academia.edu/Documents/in/Mental_Health_and_the_Law?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="68217" href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research">Mental Health Services Research</a><script data-card-contents-for-ri="68217" type="text/json">{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=38976763]'), work: {"id":38976763,"title":"The Mental Health Imbroglio - To Treat or to Heal","created_at":"2019-04-29T23:31:02.997-07:00","url":"https://www.academia.edu/38976763/The_Mental_Health_Imbroglio_To_Treat_or_to_Heal?f_ri=68217","dom_id":"work_38976763","summary":"The question that needs to be asked is, how many of those being treated for mental illness are recovering? Does the current treatment regimen help people with recovery, or is it only a “treatment” option with an entry and no exit point? Psychiatric professionals need to focus on recovery","downloadable_attachments":[{"id":59082047,"asset_id":38976763,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":3239260,"first_name":"Prateeksha","last_name":"Sharma","domain_name":"independent","page_name":"PrateekshaSharma","display_name":"Prateeksha Sharma","profile_url":"https://independent.academia.edu/PrateekshaSharma?f_ri=68217","photo":"https://0.academia-photos.com/3239260/1068226/139462456/s65_prateeksha.sharma.jpeg"}],"research_interests":[{"id":3138,"name":"Community-Based Mental Health Services","url":"https://www.academia.edu/Documents/in/Community-Based_Mental_Health_Services?f_ri=68217","nofollow":false},{"id":7467,"name":"Sociology of Mental Health \u0026 Illness","url":"https://www.academia.edu/Documents/in/Sociology_of_Mental_Health_and_Illness?f_ri=68217","nofollow":false},{"id":22839,"name":"Mental Health and the Law","url":"https://www.academia.edu/Documents/in/Mental_Health_and_the_Law?f_ri=68217","nofollow":false},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false},{"id":136085,"name":"Mad Studies","url":"https://www.academia.edu/Documents/in/Mad_Studies?f_ri=68217"},{"id":175251,"name":"Recovery in Mental Health","url":"https://www.academia.edu/Documents/in/Recovery_in_Mental_Health?f_ri=68217"},{"id":178861,"name":"Law and ethics particularly relating to mental health care Media and professional discourse Critical Discourse Analysis","url":"https://www.academia.edu/Documents/in/Law_and_ethics_particularly_relating_to_mental_health_care_Media_and_professional_discourse_Critical?f_ri=68217"},{"id":2187437,"name":"History and Ethics of Psychiatry","url":"https://www.academia.edu/Documents/in/History_and_Ethics_of_Psychiatry?f_ri=68217"}]}, }) } 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href="https://www.academia.edu/31841416/Reductions_in_Postdischarge_Suicide_After_Deinstitutionalization_and_Decentralization_A_Nationwide_Register_Study_in_Finland">Reductions in Postdischarge Suicide After Deinstitutionalization and Decentralization: A Nationwide Register Study in Finland</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/31841416" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="53917f58ce98053b2e105b3df3ba143c" rel="nofollow" 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window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_31841416"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_31841416 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="31841416"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 31841416; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=31841416]").text(description); $(".js-view-count-work_31841416").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_31841416").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="31841416"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">31</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="635" href="https://www.academia.edu/Documents/in/Psychiatry">Psychiatry</a>, <script data-card-contents-for-ri="635" type="text/json">{"id":635,"name":"Psychiatry","url":"https://www.academia.edu/Documents/in/Psychiatry?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="1085" href="https://www.academia.edu/Documents/in/Epidemiology">Epidemiology</a>, <script data-card-contents-for-ri="1085" type="text/json">{"id":1085,"name":"Epidemiology","url":"https://www.academia.edu/Documents/in/Epidemiology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2827" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="3227" href="https://www.academia.edu/Documents/in/Schizophrenia">Schizophrenia</a><script data-card-contents-for-ri="3227" type="text/json">{"id":3227,"name":"Schizophrenia","url":"https://www.academia.edu/Documents/in/Schizophrenia?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=31841416]'), work: {"id":31841416,"title":"Reductions in Postdischarge Suicide After 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Pirkola","profile_url":"https://uta-fi.academia.edu/SamiPirkola?f_ri=68217","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":635,"name":"Psychiatry","url":"https://www.academia.edu/Documents/in/Psychiatry?f_ri=68217","nofollow":false},{"id":1085,"name":"Epidemiology","url":"https://www.academia.edu/Documents/in/Epidemiology?f_ri=68217","nofollow":false},{"id":2827,"name":"Mental 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Policy","url":"https://www.academia.edu/Documents/in/Health_Policy?f_ri=68217"},{"id":24377,"name":"Mortality","url":"https://www.academia.edu/Documents/in/Mortality?f_ri=68217"},{"id":33426,"name":"Decentralization","url":"https://www.academia.edu/Documents/in/Decentralization?f_ri=68217"},{"id":46676,"name":"Finland","url":"https://www.academia.edu/Documents/in/Finland?f_ri=68217"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":82459,"name":"Decentralisation","url":"https://www.academia.edu/Documents/in/Decentralisation?f_ri=68217"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female?f_ri=68217"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male?f_ri=68217"},{"id":171144,"name":"Mental Disorders","url":"https://www.academia.edu/Documents/in/Mental_Disorders?f_ri=68217"},{"id":209856,"name":"Registries","url":"https://www.academia.edu/Documents/in/Registries?f_ri=68217"},{"id":284201,"name":"Mood Disorders","url":"https://www.academia.edu/Documents/in/Mood_Disorders?f_ri=68217"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=68217"},{"id":295155,"name":"Middle Aged","url":"https://www.academia.edu/Documents/in/Middle_Aged?f_ri=68217"},{"id":382075,"name":"Adult","url":"https://www.academia.edu/Documents/in/Adult?f_ri=68217"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1?f_ri=68217"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies?f_ri=68217"},{"id":502452,"name":"Psychiatric Services","url":"https://www.academia.edu/Documents/in/Psychiatric_Services?f_ri=68217"},{"id":621186,"name":"Psychiatric","url":"https://www.academia.edu/Documents/in/Psychiatric?f_ri=68217"},{"id":756417,"name":"Deinstitutionalization","url":"https://www.academia.edu/Documents/in/Deinstitutionalization?f_ri=68217"},{"id":1034181,"name":"Cross Sectional Studies","url":"https://www.academia.edu/Documents/in/Cross_Sectional_Studies?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_42099142" data-work_id="42099142" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/42099142/Eastern_Melbourne_PHN_Integrated_Mental_Health_and_AOD_Service_Atlas">Eastern Melbourne PHN Integrated Mental Health and AOD Service Atlas</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The 2014 National Review of Mental Health Programmes and Services by the National Mental Health Commission (NMHC) drew attention to the need for health service planning for people with a lived experience of mental illness and the... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_42099142" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The 2014 National Review of Mental Health Programmes and Services by the National Mental Health Commission (NMHC) drew attention to the need for health service planning for people with a lived experience of mental illness and the relevance of a bottom-up approach to understanding local service availability in the development of national policy. The review also called for responsiveness to the diverse local needs of different communities across Australia (NMHC, 2014).<br /><br />Eastern Melbourne PHN (EMPHN) Integrated Mental Health and AOD Service Atlas (East and North East Melbourne) aligns with these recommendations and is the region’s first inventory of available services<br />specifically targeted for people with a lived experience of mental illness and those with AOD related issues. Utilising a standard classification system, the Description and Evaluation of Services and Directories in Europe for Long-Term Care (DESDE-LTC) model, the service data in this Atlas represents a snapshot in time creating a benchmark for future service planning evaluations. The application of this international evidence-based classification tool, and supporting methodology, enables fair comparisons<br />with other regions both within Australia and internationally, providing a sound basis for long-term service planning, advancing efforts towards integrated care and improved outcomes for services users.<br /><br />Preliminary data collection for this Atlas took place between September and December of 2017, with additional data collected during the public comment period between March and April 2018. Data was collected from 22 eligible non-government organisations (NGOs) as well as services thirteen consortia or partnerships and five public health sector organisations. A total of 41 interviews were conducted using a<br />structured questionnaire.<br /><br />A total of 223 service delivery teams were identified across the EMPHN catchment, providing 253 main types of care (MTC), the majority of which are provided by the NGO sector (55.3%). Similar to other regions across Australia, the majority of services in the EMPHN region were providing Outpatient care (52%) with Residential care the second largest care type (16%) and Accessibility services third (15%). <br /><br />Again, similar to other regions across Australia, the majority of services identified were for the adult population (84.25%) with child and adolescent services the next highest population group (12.25%) and just 3.5% for older adults.<br /><br />The overall pattern of mental health care across EMPHN is inherently similar to other areas of Australia and include the:<br />• Absence of acute community Residential Care,<br />• Absence of acute Day Care or social-related acute Outpatient Care, and<br />• Relatively low levels of non-acute Day Care and supported accommodation initiatives.<br /><br />In addition, there were also a number of patterns that may require further investigation including the:<br />• Level of Residential Rehabilitation and Acute Inpatient care, and<br />• High levels of non-acute Outpatient Care.<br /><br />It is important to note that there is no generally accepted ‘perfect’ system of care for mental health of AOD with services patterns reflecting localised needs, environments, historical investment and circumstances rather than prescribing to a fixed quota of care types. However, what is generally accepted is that there should be a balance between the different types of care (Thornicroft & Tansella, 2013; WHO, 2003)<br /><br />In terms of future system structure, consistent with national and state strategies, there may be consideration of having less reliance on acute inpatient care and the possible provision of more resources to sub-acute residential services, early intervention and prevention and community based outpatient care. Whilst still contentious in the Australian context, it is also considered that an ideal balance of care may include more day programs, particularly those specifically targeted at providing supported employment, vocational training and assistance, structured rehabilitation programs and social opportunities.<br /><br />This Atlas provides a baseline measure of service availability at a critical time, at the beginning of the full roll-out of the National Disability Insurance Scheme and significant changes in commissioning of services at state and federal levels. It is the ‘before’ picture against which changes to the system can be measured and evaluated in the future. As such, it not only serves as a planning tool, but also as a measure of change. This Atlas provides greater awareness and understanding of the local infrastructure and the opportunity for EMPHN to best target its resources to meet population needs. This will allow it to work in partnership with service providers across the region to apply targeted, cost efficient interventions, to try new approaches and to innovate to best support the health and wellbeing of its community.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/42099142" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="57505519f05fcf4b891ff1732223b3e7" rel="nofollow" data-download="{"attachment_id":62230572,"asset_id":42099142,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/62230572/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="4616892" href="https://sydney.academia.edu/JohnMendoza">John A Mendoza</a><script data-card-contents-for-user="4616892" type="text/json">{"id":4616892,"first_name":"John","last_name":"Mendoza","domain_name":"sydney","page_name":"JohnMendoza","display_name":"John A Mendoza","profile_url":"https://sydney.academia.edu/JohnMendoza?f_ri=68217","photo":"https://0.academia-photos.com/4616892/1929099/32990358/s65_john.mendoza.jpg"}</script></span></span></li><li class="js-paper-rank-work_42099142 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="42099142"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 42099142, container: ".js-paper-rank-work_42099142", }); });</script></li><li class="js-percentile-work_42099142 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 42099142; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_42099142"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_42099142 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="42099142"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 42099142; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=42099142]").text(description); $(".js-view-count-work_42099142").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_42099142").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="42099142"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">4</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="22142" href="https://www.academia.edu/Documents/in/Ecosystem_health">Ecosystem health</a>, <script data-card-contents-for-ri="22142" type="text/json">{"id":22142,"name":"Ecosystem health","url":"https://www.academia.edu/Documents/in/Ecosystem_health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="28046" href="https://www.academia.edu/Documents/in/Regional_Integration">Regional Integration</a>, <script data-card-contents-for-ri="28046" type="text/json">{"id":28046,"name":"Regional Integration","url":"https://www.academia.edu/Documents/in/Regional_Integration?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="58416" href="https://www.academia.edu/Documents/in/Alcohol_and_drug_treatment">Alcohol and drug treatment</a>, <script data-card-contents-for-ri="58416" type="text/json">{"id":58416,"name":"Alcohol and drug treatment","url":"https://www.academia.edu/Documents/in/Alcohol_and_drug_treatment?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="68217" href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research">Mental Health Services Research</a><script data-card-contents-for-ri="68217" type="text/json">{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=42099142]'), work: {"id":42099142,"title":"Eastern Melbourne PHN Integrated Mental Health and AOD Service Atlas","created_at":"2020-02-28T20:34:47.281-08:00","url":"https://www.academia.edu/42099142/Eastern_Melbourne_PHN_Integrated_Mental_Health_and_AOD_Service_Atlas?f_ri=68217","dom_id":"work_42099142","summary":"The 2014 National Review of Mental Health Programmes and Services by the National Mental Health Commission (NMHC) drew attention to the need for health service planning for people with a lived experience of mental illness and the relevance of a bottom-up approach to understanding local service availability in the development of national policy. The review also called for responsiveness to the diverse local needs of different communities across Australia (NMHC, 2014).\n\nEastern Melbourne PHN (EMPHN) Integrated Mental Health and AOD Service Atlas (East and North East Melbourne) aligns with these recommendations and is the region’s first inventory of available services\nspecifically targeted for people with a lived experience of mental illness and those with AOD related issues. Utilising a standard classification system, the Description and Evaluation of Services and Directories in Europe for Long-Term Care (DESDE-LTC) model, the service data in this Atlas represents a snapshot in time creating a benchmark for future service planning evaluations. The application of this international evidence-based classification tool, and supporting methodology, enables fair comparisons\nwith other regions both within Australia and internationally, providing a sound basis for long-term service planning, advancing efforts towards integrated care and improved outcomes for services users.\n\nPreliminary data collection for this Atlas took place between September and December of 2017, with additional data collected during the public comment period between March and April 2018. Data was collected from 22 eligible non-government organisations (NGOs) as well as services thirteen consortia or partnerships and five public health sector organisations. A total of 41 interviews were conducted using a\nstructured questionnaire.\n\nA total of 223 service delivery teams were identified across the EMPHN catchment, providing 253 main types of care (MTC), the majority of which are provided by the NGO sector (55.3%). Similar to other regions across Australia, the majority of services in the EMPHN region were providing Outpatient care (52%) with Residential care the second largest care type (16%) and Accessibility services third (15%). \n\nAgain, similar to other regions across Australia, the majority of services identified were for the adult population (84.25%) with child and adolescent services the next highest population group (12.25%) and just 3.5% for older adults.\n\nThe overall pattern of mental health care across EMPHN is inherently similar to other areas of Australia and include the:\n• Absence of acute community Residential Care,\n• Absence of acute Day Care or social-related acute Outpatient Care, and\n• Relatively low levels of non-acute Day Care and supported accommodation initiatives.\n\nIn addition, there were also a number of patterns that may require further investigation including the:\n• Level of Residential Rehabilitation and Acute Inpatient care, and\n• High levels of non-acute Outpatient Care.\n\nIt is important to note that there is no generally accepted ‘perfect’ system of care for mental health of AOD with services patterns reflecting localised needs, environments, historical investment and circumstances rather than prescribing to a fixed quota of care types. However, what is generally accepted is that there should be a balance between the different types of care (Thornicroft \u0026 Tansella, 2013; WHO, 2003)\n\nIn terms of future system structure, consistent with national and state strategies, there may be consideration of having less reliance on acute inpatient care and the possible provision of more resources to sub-acute residential services, early intervention and prevention and community based outpatient care. Whilst still contentious in the Australian context, it is also considered that an ideal balance of care may include more day programs, particularly those specifically targeted at providing supported employment, vocational training and assistance, structured rehabilitation programs and social opportunities.\n\nThis Atlas provides a baseline measure of service availability at a critical time, at the beginning of the full roll-out of the National Disability Insurance Scheme and significant changes in commissioning of services at state and federal levels. It is the ‘before’ picture against which changes to the system can be measured and evaluated in the future. As such, it not only serves as a planning tool, but also as a measure of change. This Atlas provides greater awareness and understanding of the local infrastructure and the opportunity for EMPHN to best target its resources to meet population needs. This will allow it to work in partnership with service providers across the region to apply targeted, cost efficient interventions, to try new approaches and to innovate to best support the health and wellbeing of its community.","downloadable_attachments":[{"id":62230572,"asset_id":42099142,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":4616892,"first_name":"John","last_name":"Mendoza","domain_name":"sydney","page_name":"JohnMendoza","display_name":"John A Mendoza","profile_url":"https://sydney.academia.edu/JohnMendoza?f_ri=68217","photo":"https://0.academia-photos.com/4616892/1929099/32990358/s65_john.mendoza.jpg"}],"research_interests":[{"id":22142,"name":"Ecosystem health","url":"https://www.academia.edu/Documents/in/Ecosystem_health?f_ri=68217","nofollow":false},{"id":28046,"name":"Regional Integration","url":"https://www.academia.edu/Documents/in/Regional_Integration?f_ri=68217","nofollow":false},{"id":58416,"name":"Alcohol and drug treatment","url":"https://www.academia.edu/Documents/in/Alcohol_and_drug_treatment?f_ri=68217","nofollow":false},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_49490078 coauthored" data-work_id="49490078" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/49490078/Sex_Work_and_Mental_Health_Policy_Relevant_Report">Sex Work and Mental Health. Policy Relevant Report</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">"Sex Work and Mental Health. Access to Mental Health Services for People Who Sell Sex in Germany, Italy, Sweden, and UK" is the final report of a OSF funded participatory research project based at Hydra e.V.. SWMH conducted 118 in depth... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_49490078" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">"Sex Work and Mental Health. Access to Mental Health Services for People Who Sell Sex in Germany, Italy, Sweden, and UK" is the final report of a OSF funded participatory research project based at Hydra e.V.. SWMH conducted 118 in depth interviews with sex workers with mental health needs from diverse sex work sectors, of diverse gender, sexuality, residence status and ethnicities in the four countries. The research found that stigma and judgemental attitudes by practitioners were experienced as greatly influencing both sex workers’ mental health and their access to support. Sweden was the site where stigma was most felt as the primary cause of distress and where it bore the highest weight in preventing sex workers from accessing mental health support. Ultimately, SWMH identified stigma as the greatest, most specific barrier for sex workers to enjoy good mental health and access good quality mental health support. <br />SWMH data in Germany, Italy, Sweden and the UK found that, in order to start addressing sex work stigma in society, full sex work decriminalisation is a necessary first step. Whilst criminalisation exacerbates prejudice and stigma against sex workers and defines them according to strict and misleading victimisation categories, decriminalisation sends the clear message that sex work is work. It also acknowledges that sex workers comprise an extremely diverse population with diverse needs including the fundamental right to access unbiased, non-judgemental health support and be free from discrimination on the basis of their work.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/49490078" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="850fd680781218b2bd1eb24ee394ddbb" rel="nofollow" data-download="{"attachment_id":67830360,"asset_id":49490078,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/67830360/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="43414813" href="https://latrobe.academia.edu/PGMacioti">P.G. Macioti</a><script data-card-contents-for-user="43414813" type="text/json">{"id":43414813,"first_name":"P.G.","last_name":"Macioti","domain_name":"latrobe","page_name":"PGMacioti","display_name":"P.G. Macioti","profile_url":"https://latrobe.academia.edu/PGMacioti?f_ri=68217","photo":"https://0.academia-photos.com/43414813/12870044/72738140/s65_p.g..macioti.jpeg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-49490078">+1</span><div class="hidden js-additional-users-49490078"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://unive.academia.edu/GiuliaGarofaloGeymonat">Giulia Garofalo Geymonat</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-49490078'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-49490078').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_49490078 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="49490078"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 49490078, container: ".js-paper-rank-work_49490078", }); });</script></li><li class="js-percentile-work_49490078 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 49490078; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_49490078"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_49490078 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="49490078"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 49490078; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=49490078]").text(description); $(".js-view-count-work_49490078").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_49490078").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="49490078"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">11</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="2827" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="3137" href="https://www.academia.edu/Documents/in/Mental_Health_Service_Access">Mental Health Service Access</a>, <script data-card-contents-for-ri="3137" type="text/json">{"id":3137,"name":"Mental Health Service Access","url":"https://www.academia.edu/Documents/in/Mental_Health_Service_Access?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="15011" href="https://www.academia.edu/Documents/in/Sex_Work">Sex Work</a>, <script data-card-contents-for-ri="15011" type="text/json">{"id":15011,"name":"Sex Work","url":"https://www.academia.edu/Documents/in/Sex_Work?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="40867" href="https://www.academia.edu/Documents/in/United_Kingdom">United Kingdom</a><script data-card-contents-for-ri="40867" type="text/json">{"id":40867,"name":"United Kingdom","url":"https://www.academia.edu/Documents/in/United_Kingdom?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=49490078]'), work: {"id":49490078,"title":"Sex Work and Mental Health. Policy Relevant Report","created_at":"2021-07-01T03:09:53.476-07:00","url":"https://www.academia.edu/49490078/Sex_Work_and_Mental_Health_Policy_Relevant_Report?f_ri=68217","dom_id":"work_49490078","summary":"\"Sex Work and Mental Health. Access to Mental Health Services for People Who Sell Sex in Germany, Italy, Sweden, and UK\" is the final report of a OSF funded participatory research project based at Hydra e.V.. SWMH conducted 118 in depth interviews with sex workers with mental health needs from diverse sex work sectors, of diverse gender, sexuality, residence status and ethnicities in the four countries. The research found that stigma and judgemental attitudes by practitioners were experienced as greatly influencing both sex workers’ mental health and their access to support. Sweden was the site where stigma was most felt as the primary cause of distress and where it bore the highest weight in preventing sex workers from accessing mental health support. Ultimately, SWMH identified stigma as the greatest, most specific barrier for sex workers to enjoy good mental health and access good quality mental health support.\r\nSWMH data in Germany, Italy, Sweden and the UK found that, in order to start addressing sex work stigma in society, full sex work decriminalisation is a necessary first step. Whilst criminalisation exacerbates prejudice and stigma against sex workers and defines them according to strict and misleading victimisation categories, decriminalisation sends the clear message that sex work is work. It also acknowledges that sex workers comprise an extremely diverse population with diverse needs including the fundamental right to access unbiased, non-judgemental health support and be free from discrimination on the basis of their work.","downloadable_attachments":[{"id":67830360,"asset_id":49490078,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":43414813,"first_name":"P.G.","last_name":"Macioti","domain_name":"latrobe","page_name":"PGMacioti","display_name":"P.G. 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$(".js-view-count[data-work-id=7541803]").text(description); $(".js-view-count-work_7541803").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_7541803").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="7541803"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">4</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="3137" href="https://www.academia.edu/Documents/in/Mental_Health_Service_Access">Mental Health Service Access</a>, <script data-card-contents-for-ri="3137" type="text/json">{"id":3137,"name":"Mental Health Service Access","url":"https://www.academia.edu/Documents/in/Mental_Health_Service_Access?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="68217" href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research">Mental Health Services Research</a>, <script data-card-contents-for-ri="68217" type="text/json">{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="314739" href="https://www.academia.edu/Documents/in/Slovakia">Slovakia</a>, <script data-card-contents-for-ri="314739" type="text/json">{"id":314739,"name":"Slovakia","url":"https://www.academia.edu/Documents/in/Slovakia?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="1353973" href="https://www.academia.edu/Documents/in/Mental_Healthcare_Facilities">Mental Healthcare Facilities</a><script data-card-contents-for-ri="1353973" type="text/json">{"id":1353973,"name":"Mental Healthcare Facilities","url":"https://www.academia.edu/Documents/in/Mental_Healthcare_Facilities?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=7541803]'), work: {"id":7541803,"title":"Mental healthcare in the Slovak Republic: current situation and future challenges","created_at":"2014-07-03T00:48:43.330-07:00","url":"https://www.academia.edu/7541803/Mental_healthcare_in_the_Slovak_Republic_current_situation_and_future_challenges?f_ri=68217","dom_id":"work_7541803","summary":null,"downloadable_attachments":[{"id":34105718,"asset_id":7541803,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":8562384,"first_name":"Jozef","last_name":"Dragasek","domain_name":"upjs","page_name":"JozefDragasek","display_name":"Jozef Dragasek","profile_url":"https://upjs.academia.edu/JozefDragasek?f_ri=68217","photo":"https://0.academia-photos.com/8562384/2866187/10105281/s65_jozef.dragasek.jpeg"}],"research_interests":[{"id":3137,"name":"Mental Health Service Access","url":"https://www.academia.edu/Documents/in/Mental_Health_Service_Access?f_ri=68217","nofollow":false},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false},{"id":314739,"name":"Slovakia","url":"https://www.academia.edu/Documents/in/Slovakia?f_ri=68217","nofollow":false},{"id":1353973,"name":"Mental Healthcare Facilities","url":"https://www.academia.edu/Documents/in/Mental_Healthcare_Facilities?f_ri=68217","nofollow":false}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_44263383" data-work_id="44263383" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/44263383/A_voz_do_sil%C3%AAncio_arte_e_produ%C3%A7%C3%A3o_de_sentido_na_ressignifica%C3%A7%C3%A3o_em_Sa%C3%BAde_Mental_2012_Guilherme_A_Souza_Prado">A voz do silêncio arte e produção de sentido na ressignificação em Saúde Mental 2012 Guilherme A Souza Prado</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">presente dissertação discorre sobre a loucura em suas diferentes modulações e como possibilidade de construção de uma saúde na interlocução com a produção de possíveis através dos procedimentos artísticos. Para tanto, nos valemos do... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_44263383" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">presente dissertação discorre sobre a loucura em suas diferentes modulações e como possibilidade de construção de uma saúde na interlocução com a produção de possíveis através dos procedimentos artísticos. Para tanto, nos valemos do conceito de ausência de obra como plano comum à loucura e à arte em relação com o fora para a concepção do discurso menor da loucura no cerne do discurso maior da razão. Com isto, a linguagem interdita da loucura passa a funcionar por auto-implicação, abrindo a experiência para o múltiplo e o fragmentário. Este procedimento se dá em detrimento do ordenamento de mundo assentado na unidade e na razão apontado por Foucault na noção normalização, que designa o atravessamento do poder sobre a vida que incute em homogeneização do campo. Por outro lado, abordamos em Canguilhem uma concepção de normatividade orientada para a vida como valor maior, posicionamento que propicia uma compreensão de saúde a partir de variabilidade e da singularidade. Auxiliados pelos conceitos de impessoal, de fora, de trágico e de pequena saúde, tomamos a transgressão dos limites do eu e da linguagem na ressurgência da desrazão no pensamento e na experiência enquanto possibilidade de suspensão dos vínculos que ligam obra e sujeito, exercendo um deslocamento dos campos que reúnem por exclusividade a loucura ao patológico.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/44263383" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="710021fc196aff389f84b2f180d4c9d6" rel="nofollow" data-download="{"attachment_id":64638728,"asset_id":44263383,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/64638728/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="142029308" href="https://independent.academia.edu/GuilhermeAugustoSouzaPrado">Guilherme Augusto Souza Prado</a><script data-card-contents-for-user="142029308" type="text/json">{"id":142029308,"first_name":"Guilherme Augusto","last_name":"Souza Prado","domain_name":"independent","page_name":"GuilhermeAugustoSouzaPrado","display_name":"Guilherme Augusto Souza Prado","profile_url":"https://independent.academia.edu/GuilhermeAugustoSouzaPrado?f_ri=68217","photo":"https://0.academia-photos.com/142029308/38511898/40020437/s65_guilherme_augusto.souza_prado.jpg"}</script></span></span></li><li class="js-paper-rank-work_44263383 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="44263383"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 44263383, container: ".js-paper-rank-work_44263383", }); 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$(".js-view-count[data-work-id=44263383]").text(description); $(".js-view-count-work_44263383").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_44263383").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="44263383"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">20</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="2827" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="3589" href="https://www.academia.edu/Documents/in/Psychology_of_art">Psychology of art</a>, <script data-card-contents-for-ri="3589" type="text/json">{"id":3589,"name":"Psychology of art","url":"https://www.academia.edu/Documents/in/Psychology_of_art?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="3730" href="https://www.academia.edu/Documents/in/Philosophy_of_Psychology">Philosophy of Psychology</a>, <script data-card-contents-for-ri="3730" type="text/json">{"id":3730,"name":"Philosophy of Psychology","url":"https://www.academia.edu/Documents/in/Philosophy_of_Psychology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="8302" href="https://www.academia.edu/Documents/in/Gilles_Deleuze">Gilles Deleuze</a><script data-card-contents-for-ri="8302" type="text/json">{"id":8302,"name":"Gilles Deleuze","url":"https://www.academia.edu/Documents/in/Gilles_Deleuze?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=44263383]'), work: {"id":44263383,"title":"A voz do silêncio arte e produção de sentido na ressignificação em Saúde Mental 2012 Guilherme A Souza Prado","created_at":"2020-10-09T14:06:27.030-07:00","url":"https://www.academia.edu/44263383/A_voz_do_sil%C3%AAncio_arte_e_produ%C3%A7%C3%A3o_de_sentido_na_ressignifica%C3%A7%C3%A3o_em_Sa%C3%BAde_Mental_2012_Guilherme_A_Souza_Prado?f_ri=68217","dom_id":"work_44263383","summary":"presente dissertação discorre sobre a loucura em suas diferentes modulações e como possibilidade de construção de uma saúde na interlocução com a produção de possíveis através dos procedimentos artísticos. Para tanto, nos valemos do conceito de ausência de obra como plano comum à loucura e à arte em relação com o fora para a concepção do discurso menor da loucura no cerne do discurso maior da razão. Com isto, a linguagem interdita da loucura passa a funcionar por auto-implicação, abrindo a experiência para o múltiplo e o fragmentário. Este procedimento se dá em detrimento do ordenamento de mundo assentado na unidade e na razão apontado por Foucault na noção normalização, que designa o atravessamento do poder sobre a vida que incute em homogeneização do campo. Por outro lado, abordamos em Canguilhem uma concepção de normatividade orientada para a vida como valor maior, posicionamento que propicia uma compreensão de saúde a partir de variabilidade e da singularidade. Auxiliados pelos conceitos de impessoal, de fora, de trágico e de pequena saúde, tomamos a transgressão dos limites do eu e da linguagem na ressurgência da desrazão no pensamento e na experiência enquanto possibilidade de suspensão dos vínculos que ligam obra e sujeito, exercendo um deslocamento dos campos que reúnem por exclusividade a loucura ao patológico.","downloadable_attachments":[{"id":64638728,"asset_id":44263383,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":142029308,"first_name":"Guilherme Augusto","last_name":"Souza Prado","domain_name":"independent","page_name":"GuilhermeAugustoSouzaPrado","display_name":"Guilherme Augusto Souza Prado","profile_url":"https://independent.academia.edu/GuilhermeAugustoSouzaPrado?f_ri=68217","photo":"https://0.academia-photos.com/142029308/38511898/40020437/s65_guilherme_augusto.souza_prado.jpg"}],"research_interests":[{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false},{"id":3589,"name":"Psychology of art","url":"https://www.academia.edu/Documents/in/Psychology_of_art?f_ri=68217","nofollow":false},{"id":3730,"name":"Philosophy of Psychology","url":"https://www.academia.edu/Documents/in/Philosophy_of_Psychology?f_ri=68217","nofollow":false},{"id":8302,"name":"Gilles Deleuze","url":"https://www.academia.edu/Documents/in/Gilles_Deleuze?f_ri=68217","nofollow":false},{"id":8424,"name":"Georges Canguilhem","url":"https://www.academia.edu/Documents/in/Georges_Canguilhem?f_ri=68217"},{"id":8453,"name":"Maurice Blanchot","url":"https://www.academia.edu/Documents/in/Maurice_Blanchot?f_ri=68217"},{"id":11927,"name":"Michel Foucault","url":"https://www.academia.edu/Documents/in/Michel_Foucault?f_ri=68217"},{"id":13229,"name":"History Of Madness And Psychiatry","url":"https://www.academia.edu/Documents/in/History_Of_Madness_And_Psychiatry?f_ri=68217"},{"id":15677,"name":"History Of Psychology","url":"https://www.academia.edu/Documents/in/History_Of_Psychology?f_ri=68217"},{"id":19915,"name":"Gilles Deleuze and Felix Guattari","url":"https://www.academia.edu/Documents/in/Gilles_Deleuze_and_Felix_Guattari?f_ri=68217"},{"id":36693,"name":"Madness and Literature","url":"https://www.academia.edu/Documents/in/Madness_and_Literature?f_ri=68217"},{"id":36699,"name":"Psychoanalysis and art","url":"https://www.academia.edu/Documents/in/Psychoanalysis_and_art?f_ri=68217"},{"id":67135,"name":"Psicología","url":"https://www.academia.edu/Documents/in/Psicolog%C3%ADa?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":104163,"name":"Psicología Y Política","url":"https://www.academia.edu/Documents/in/Psicologia_Y_Politica?f_ri=68217"},{"id":115211,"name":"Saúde Mental","url":"https://www.academia.edu/Documents/in/Sa%C3%BAde_Mental?f_ri=68217"},{"id":122771,"name":"Salud Mental","url":"https://www.academia.edu/Documents/in/Salud_Mental?f_ri=68217"},{"id":124666,"name":"Psicología Social Comunitaria - Políticas Sociales y Servicios de Salud","url":"https://www.academia.edu/Documents/in/Psicologia_Social_Comunitaria_-_Politicas_Sociales_y_Servicios_de_Salud?f_ri=68217"},{"id":229026,"name":"Historia De La Psicología","url":"https://www.academia.edu/Documents/in/Historia_De_La_Psicolog%C3%ADa?f_ri=68217"},{"id":423478,"name":"Psicologia Política","url":"https://www.academia.edu/Documents/in/Psicologia_Pol%C3%ADtica?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_44214352" data-work_id="44214352" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/44214352/Health_Education_of_Drinking_Medication_Adherence_on_Schizophrenia_Patients">Health Education of Drinking Medication Adherence on Schizophrenia Patients</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The most common schizophrenia nursing problems found were the risk of violent behavior, hallucinations, and low self-esteem. It was found that 55% of clients were at risk of violent behavior, hallucinations, and low self-esteem who... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_44214352" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The most common schizophrenia nursing problems found were the risk of violent behavior, hallucinations, and low self-esteem. It was found that 55% of clients were at risk of violent behavior, hallucinations, and low self-esteem who experienced recurrence and did not comply with medication. The purpose of this action was to determine the effect of health education on medication compliance on changes in symptoms of schizophrenia clients in the Medan Helvetia sub-district for 30 people. The result found that the knowledge of schizophrenic clients increased. medication adherence health education is recommended as a nursing therapy and a supporter of advanced nursing therapy in treating schizophrenic clients with a risk of violent behavior, hallucinations, and low self-esteem.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/44214352" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="1f46357a926a3f139d63ec79db679dbc" rel="nofollow" data-download="{"attachment_id":64580339,"asset_id":44214352,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/64580339/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="13056299" href="https://ui.academia.edu/JackAmidos">Jek A M I D O S Pardede</a><script data-card-contents-for-user="13056299" type="text/json">{"id":13056299,"first_name":"Jek","last_name":"Pardede","domain_name":"ui","page_name":"JackAmidos","display_name":"Jek A M I D O S Pardede","profile_url":"https://ui.academia.edu/JackAmidos?f_ri=68217","photo":"https://0.academia-photos.com/13056299/7529135/36901412/s65_jek.pardede.jpg"}</script></span></span></li><li class="js-paper-rank-work_44214352 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="44214352"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 44214352, container: ".js-paper-rank-work_44214352", }); });</script></li><li class="js-percentile-work_44214352 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 44214352; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_44214352"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_44214352 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="44214352"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 44214352; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=44214352]").text(description); $(".js-view-count-work_44214352").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_44214352").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="44214352"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">6</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2827" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2834" href="https://www.academia.edu/Documents/in/Mental_Health_nursing">Mental Health nursing</a>, <script data-card-contents-for-ri="2834" type="text/json">{"id":2834,"name":"Mental Health nursing","url":"https://www.academia.edu/Documents/in/Mental_Health_nursing?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="3138" href="https://www.academia.edu/Documents/in/Community-Based_Mental_Health_Services">Community-Based Mental Health Services</a>, <script data-card-contents-for-ri="3138" type="text/json">{"id":3138,"name":"Community-Based Mental Health Services","url":"https://www.academia.edu/Documents/in/Community-Based_Mental_Health_Services?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="3227" href="https://www.academia.edu/Documents/in/Schizophrenia">Schizophrenia</a><script data-card-contents-for-ri="3227" type="text/json">{"id":3227,"name":"Schizophrenia","url":"https://www.academia.edu/Documents/in/Schizophrenia?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=44214352]'), work: {"id":44214352,"title":"Health Education of Drinking Medication Adherence on Schizophrenia Patients","created_at":"2020-10-02T04:14:55.664-07:00","url":"https://www.academia.edu/44214352/Health_Education_of_Drinking_Medication_Adherence_on_Schizophrenia_Patients?f_ri=68217","dom_id":"work_44214352","summary":"The most common schizophrenia nursing problems found were the risk of violent behavior, hallucinations, and low self-esteem. It was found that 55% of clients were at risk of violent behavior, hallucinations, and low self-esteem who experienced recurrence and did not comply with medication. The purpose of this action was to determine the effect of health education on medication compliance on changes in symptoms of schizophrenia clients in the Medan Helvetia sub-district for 30 people. The result found that the knowledge of schizophrenic clients increased. medication adherence health education is recommended as a nursing therapy and a supporter of advanced nursing therapy in treating schizophrenic clients with a risk of violent behavior, hallucinations, and low self-esteem.","downloadable_attachments":[{"id":64580339,"asset_id":44214352,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":13056299,"first_name":"Jek","last_name":"Pardede","domain_name":"ui","page_name":"JackAmidos","display_name":"Jek A M I D O S Pardede","profile_url":"https://ui.academia.edu/JackAmidos?f_ri=68217","photo":"https://0.academia-photos.com/13056299/7529135/36901412/s65_jek.pardede.jpg"}],"research_interests":[{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false},{"id":2834,"name":"Mental Health nursing","url":"https://www.academia.edu/Documents/in/Mental_Health_nursing?f_ri=68217","nofollow":false},{"id":3138,"name":"Community-Based Mental Health Services","url":"https://www.academia.edu/Documents/in/Community-Based_Mental_Health_Services?f_ri=68217","nofollow":false},{"id":3227,"name":"Schizophrenia","url":"https://www.academia.edu/Documents/in/Schizophrenia?f_ri=68217","nofollow":false},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":100831,"name":"Mental Models","url":"https://www.academia.edu/Documents/in/Mental_Models?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_4160776 coauthored" data-work_id="4160776" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/4160776/Experiences_with_treating_immigrants_a_qualitative_study_in_mental_health_services_across_16_European_countries">Experiences with treating immigrants: a qualitative study in mental health services across 16 European countries</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Purpose While there has been systematic research on the experiences of immigrant patients in mental health services within certain European countries, little research has explored the experiences of mental health professionals in the... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_4160776" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Purpose While there has been systematic research on the <br />experiences of immigrant patients in mental health services <br />within certain European countries, little research has <br />explored the experiences of mental health professionals in <br />the delivery of services to immigrants across Europe. This <br />study sought to explore professionals’ experiences of <br />delivering care to immigrants in districts densely populated <br />with immigrants across Europe. <br />Methods Forty-eight semi-structured interviews were <br />conducted with mental health care professionals working in <br />16 European countries. Professionals in each country were <br />recruited from three areas with the highest proportion of <br />immigrants. For the purpose of this study, immigrants were <br />defined as first-generation immigrants born outside the <br />country of current residence, including regular immigrants, <br />irregular immigrants, asylum seekers, refugees and victims <br />of human trafficking. Interviews were transcribed and <br />analysed using thematic analysis. <br />Results The interviews highlighted specific challenges <br />to treating immigrants in mental health services across <br />all 16 countries including complications with diagnosis, <br />difficulty in developing trust and increased risk of marginalisation.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/4160776" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="b9c396c024fbe475b1927a1098f63ed4" rel="nofollow" data-download="{"attachment_id":31666165,"asset_id":4160776,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/31666165/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="34460362" href="https://independent.academia.edu/SimaSandhu">Sima Sandhu</a><script data-card-contents-for-user="34460362" type="text/json">{"id":34460362,"first_name":"Sima","last_name":"Sandhu","domain_name":"independent","page_name":"SimaSandhu","display_name":"Sima Sandhu","profile_url":"https://independent.academia.edu/SimaSandhu?f_ri=68217","photo":"/images/s65_no_pic.png"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-4160776">+2</span><div class="hidden js-additional-users-4160776"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://thl.academia.edu/KristianWahlbeck">Kristian Wahlbeck</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/NatasjaJensen">Natasja Jensen</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-4160776'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-4160776').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_4160776 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="4160776"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 4160776, container: ".js-paper-rank-work_4160776", }); });</script></li><li class="js-percentile-work_4160776 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 4160776; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_4160776"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_4160776 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="4160776"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 4160776; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=4160776]").text(description); $(".js-view-count-work_4160776").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_4160776").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="4160776"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">4</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2827" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="15301" href="https://www.academia.edu/Documents/in/Migrant_Health">Migrant Health</a>, <script data-card-contents-for-ri="15301" type="text/json">{"id":15301,"name":"Migrant Health","url":"https://www.academia.edu/Documents/in/Migrant_Health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="68217" href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research">Mental Health Services Research</a>, <script data-card-contents-for-ri="68217" type="text/json">{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="92471" href="https://www.academia.edu/Documents/in/Mental_Health_Professionals">Mental Health Professionals</a><script data-card-contents-for-ri="92471" type="text/json">{"id":92471,"name":"Mental Health Professionals","url":"https://www.academia.edu/Documents/in/Mental_Health_Professionals?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=4160776]'), work: {"id":4160776,"title":"Experiences with treating immigrants: a qualitative study in mental health services across 16 European countries","created_at":"2013-08-02T07:13:52.463-07:00","url":"https://www.academia.edu/4160776/Experiences_with_treating_immigrants_a_qualitative_study_in_mental_health_services_across_16_European_countries?f_ri=68217","dom_id":"work_4160776","summary":"Purpose While there has been systematic research on the\r\nexperiences of immigrant patients in mental health services\r\nwithin certain European countries, little research has\r\nexplored the experiences of mental health professionals in\r\nthe delivery of services to immigrants across Europe. This\r\nstudy sought to explore professionals’ experiences of\r\ndelivering care to immigrants in districts densely populated\r\nwith immigrants across Europe.\r\nMethods Forty-eight semi-structured interviews were\r\nconducted with mental health care professionals working in\r\n16 European countries. Professionals in each country were\r\nrecruited from three areas with the highest proportion of\r\nimmigrants. For the purpose of this study, immigrants were\r\ndefined as first-generation immigrants born outside the\r\ncountry of current residence, including regular immigrants,\r\nirregular immigrants, asylum seekers, refugees and victims\r\nof human trafficking. Interviews were transcribed and\r\nanalysed using thematic analysis.\r\nResults The interviews highlighted specific challenges\r\nto treating immigrants in mental health services across\r\nall 16 countries including complications with diagnosis,\r\ndifficulty in developing trust and increased risk of marginalisation.","downloadable_attachments":[{"id":31666165,"asset_id":4160776,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":34460362,"first_name":"Sima","last_name":"Sandhu","domain_name":"independent","page_name":"SimaSandhu","display_name":"Sima Sandhu","profile_url":"https://independent.academia.edu/SimaSandhu?f_ri=68217","photo":"/images/s65_no_pic.png"},{"id":4200045,"first_name":"Kristian","last_name":"Wahlbeck","domain_name":"thl","page_name":"KristianWahlbeck","display_name":"Kristian Wahlbeck","profile_url":"https://thl.academia.edu/KristianWahlbeck?f_ri=68217","photo":"https://0.academia-photos.com/4200045/1649200/1986261/s65_kristian.wahlbeck.jpg"},{"id":35094770,"first_name":"Natasja","last_name":"Jensen","domain_name":"independent","page_name":"NatasjaJensen","display_name":"Natasja Jensen","profile_url":"https://independent.academia.edu/NatasjaJensen?f_ri=68217","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false},{"id":15301,"name":"Migrant Health","url":"https://www.academia.edu/Documents/in/Migrant_Health?f_ri=68217","nofollow":false},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false},{"id":92471,"name":"Mental Health Professionals","url":"https://www.academia.edu/Documents/in/Mental_Health_Professionals?f_ri=68217","nofollow":false}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_35881483 coauthored" data-work_id="35881483" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/35881483/V%C3%A4est%C3%B6ryhm%C3%A4t_Mielenterveys_ja_p%C3%A4ihdepalveluiden_k%C3%A4yt%C3%B6n_eroja_v%C3%A4hent%C3%A4v%C3%A4t_j%C3%A4rjestelm%C3%A4piirteet_Teoksessa_In_Wahlbeck_ym_Toimivat_mielenterveys_ja_p%C3%A4ihdepalvelut_Valtioneuvoston_selvitys_ja_tutkimustoiminnan_julkaisusarja_89_2018">Väestöryhmät: Mielenterveys- ja päihdepalveluiden käytön eroja vähentävät järjestelmäpiirteet. Teoksessa/In Wahlbeck ym.: Toimivat mielenterveys-ja päihdepalvelut. Valtioneuvoston selvitys- ja tutkimustoiminnan julkaisusarja 89/2018</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">YhdessäMielin-hankkeen tavoitteena on ollut tuottaa tutkittua tietoa toimivista mielenterveys- ja päihdetyön malleista päättäjille. Hanke toteutettiin kirjallisuuskatsauksena, asiantuntijahaastatteluina, väestökyselynä ja... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_35881483" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">YhdessäMielin-hankkeen tavoitteena on ollut tuottaa tutkittua tietoa toimivista mielenterveys- ja päihdetyön malleista päättäjille. Hanke toteutettiin kirjallisuuskatsauksena, asiantuntijahaastatteluina, väestökyselynä ja kokemusasiantuntijoiden fokusryhmätyöskentelynä. Luonnos mielenterveys-ja päihdetyön toimivista malleista oli avoimesti kommentoitavissa Ota kantaa -sivustolla. <br /> <br />Keskeisenä näkökulmana korostui näyttöön perustuvien tai hyviksi käytännöiksi todettujen hoitomallien painottaminen. Päähavaintona nousee myös esille uusien ihmislähtöisten, osallisuutta ja vertaisuutta tukevien toimintamallien luomat mahdollisuudet uudistaa mielenterveys- ja päihdepalveluja. <br />Tutkimusnäyttö puoltaa perustason mielenterveys- ja päihdepalveluiden integraatiota perusterveydenhuoltoon. Monitoimijaiset mielenterveys- ja päihdepalvelut rakentuvat julkisia palveluja täydentävien järjestöjen palveluja hyödyntäen. <br /> <br />Selvityksen mukaan mielenterveyspalveluihin ja mielenterveyden edistämiseen investoimalla on mahdollista vähentää mielenterveysongelmien epäsuoria kustannuksia – kuten tuottavuuskustannuksia – merkittävästi. <br /> <br /> <br />The objective of the MindsTogether project has been to provide decision makers with evidencebased <br />information about effective models for mental health and addiction services. The project <br />consisted of a literature review, expert interviews, general public survey, and focus group work <br />with experts by experience. A draft of the effective mental health and substance abuse service <br />models was openly available for comments on the Ota kantaa public participation portal. <br />Emphasising service models that are evidence-based or established good practices is highlighted <br />as a key perspective in the report. The opportunities to reform mental health and substance abuse <br />services that new operating models, which are person-centred and support inclusion and peer experience, <br />have created also emerges as a main finding. Existing evidence supports integration of <br />basic mental health and substance use services with primary care. A multi-stakeholder approach, <br />which includes complementary services provided by the third sector, is recommended. According <br />to the analysis, investing in mental health services and mental health promotion enables a significant <br />reduction of indirect costs, like production costs, caused by mental health problems.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/35881483" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="b03a97d69e084c1773dfc17c2c4988b2" rel="nofollow" data-download="{"attachment_id":55761190,"asset_id":35881483,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/55761190/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="1232403" href="https://independent.academia.edu/OutiHietala">Outi Hietala</a><script data-card-contents-for-user="1232403" type="text/json">{"id":1232403,"first_name":"Outi","last_name":"Hietala","domain_name":"independent","page_name":"OutiHietala","display_name":"Outi Hietala","profile_url":"https://independent.academia.edu/OutiHietala?f_ri=68217","photo":"https://0.academia-photos.com/1232403/447516/1170838/s65_outi.hietala.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-35881483">+3</span><div class="hidden js-additional-users-35881483"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/KReini">Kaarina Reini</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/JohannesParkkonen">Johannes Parkkonen</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/KuosmanenLauri">Kuosmanen Lauri</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-35881483'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-35881483').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_35881483 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="35881483"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 35881483, container: ".js-paper-rank-work_35881483", }); });</script></li><li class="js-percentile-work_35881483 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 35881483; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_35881483"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_35881483 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="35881483"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 35881483; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=35881483]").text(description); $(".js-view-count-work_35881483").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_35881483").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="35881483"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">5</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="940" href="https://www.academia.edu/Documents/in/Social_Work">Social Work</a>, <script data-card-contents-for-ri="940" type="text/json">{"id":940,"name":"Social Work","url":"https://www.academia.edu/Documents/in/Social_Work?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2256" href="https://www.academia.edu/Documents/in/Rehabilitation">Rehabilitation</a>, <script data-card-contents-for-ri="2256" type="text/json">{"id":2256,"name":"Rehabilitation","url":"https://www.academia.edu/Documents/in/Rehabilitation?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="44275" href="https://www.academia.edu/Documents/in/Substance_Abuse_Treatment">Substance Abuse Treatment</a>, <script data-card-contents-for-ri="44275" type="text/json">{"id":44275,"name":"Substance Abuse Treatment","url":"https://www.academia.edu/Documents/in/Substance_Abuse_Treatment?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="68217" href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research">Mental Health Services Research</a><script data-card-contents-for-ri="68217" type="text/json">{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=35881483]'), work: {"id":35881483,"title":"Väestöryhmät: Mielenterveys- ja päihdepalveluiden käytön eroja vähentävät järjestelmäpiirteet. Teoksessa/In Wahlbeck ym.: Toimivat mielenterveys-ja päihdepalvelut. Valtioneuvoston selvitys- ja tutkimustoiminnan julkaisusarja 89/2018","created_at":"2018-02-09T09:52:25.396-08:00","url":"https://www.academia.edu/35881483/V%C3%A4est%C3%B6ryhm%C3%A4t_Mielenterveys_ja_p%C3%A4ihdepalveluiden_k%C3%A4yt%C3%B6n_eroja_v%C3%A4hent%C3%A4v%C3%A4t_j%C3%A4rjestelm%C3%A4piirteet_Teoksessa_In_Wahlbeck_ym_Toimivat_mielenterveys_ja_p%C3%A4ihdepalvelut_Valtioneuvoston_selvitys_ja_tutkimustoiminnan_julkaisusarja_89_2018?f_ri=68217","dom_id":"work_35881483","summary":"YhdessäMielin-hankkeen tavoitteena on ollut tuottaa tutkittua tietoa toimivista mielenterveys- ja päihdetyön malleista päättäjille. Hanke toteutettiin kirjallisuuskatsauksena, asiantuntijahaastatteluina, väestökyselynä ja kokemusasiantuntijoiden fokusryhmätyöskentelynä. Luonnos mielenterveys-ja päihdetyön toimivista malleista oli avoimesti kommentoitavissa Ota kantaa -sivustolla.\r\n\r\nKeskeisenä näkökulmana korostui näyttöön perustuvien tai hyviksi käytännöiksi todettujen hoitomallien painottaminen. Päähavaintona nousee myös esille uusien ihmislähtöisten, osallisuutta ja vertaisuutta tukevien toimintamallien luomat mahdollisuudet uudistaa mielenterveys- ja päihdepalveluja. \r\nTutkimusnäyttö puoltaa perustason mielenterveys- ja päihdepalveluiden integraatiota perusterveydenhuoltoon. Monitoimijaiset mielenterveys- ja päihdepalvelut rakentuvat julkisia palveluja täydentävien järjestöjen palveluja hyödyntäen. \r\n\r\nSelvityksen mukaan mielenterveyspalveluihin ja mielenterveyden edistämiseen investoimalla on mahdollista vähentää mielenterveysongelmien epäsuoria kustannuksia – kuten tuottavuuskustannuksia – merkittävästi.\r\n\r\n\r\nThe objective of the MindsTogether project has been to provide decision makers with evidencebased\r\ninformation about effective models for mental health and addiction services. The project\r\nconsisted of a literature review, expert interviews, general public survey, and focus group work\r\nwith experts by experience. A draft of the effective mental health and substance abuse service\r\nmodels was openly available for comments on the Ota kantaa public participation portal.\r\nEmphasising service models that are evidence-based or established good practices is highlighted\r\nas a key perspective in the report. The opportunities to reform mental health and substance abuse\r\nservices that new operating models, which are person-centred and support inclusion and peer experience,\r\nhave created also emerges as a main finding. Existing evidence supports integration of\r\nbasic mental health and substance use services with primary care. A multi-stakeholder approach,\r\nwhich includes complementary services provided by the third sector, is recommended. According\r\nto the analysis, investing in mental health services and mental health promotion enables a significant\r\nreduction of indirect costs, like production costs, caused by mental health problems. 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In the human society, ageing is considered as a social occurrence rather than... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_26503837" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">—Ageing is a universal phenomenon and each human being in the earth undergoes the process of ageing which has its own vibrant, beyond human control. In the human society, ageing is considered as a social occurrence rather than physiological, as ageing is always understood in the background of social environment. Socially, this stage was considered as the sum total of one's lived experiences. Like other social institutions, ageing is also a socially constructed concept and well thought-out as social truth In India, however, all persons who are sixty years or above are included among the aged. The number of aged has increasingly multiplied since 1948, due to the decreased fertility and increased life expectancy rates worldwide (World Bank, 2011). Moreover, the world's old age population (60 years and older) had already marked the figure of 251 million in 1950 and 488 million in 1990. Based upon the data as mentioned previous, a more shocking number i.e. 1,250 million is estimated to be added to this immensity of ageing population by the year 2025 which shows a startling increase of 146 per cent (Global Statistics, 2012) In India old age population (60 years and above) are 10,32,31,265 (8.53%) according to census of India,2011. In a developing country like India, old age has become a serious social issue at the present time.. It is proved that with age, the brain mass decreases and number of brain cells suffers severe turn down. This age related changes have very important worth on functional abilities, in terms of physical, psychomotor, sensory, cognitive, socio-emotional and behavioural functioning are likely to spectator a deteriorating trend as the age advances. The problems become more compound when their children start neglecting them and the elderly people face psycho-social problems and economic & health problems also. A number of factors are contributing to the problems of the aged such as Individualism, urbanization; industrialization and modernization have led to change in the economic constitution, the wearing downhill of societal values, deteriorating of social values, and social institutions such as the joint family. The main objectives of this paper is to address the certain problems of the old age people and highlight some strategies in social work perspectives for coping with old age problems.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/26503837" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="ac0b99ed4ec66c9ec52287d4eef7f29c" rel="nofollow" data-download="{"attachment_id":46800395,"asset_id":26503837,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/46800395/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="40770415" href="https://kuk.academia.edu/NeerajBhatia">Neeraj Bhatia</a><script data-card-contents-for-user="40770415" type="text/json">{"id":40770415,"first_name":"Neeraj","last_name":"Bhatia","domain_name":"kuk","page_name":"NeerajBhatia","display_name":"Neeraj Bhatia","profile_url":"https://kuk.academia.edu/NeerajBhatia?f_ri=68217","photo":"https://0.academia-photos.com/40770415/11103951/12391621/s65_neeraj.bhatia.jpg_oh_22da23091c74d96408e0cbd5dfee4e4d_oe_5714c0f3"}</script></span></span></li><li class="js-paper-rank-work_26503837 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="26503837"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 26503837, container: ".js-paper-rank-work_26503837", }); 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$(".js-view-count[data-work-id=26503837]").text(description); $(".js-view-count-work_26503837").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_26503837").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="26503837"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">8</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="6791" href="https://www.academia.edu/Documents/in/Aging">Aging</a>, <script data-card-contents-for-ri="6791" type="text/json">{"id":6791,"name":"Aging","url":"https://www.academia.edu/Documents/in/Aging?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="7467" href="https://www.academia.edu/Documents/in/Sociology_of_Mental_Health_and_Illness">Sociology of Mental Health & Illness</a>, <script data-card-contents-for-ri="7467" type="text/json">{"id":7467,"name":"Sociology of Mental Health \u0026 Illness","url":"https://www.academia.edu/Documents/in/Sociology_of_Mental_Health_and_Illness?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="19422" href="https://www.academia.edu/Documents/in/Social_Work_Education">Social Work Education</a>, <script data-card-contents-for-ri="19422" type="text/json">{"id":19422,"name":"Social Work Education","url":"https://www.academia.edu/Documents/in/Social_Work_Education?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="68217" href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research">Mental Health Services Research</a><script data-card-contents-for-ri="68217" type="text/json">{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=26503837]'), work: {"id":26503837,"title":"Aging Across the India: Problems \u0026 Strategies for Coping with Old Age","created_at":"2016-06-26T03:21:31.342-07:00","url":"https://www.academia.edu/26503837/Aging_Across_the_India_Problems_and_Strategies_for_Coping_with_Old_Age?f_ri=68217","dom_id":"work_26503837","summary":"—Ageing is a universal phenomenon and each human being in the earth undergoes the process of ageing which has its own vibrant, beyond human control. In the human society, ageing is considered as a social occurrence rather than physiological, as ageing is always understood in the background of social environment. Socially, this stage was considered as the sum total of one's lived experiences. Like other social institutions, ageing is also a socially constructed concept and well thought-out as social truth In India, however, all persons who are sixty years or above are included among the aged. The number of aged has increasingly multiplied since 1948, due to the decreased fertility and increased life expectancy rates worldwide (World Bank, 2011). Moreover, the world's old age population (60 years and older) had already marked the figure of 251 million in 1950 and 488 million in 1990. Based upon the data as mentioned previous, a more shocking number i.e. 1,250 million is estimated to be added to this immensity of ageing population by the year 2025 which shows a startling increase of 146 per cent (Global Statistics, 2012) In India old age population (60 years and above) are 10,32,31,265 (8.53%) according to census of India,2011. In a developing country like India, old age has become a serious social issue at the present time.. It is proved that with age, the brain mass decreases and number of brain cells suffers severe turn down. This age related changes have very important worth on functional abilities, in terms of physical, psychomotor, sensory, cognitive, socio-emotional and behavioural functioning are likely to spectator a deteriorating trend as the age advances. The problems become more compound when their children start neglecting them and the elderly people face psycho-social problems and economic \u0026 health problems also. A number of factors are contributing to the problems of the aged such as Individualism, urbanization; industrialization and modernization have led to change in the economic constitution, the wearing downhill of societal values, deteriorating of social values, and social institutions such as the joint family. The main objectives of this paper is to address the certain problems of the old age people and highlight some strategies in social work perspectives for coping with old age problems.","downloadable_attachments":[{"id":46800395,"asset_id":26503837,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":40770415,"first_name":"Neeraj","last_name":"Bhatia","domain_name":"kuk","page_name":"NeerajBhatia","display_name":"Neeraj Bhatia","profile_url":"https://kuk.academia.edu/NeerajBhatia?f_ri=68217","photo":"https://0.academia-photos.com/40770415/11103951/12391621/s65_neeraj.bhatia.jpg_oh_22da23091c74d96408e0cbd5dfee4e4d_oe_5714c0f3"}],"research_interests":[{"id":6791,"name":"Aging","url":"https://www.academia.edu/Documents/in/Aging?f_ri=68217","nofollow":false},{"id":7467,"name":"Sociology of Mental Health \u0026 Illness","url":"https://www.academia.edu/Documents/in/Sociology_of_Mental_Health_and_Illness?f_ri=68217","nofollow":false},{"id":19422,"name":"Social Work 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work_6136467" data-work_id="6136467" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/6136467/The_Case_Formulation_in_Child_and_Adolescent_Psychiatry">The Case Formulation in Child and Adolescent Psychiatry</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/6136467" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="7d419a294dc2b2a0b615eca8d8143b3f" rel="nofollow" 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Psychology","url":"https://www.academia.edu/Documents/in/Clinical_Psychology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="635" href="https://www.academia.edu/Documents/in/Psychiatry">Psychiatry</a>, <script data-card-contents-for-ri="635" type="text/json">{"id":635,"name":"Psychiatry","url":"https://www.academia.edu/Documents/in/Psychiatry?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="1312" href="https://www.academia.edu/Documents/in/Psychosis">Psychosis</a><script data-card-contents-for-ri="1312" type="text/json">{"id":1312,"name":"Psychosis","url":"https://www.academia.edu/Documents/in/Psychosis?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=6136467]'), work: {"id":6136467,"title":"The Case Formulation in Child and Adolescent 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When one talks with Oaxacans about mental health, most say it's a taboo topic and that people there think... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_38200363" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Oaxaca is known for many things--its indigenous groups, archaeological sites, crafts, and textiles--but not for mental health care. When one talks with Oaxacans about mental health, most say it's a taboo topic and that people there think you "have to be crazy to go to a psychologist." Yet throughout Oaxaca are signs advertising the services of psicólogos; there are prominent conferences of mental health professionals; and self-help groups like Neurotics Anonymous thrive, where participants rise to say, "Hola, mi nombre es Raquel, y soy neurótica."<br /><br />How does one explain the recent growth of Euroamerican-style therapies in the region? Author Whitney L. Duncan analyzes this phenomenon of "psy-globalization" and develops a rich ethnography of its effects on Oaxacans' understandings of themselves and their emotions, ultimately showing how globalizing forms of care are transformative for and transformed by the local context. She also delves into the mental health impacts of migration from Mexico to the United States, both for migrants who return and for the family members they leave behind.<br /><br />This book is a recipient of the Norman L. and Roselea J. Goldberg Prize from Vanderbilt University Press for the best book in the area of medicine.<br /><br /><a href="https://www.amazon.com/Transforming-Therapy-Mental-Practice-Cultural-dp-0826521983/dp/0826521983/ref=mt_paperback?_encoding=UTF8&me=&qid=" rel="nofollow">https://www.amazon.com/Transforming-Therapy-Mental-Practice-Cultural-dp-0826521983/dp/0826521983/ref=mt_paperback?_encoding=UTF8&me=&qid=</a></div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/38200363" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="adb45e997dd6fbabc03a382ca797f536" rel="nofollow" data-download="{"attachment_id":58238505,"asset_id":38200363,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/58238505/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="19706471" href="https://unco.academia.edu/WhitneyDuncan">Whitney L Duncan</a><script data-card-contents-for-user="19706471" type="text/json">{"id":19706471,"first_name":"Whitney","last_name":"Duncan","domain_name":"unco","page_name":"WhitneyDuncan","display_name":"Whitney L Duncan","profile_url":"https://unco.academia.edu/WhitneyDuncan?f_ri=68217","photo":"https://0.academia-photos.com/19706471/10816707/16056204/s65_whitney.duncan.jpg"}</script></span></span></li><li class="js-paper-rank-work_38200363 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="38200363"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 38200363, container: ".js-paper-rank-work_38200363", }); 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$(".js-view-count[data-work-id=38200363]").text(description); $(".js-view-count-work_38200363").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_38200363").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="38200363"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">16</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="221" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="635" href="https://www.academia.edu/Documents/in/Psychiatry">Psychiatry</a>, <script data-card-contents-for-ri="635" type="text/json">{"id":635,"name":"Psychiatry","url":"https://www.academia.edu/Documents/in/Psychiatry?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="767" href="https://www.academia.edu/Documents/in/Anthropology">Anthropology</a>, <script data-card-contents-for-ri="767" type="text/json">{"id":767,"name":"Anthropology","url":"https://www.academia.edu/Documents/in/Anthropology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="790" href="https://www.academia.edu/Documents/in/Psychological_Anthropology">Psychological Anthropology</a><script data-card-contents-for-ri="790" type="text/json">{"id":790,"name":"Psychological Anthropology","url":"https://www.academia.edu/Documents/in/Psychological_Anthropology?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=38200363]'), work: {"id":38200363,"title":"Transforming Therapy: Mental Health Practice and Cultural Change in Mexico","created_at":"2019-01-22T13:17:07.009-08:00","url":"https://www.academia.edu/38200363/Transforming_Therapy_Mental_Health_Practice_and_Cultural_Change_in_Mexico?f_ri=68217","dom_id":"work_38200363","summary":"Oaxaca is known for many things--its indigenous groups, archaeological sites, crafts, and textiles--but not for mental health care. When one talks with Oaxacans about mental health, most say it's a taboo topic and that people there think you \"have to be crazy to go to a psychologist.\" Yet throughout Oaxaca are signs advertising the services of psicólogos; there are prominent conferences of mental health professionals; and self-help groups like Neurotics Anonymous thrive, where participants rise to say, \"Hola, mi nombre es Raquel, y soy neurótica.\"\n\nHow does one explain the recent growth of Euroamerican-style therapies in the region? Author Whitney L. Duncan analyzes this phenomenon of \"psy-globalization\" and develops a rich ethnography of its effects on Oaxacans' understandings of themselves and their emotions, ultimately showing how globalizing forms of care are transformative for and transformed by the local context. She also delves into the mental health impacts of migration from Mexico to the United States, both for migrants who return and for the family members they leave behind.\n\nThis book is a recipient of the Norman L. and Roselea J. Goldberg Prize from Vanderbilt University Press for the best book in the area of medicine.\n\nhttps://www.amazon.com/Transforming-Therapy-Mental-Practice-Cultural-dp-0826521983/dp/0826521983/ref=mt_paperback?_encoding=UTF8\u0026me=\u0026qid=","downloadable_attachments":[{"id":58238505,"asset_id":38200363,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":19706471,"first_name":"Whitney","last_name":"Duncan","domain_name":"unco","page_name":"WhitneyDuncan","display_name":"Whitney L Duncan","profile_url":"https://unco.academia.edu/WhitneyDuncan?f_ri=68217","photo":"https://0.academia-photos.com/19706471/10816707/16056204/s65_whitney.duncan.jpg"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=68217","nofollow":false},{"id":635,"name":"Psychiatry","url":"https://www.academia.edu/Documents/in/Psychiatry?f_ri=68217","nofollow":false},{"id":767,"name":"Anthropology","url":"https://www.academia.edu/Documents/in/Anthropology?f_ri=68217","nofollow":false},{"id":790,"name":"Psychological Anthropology","url":"https://www.academia.edu/Documents/in/Psychological_Anthropology?f_ri=68217","nofollow":false},{"id":793,"name":"Medical Anthropology","url":"https://www.academia.edu/Documents/in/Medical_Anthropology?f_ri=68217"},{"id":1439,"name":"Globalization","url":"https://www.academia.edu/Documents/in/Globalization?f_ri=68217"},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217"},{"id":3138,"name":"Community-Based Mental Health Services","url":"https://www.academia.edu/Documents/in/Community-Based_Mental_Health_Services?f_ri=68217"},{"id":3499,"name":"Social and Cultural Anthropology","url":"https://www.academia.edu/Documents/in/Social_and_Cultural_Anthropology?f_ri=68217"},{"id":7125,"name":"Culture","url":"https://www.academia.edu/Documents/in/Culture?f_ri=68217"},{"id":16288,"name":"Public Health","url":"https://www.academia.edu/Documents/in/Public_Health?f_ri=68217"},{"id":20175,"name":"Global Mental Health","url":"https://www.academia.edu/Documents/in/Global_Mental_Health?f_ri=68217"},{"id":20247,"name":"Transcultural Psychiatry","url":"https://www.academia.edu/Documents/in/Transcultural_Psychiatry?f_ri=68217"},{"id":22925,"name":"Psychiatric anthropology","url":"https://www.academia.edu/Documents/in/Psychiatric_anthropology?f_ri=68217"},{"id":43881,"name":"Mexico","url":"https://www.academia.edu/Documents/in/Mexico?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_43006660" data-work_id="43006660" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/43006660/PERCEIVED_CAUSES_AND_TREATMENTS_OF_MENTAL_ILLNESS_A_HISTORICAL_REVIEW">PERCEIVED CAUSES AND TREATMENTS OF MENTAL ILLNESS: A HISTORICAL REVIEW</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The reviewers conducted a historical review using books and articles published in different databases like PubMed/MEDLINE, PsycINFO, Google Scholar, Scopus(Elsevier), ScienceDirect, JSTOR and so forth. The objectives of the review were to... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_43006660" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The reviewers conducted a historical review using books and articles published in different databases like PubMed/MEDLINE, PsycINFO, Google Scholar, Scopus(Elsevier), ScienceDirect, JSTOR and so forth. The objectives of the review were to describe the perceptions of the societies towards mental illness and person with mental illness, and to compare and contrast the understanding of the causes of mental illness and the way persons with mental illness are treated and cared at different periods in a different context (country). Mental illness believed to exist throughout the existence of humankind. Throughout history, there have been radical changes in the attribution of the cause of mental illness and the way persons with mental illness are treated and cared. Most of these changes are due to the changing of societal views and knowledge about mental illness. In ancient time, (500BCE), since mystical views dominate the social and natural phenomena of the world mental illness with name of abnormal behavior, mad, crazy, witches, evildoers, lunatics believed to be caused by supernatural phenomena such as spiritual or demonic possessions, sorcery, the evil eye and an angry deity (God or gods) for the wrong act of the person. In the same way, the treatments were mystical and sometimes brutal which included spells cast by Shamans, incantations, exorcisms, and perhaps trepanning. The Middle age did not bring positive developments regarding the understanding of mental illness and its treatments. There was no science and/or reason, only religion explains phenomena. Accordingly, all illness including mental illness was ascribed to the works of devils, witches, and possession by demons as a curse from God or other supernatural power. In modern times, new ideas about the causes and the treatment of mental illness were introduced. It was in modern times, the causes of mental illness began to be viewed from both biological and psychosocial perspectives. Alike, different modern treatments including psychotherapy, asylums, good diet, purges, bleeding, baths/showers, horticulture, emetic for vomiting, gyrator, tranquilizing chair, Dover's powder, modern medicines, and so forth were introduced.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/43006660" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="ea299ad70ef143ee8b747c8757204100" rel="nofollow" data-download="{"attachment_id":63270760,"asset_id":43006660,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/63270760/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="9249201" href="https://escu.academia.edu/DrBisratWoldearegai">Dr.Bisrat Tekle Woldearegai</a><script data-card-contents-for-user="9249201" type="text/json">{"id":9249201,"first_name":"Dr.Bisrat Tekle","last_name":"Woldearegai","domain_name":"escu","page_name":"DrBisratWoldearegai","display_name":"Dr.Bisrat Tekle Woldearegai","profile_url":"https://escu.academia.edu/DrBisratWoldearegai?f_ri=68217","photo":"https://0.academia-photos.com/9249201/2972455/3486556/s65_bisrat.tekle.jpg"}</script></span></span></li><li class="js-paper-rank-work_43006660 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="43006660"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 43006660, container: ".js-paper-rank-work_43006660", }); 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$(".js-view-count[data-work-id=43006660]").text(description); $(".js-view-count-work_43006660").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_43006660").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="43006660"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i></div><span class="InlineList-item-text u-textTruncate u-pl6x"><a class="InlineList-item-text" data-has-card-for-ri="68217" href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research">Mental Health Services Research</a><script data-card-contents-for-ri="68217" type="text/json">{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (false) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=43006660]'), work: {"id":43006660,"title":"PERCEIVED CAUSES AND TREATMENTS OF MENTAL ILLNESS: A HISTORICAL REVIEW","created_at":"2020-05-11T04:40:27.120-07:00","url":"https://www.academia.edu/43006660/PERCEIVED_CAUSES_AND_TREATMENTS_OF_MENTAL_ILLNESS_A_HISTORICAL_REVIEW?f_ri=68217","dom_id":"work_43006660","summary":"The reviewers conducted a historical review using books and articles published in different databases like PubMed/MEDLINE, PsycINFO, Google Scholar, Scopus(Elsevier), ScienceDirect, JSTOR and so forth. The objectives of the review were to describe the perceptions of the societies towards mental illness and person with mental illness, and to compare and contrast the understanding of the causes of mental illness and the way persons with mental illness are treated and cared at different periods in a different context (country). Mental illness believed to exist throughout the existence of humankind. Throughout history, there have been radical changes in the attribution of the cause of mental illness and the way persons with mental illness are treated and cared. Most of these changes are due to the changing of societal views and knowledge about mental illness. In ancient time, (500BCE), since mystical views dominate the social and natural phenomena of the world mental illness with name of abnormal behavior, mad, crazy, witches, evildoers, lunatics believed to be caused by supernatural phenomena such as spiritual or demonic possessions, sorcery, the evil eye and an angry deity (God or gods) for the wrong act of the person. In the same way, the treatments were mystical and sometimes brutal which included spells cast by Shamans, incantations, exorcisms, and perhaps trepanning. The Middle age did not bring positive developments regarding the understanding of mental illness and its treatments. There was no science and/or reason, only religion explains phenomena. Accordingly, all illness including mental illness was ascribed to the works of devils, witches, and possession by demons as a curse from God or other supernatural power. In modern times, new ideas about the causes and the treatment of mental illness were introduced. It was in modern times, the causes of mental illness began to be viewed from both biological and psychosocial perspectives. 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We describe the effects of loving touch (a square inch of our skin has over 1000 nerves) on the body, brain and mind. We describe... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_7283152" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The paper introduces haptic medicine – healthcare based on loving touch for healing and preventing disease. We describe the effects of loving touch (a square inch of our skin has over 1000 nerves) on the body, brain and mind. We describe two web-based health education and media projects. The first, <a href="http://www.21stcenturymed.org" rel="nofollow">www.21stcenturymed.org</a> is a place for health practitioners to start learning about touch and resources. The second project, Humans Without Borders, is a multi-lingual self help education website for everyday people. Teaching materials for these projects are based on our previous work with a form of haptic medicine known as psychophysiophilosophy with patients at Stanford Hospital, Kaiser Permanente and Lucille Packard Children’s Hospital. We describe psychophysiophilosophy, relate motherly love to recent discoveries in neurosciences and give hints on ways to increase motherly love in each of us. We present a plan for moving into the future by re-introducing haptic medicine into our daily lives through self-help and as an adjunct for current physician practice. There is an exercise in self-help for the reader and an appendix of recent clinical research with profound benefits on the use of human touch for over 40 conditions.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/7283152" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="0c54ffd3640e69eeeb7b9639a969f79b" rel="nofollow" data-download="{"attachment_id":33892358,"asset_id":7283152,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/33892358/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="12724274" href="https://montallen.academia.edu/cindymason">cindy mason</a><script data-card-contents-for-user="12724274" type="text/json">{"id":12724274,"first_name":"cindy","last_name":"mason","domain_name":"montallen","page_name":"cindymason","display_name":"cindy mason","profile_url":"https://montallen.academia.edu/cindymason?f_ri=68217","photo":"https://0.academia-photos.com/12724274/3627825/36513449/s65_cindy.mason.jpg"}</script></span></span></li><li class="js-paper-rank-work_7283152 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="7283152"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 7283152, container: ".js-paper-rank-work_7283152", }); 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class="summarized">.....the double bind as constituting an entirely new, non-material, principle of evolution, major conceptual revisions may need to be made in our general understanding of evolution as contained within the “modern evolutionary... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_30237265" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">.....the double bind as constituting an entirely new, non-material, principle of evolution, major conceptual revisions may need to be made in our general understanding of evolution as contained within the “modern evolutionary synthesis”. <br /> <br />KEYWORDS: <br />behavior, communication, context, contradiction, deutero-learning, double bind, epistemology, evolution, incompleteness theorum, kinesics, learning, logical type theory, metacommunication, metamessages, metatheory, mystification, paradox, relationships, schismogenesis, 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class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/38464577/Administering_intramuscular_injections_How_does_research_translate_into_practice_over_time_in_the_mental_health_setting">Administering intramuscular injections: How does research translate into practice over time in the mental health setting?</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background: Increasingly, mental health nurses are expected to base their clinical practice on evidence based knowledge and many of the practice traditions that have passed between generations of nurses must now be examined within this... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_38464577" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background: Increasingly, mental health nurses are expected to base their clinical practice on evidence based knowledge and many of the practice traditions that have passed between generations of nurses must now be examined within this scientific context. Since 2000, there has been an increasing debate on what is best practice for the administration of intramuscular injections particularly in relation to site selection, needle size and technique. Weight gain associated with second generation long acting antipsychotics influences the site and needle size for effective medication delivery.<br /><br />Aim: To determine intramuscular injecting practice choices made by nurses working in the mental health setting in 2006 compared to those made by a similar group of nurses in 2012.<br /><br />Methods: A descriptive cross sectional study conducted across two time points: 2006 (93 participants) and 2012 (245 participants) utilising the same questionnaire designed to measure nurses' intramuscular injecting practice choices.<br /><br />Results: Data were analysed using SPSS version 20 package. Six statistically significant practice changes were recorded related to needle size, site selection and the use of the Z-tracking technique. A continued higher usage of the dorsogluteal site was also reported in 2012 contrary to the recommendations in the current research for the ventrogluteal site.<br /><br />Conclusion: Whilst some practice changes occurred, translation of research into evidenced based practice is challenging and definitive best practice in the administration of intramuscular injections remains unclear. Education and randomised controlled trials are needed to provide the evidence to ensure the delivery of safe and effective intramuscular injecting practice.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/38464577" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="357b6e36ef676571a49ddf99242e6d48" rel="nofollow" data-download="{"attachment_id":58529115,"asset_id":38464577,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/58529115/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="103508530" href="https://curtinedu.academia.edu/LesleyBarr">Lesley Barr PhD, RN</a><script data-card-contents-for-user="103508530" type="text/json">{"id":103508530,"first_name":"Lesley","last_name":"Barr PhD, RN","domain_name":"curtinedu","page_name":"LesleyBarr","display_name":"Lesley Barr PhD, RN","profile_url":"https://curtinedu.academia.edu/LesleyBarr?f_ri=68217","photo":"https://0.academia-photos.com/103508530/23047070/109847619/s65_lesley.barr_phd_rn.jpeg"}</script></span></span></li><li class="js-paper-rank-work_38464577 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="38464577"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 38464577, container: ".js-paper-rank-work_38464577", }); 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$(".js-view-count[data-work-id=38464577]").text(description); $(".js-view-count-work_38464577").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_38464577").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="38464577"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">19</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="2834" href="https://www.academia.edu/Documents/in/Mental_Health_nursing">Mental Health nursing</a>, <script data-card-contents-for-ri="2834" type="text/json">{"id":2834,"name":"Mental Health nursing","url":"https://www.academia.edu/Documents/in/Mental_Health_nursing?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="6535" href="https://www.academia.edu/Documents/in/Psychiatric_and_Mental_Health_Nursing">Psychiatric & Mental Health Nursing</a>, <script data-card-contents-for-ri="6535" type="text/json">{"id":6535,"name":"Psychiatric \u0026 Mental Health Nursing","url":"https://www.academia.edu/Documents/in/Psychiatric_and_Mental_Health_Nursing?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="16317" href="https://www.academia.edu/Documents/in/Mental_Health_Promotion">Mental Health Promotion</a>, <script data-card-contents-for-ri="16317" type="text/json">{"id":16317,"name":"Mental Health Promotion","url":"https://www.academia.edu/Documents/in/Mental_Health_Promotion?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="16774" href="https://www.academia.edu/Documents/in/Evidence_based_Practice_Health_Sciences_">Evidence based Practice (Health Sciences)</a><script data-card-contents-for-ri="16774" type="text/json">{"id":16774,"name":"Evidence based Practice (Health Sciences)","url":"https://www.academia.edu/Documents/in/Evidence_based_Practice_Health_Sciences_?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=38464577]'), work: {"id":38464577,"title":"Administering intramuscular injections: How does research translate into practice over time in the mental health setting?","created_at":"2019-03-01T14:19:13.423-08:00","url":"https://www.academia.edu/38464577/Administering_intramuscular_injections_How_does_research_translate_into_practice_over_time_in_the_mental_health_setting?f_ri=68217","dom_id":"work_38464577","summary":"Background: Increasingly, mental health nurses are expected to base their clinical practice on evidence based knowledge and many of the practice traditions that have passed between generations of nurses must now be examined within this scientific context. Since 2000, there has been an increasing debate on what is best practice for the administration of intramuscular injections particularly in relation to site selection, needle size and technique. Weight gain associated with second generation long acting antipsychotics influences the site and needle size for effective medication delivery.\n\nAim: To determine intramuscular injecting practice choices made by nurses working in the mental health setting in 2006 compared to those made by a similar group of nurses in 2012.\n\nMethods: A descriptive cross sectional study conducted across two time points: 2006 (93 participants) and 2012 (245 participants) utilising the same questionnaire designed to measure nurses' intramuscular injecting practice choices.\n\nResults: Data were analysed using SPSS version 20 package. Six statistically significant practice changes were recorded related to needle size, site selection and the use of the Z-tracking technique. A continued higher usage of the dorsogluteal site was also reported in 2012 contrary to the recommendations in the current research for the ventrogluteal site.\n\nConclusion: Whilst some practice changes occurred, translation of research into evidenced based practice is challenging and definitive best practice in the administration of intramuscular injections remains unclear. Education and randomised controlled trials are needed to provide the evidence to ensure the delivery of safe and effective intramuscular injecting practice.","downloadable_attachments":[{"id":58529115,"asset_id":38464577,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":103508530,"first_name":"Lesley","last_name":"Barr PhD, RN","domain_name":"curtinedu","page_name":"LesleyBarr","display_name":"Lesley Barr PhD, RN","profile_url":"https://curtinedu.academia.edu/LesleyBarr?f_ri=68217","photo":"https://0.academia-photos.com/103508530/23047070/109847619/s65_lesley.barr_phd_rn.jpeg"}],"research_interests":[{"id":2834,"name":"Mental Health nursing","url":"https://www.academia.edu/Documents/in/Mental_Health_nursing?f_ri=68217","nofollow":false},{"id":6535,"name":"Psychiatric \u0026 Mental Health Nursing","url":"https://www.academia.edu/Documents/in/Psychiatric_and_Mental_Health_Nursing?f_ri=68217","nofollow":false},{"id":16317,"name":"Mental Health Promotion","url":"https://www.academia.edu/Documents/in/Mental_Health_Promotion?f_ri=68217","nofollow":false},{"id":16774,"name":"Evidence based Practice (Health Sciences)","url":"https://www.academia.edu/Documents/in/Evidence_based_Practice_Health_Sciences_?f_ri=68217","nofollow":false},{"id":24807,"name":"Evidence-based practice","url":"https://www.academia.edu/Documents/in/Evidence-based_practice?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":93668,"name":"Evidenced-Based Nursing Researches","url":"https://www.academia.edu/Documents/in/Evidenced-Based_Nursing_Researches?f_ri=68217"},{"id":122838,"name":"Qualitative Narrative research in nursing","url":"https://www.academia.edu/Documents/in/Qualitative_Narrative_research_in_nursing?f_ri=68217"},{"id":181467,"name":"Nursing Education and Research in Nursing","url":"https://www.academia.edu/Documents/in/Nursing_Education_and_Research_in_Nursing?f_ri=68217"},{"id":727067,"name":"Clinical Nursing Education","url":"https://www.academia.edu/Documents/in/Clinical_Nursing_Education?f_ri=68217"},{"id":781737,"name":"Nursing and psychiatry inpatients in hospital patients","url":"https://www.academia.edu/Documents/in/Nursing_and_psychiatry_inpatients_in_hospital_patients?f_ri=68217"},{"id":873485,"name":"Intramuscular Injections","url":"https://www.academia.edu/Documents/in/Intramuscular_Injections?f_ri=68217"},{"id":976222,"name":"Acute Inpatient Psychiatric Units","url":"https://www.academia.edu/Documents/in/Acute_Inpatient_Psychiatric_Units?f_ri=68217"},{"id":977581,"name":"Inpatient Psychiatry","url":"https://www.academia.edu/Documents/in/Inpatient_Psychiatry?f_ri=68217"},{"id":1133563,"name":"Quality Use of Medications","url":"https://www.academia.edu/Documents/in/Quality_Use_of_Medications?f_ri=68217"},{"id":1142592,"name":"Nursing Research and Theory","url":"https://www.academia.edu/Documents/in/Nursing_Research_and_Theory?f_ri=68217"},{"id":1803455,"name":"Psychiatric Inpatients","url":"https://www.academia.edu/Documents/in/Psychiatric_Inpatients?f_ri=68217"},{"id":3149397,"name":"Depot Injections","url":"https://www.academia.edu/Documents/in/Depot_Injections?f_ri=68217"},{"id":3149398,"name":"Injection Technique","url":"https://www.academia.edu/Documents/in/Injection_Technique?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_78998870 coauthored" data-work_id="78998870" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/78998870/Mad_Epistemologies_and_Maddening_the_Ethics_of_Knowledge_Production">Mad Epistemologies and Maddening the Ethics of Knowledge Production</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest">In Macias, T. (2022). Unravelling Research: The Ethics and Politics of Research in the Social Sciences. (p105-130). Winnipeg: Fernwood.</div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/78998870" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="a04fe2603392b52c5ae2939c50b8f538" rel="nofollow" data-download="{"attachment_id":85866713,"asset_id":78998870,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/85866713/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="11587" href="https://mun.academia.edu/BrendaLeFran%C3%A7ois">B A LeFrançois</a><script data-card-contents-for-user="11587" type="text/json">{"id":11587,"first_name":"B A","last_name":"LeFrançois","domain_name":"mun","page_name":"BrendaLeFrançois","display_name":"B A LeFrançois","profile_url":"https://mun.academia.edu/BrendaLeFran%C3%A7ois?f_ri=68217","photo":"https://0.academia-photos.com/11587/3867/12272171/s65_brenda.lefran_ois.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-78998870">+1</span><div class="hidden js-additional-users-78998870"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://uwindsor.academia.edu/JijianVoronka">Jijian Voronka</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-78998870'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-78998870').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_78998870 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="78998870"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 78998870, container: ".js-paper-rank-work_78998870", }); });</script></li><li class="js-percentile-work_78998870 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 78998870; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_78998870"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_78998870 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="78998870"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 78998870; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=78998870]").text(description); $(".js-view-count-work_78998870").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_78998870").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="78998870"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">10</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="2504" href="https://www.academia.edu/Documents/in/Research_Ethics">Research Ethics</a>, <script data-card-contents-for-ri="2504" type="text/json">{"id":2504,"name":"Research Ethics","url":"https://www.academia.edu/Documents/in/Research_Ethics?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2595" href="https://www.academia.edu/Documents/in/Critical_Disability_Studies">Critical Disability Studies</a>, <script data-card-contents-for-ri="2595" type="text/json">{"id":2595,"name":"Critical Disability Studies","url":"https://www.academia.edu/Documents/in/Critical_Disability_Studies?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2923" href="https://www.academia.edu/Documents/in/Methodology">Methodology</a>, <script data-card-contents-for-ri="2923" type="text/json">{"id":2923,"name":"Methodology","url":"https://www.academia.edu/Documents/in/Methodology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="3136" href="https://www.academia.edu/Documents/in/Qualitative_methodology">Qualitative methodology</a><script data-card-contents-for-ri="3136" type="text/json">{"id":3136,"name":"Qualitative methodology","url":"https://www.academia.edu/Documents/in/Qualitative_methodology?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=78998870]'), work: {"id":78998870,"title":"Mad Epistemologies and Maddening the Ethics of Knowledge Production","created_at":"2022-05-11T15:40:44.579-07:00","url":"https://www.academia.edu/78998870/Mad_Epistemologies_and_Maddening_the_Ethics_of_Knowledge_Production?f_ri=68217","dom_id":"work_78998870","summary":"In Macias, T. (2022). Unravelling Research: The Ethics and Politics of Research in the Social Sciences. (p105-130). Winnipeg: Fernwood.","downloadable_attachments":[{"id":85866713,"asset_id":78998870,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":11587,"first_name":"B A","last_name":"LeFrançois","domain_name":"mun","page_name":"BrendaLeFrançois","display_name":"B A LeFrançois","profile_url":"https://mun.academia.edu/BrendaLeFran%C3%A7ois?f_ri=68217","photo":"https://0.academia-photos.com/11587/3867/12272171/s65_brenda.lefran_ois.jpg"},{"id":4731472,"first_name":"Jijian","last_name":"Voronka","domain_name":"uwindsor","page_name":"JijianVoronka","display_name":"Jijian Voronka","profile_url":"https://uwindsor.academia.edu/JijianVoronka?f_ri=68217","photo":"https://0.academia-photos.com/4731472/2002399/111648918/s65_jijian.voronka.jpg"}],"research_interests":[{"id":2504,"name":"Research Ethics","url":"https://www.academia.edu/Documents/in/Research_Ethics?f_ri=68217","nofollow":false},{"id":2595,"name":"Critical Disability Studies","url":"https://www.academia.edu/Documents/in/Critical_Disability_Studies?f_ri=68217","nofollow":false},{"id":2923,"name":"Methodology","url":"https://www.academia.edu/Documents/in/Methodology?f_ri=68217","nofollow":false},{"id":3136,"name":"Qualitative methodology","url":"https://www.academia.edu/Documents/in/Qualitative_methodology?f_ri=68217","nofollow":false},{"id":11923,"name":"Critical Bioethics","url":"https://www.academia.edu/Documents/in/Critical_Bioethics?f_ri=68217"},{"id":49070,"name":"Crip theory","url":"https://www.academia.edu/Documents/in/Crip_theory?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":136085,"name":"Mad Studies","url":"https://www.academia.edu/Documents/in/Mad_Studies?f_ri=68217"},{"id":537616,"name":"User/survivor Research","url":"https://www.academia.edu/Documents/in/User_survivor_Research?f_ri=68217"},{"id":571481,"name":"Mad Studies, Disability Studies, User/Survivor Movement","url":"https://www.academia.edu/Documents/in/Mad_Studies_Disability_Studies_User_Survivor_Movement?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_36007460" data-work_id="36007460" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/36007460/Dukungan_Keluarga_Dengan_Tingkat_Kecemasan_Pasien_Pre_Operatif_di_Rumah_Sakit_Sari_Mutiara_Medan">Dukungan Keluarga Dengan Tingkat Kecemasan Pasien Pre Operatif di Rumah Sakit Sari Mutiara Medan</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Pre operatif merupakan persiapan pasien sebelum dilakukan tindakan operasi, pada tahap ini pasien sering mengalami kecemasan. Kecemasan merupakan respon fisiologis dan psikologis individu terhadap keadaan yang dianggap mengancam karena... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_36007460" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Pre operatif merupakan persiapan pasien sebelum dilakukan tindakan operasi, pada tahap ini pasien sering mengalami kecemasan. Kecemasan merupakan respon fisiologis dan psikologis individu terhadap keadaan yang dianggap mengancam karena akan di operasi. Rasa cemas ini dapat menyebakan kegagalan atau penundaan tindakan operasi. Untuk mengurangi kecemasan tersebut maka diperlukan dukungan dari keluarga. Dukungan keluarga yang diberikan keluarga itu sendiri yakni berupa informasi, motivasi, instrumental dan emosional. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan kecemasan pasien pre operatif di RSU Sari Mutiara Medan. Jenis penelitian ini adalah jenis penelitian analitic corellational dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua pasien pre operatif mayor di RSU Sari Mutiara Medan. Sampel dalam penelitian ini sebanyak 36 orang, tehnik pengambilan sampel yaitu purposive sampling. Dukungan keluarga pada pasien pre operatif di RSU Sari Mutiara Medan yaitu baik (92%). Kecemasan pasien pre operatif di RSU Sari Mutiara Medan yaitu ringan (70%).  Hasil penelitian dengan uji statistik Rank spearman menunjukkan bahwa ada hubungan yang signifikan antara dukungan keluarga dengan kecemasan pasien pre operatif di RSU Sari Mutiara Medan dengan nilai p value = 0.011 dan nilai r = -0.417. Disarankan kepada kelurga untuk selalu memberikan dukungan bagi anggota keluarga pre operatif sehingga dapat mengurangi kecemasan yang dialami anggota keluarga pre operatif.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/36007460" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="f0baa8131613a1b4c1cbea8cdcaee1d9" rel="nofollow" data-download="{"attachment_id":63689560,"asset_id":36007460,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/63689560/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="13056299" href="https://ui.academia.edu/JackAmidos">Jek A M I D O S Pardede</a><script data-card-contents-for-user="13056299" type="text/json">{"id":13056299,"first_name":"Jek","last_name":"Pardede","domain_name":"ui","page_name":"JackAmidos","display_name":"Jek A M I D O S Pardede","profile_url":"https://ui.academia.edu/JackAmidos?f_ri=68217","photo":"https://0.academia-photos.com/13056299/7529135/36901412/s65_jek.pardede.jpg"}</script></span></span></li><li class="js-paper-rank-work_36007460 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="36007460"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 36007460, container: ".js-paper-rank-work_36007460", }); 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Kecemasan merupakan respon fisiologis dan psikologis individu terhadap keadaan yang dianggap mengancam karena akan di operasi. Rasa cemas ini dapat menyebakan kegagalan atau penundaan tindakan operasi. Untuk mengurangi kecemasan tersebut maka diperlukan dukungan dari keluarga. Dukungan keluarga yang diberikan keluarga itu sendiri yakni berupa informasi, motivasi, instrumental dan emosional. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan kecemasan pasien pre operatif di RSU Sari Mutiara Medan. Jenis penelitian ini adalah jenis penelitian analitic corellational dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua pasien pre operatif mayor di RSU Sari Mutiara Medan. Sampel dalam penelitian ini sebanyak 36 orang, tehnik pengambilan sampel yaitu purposive sampling. Dukungan keluarga pada pasien pre operatif di RSU Sari Mutiara Medan yaitu baik (92%). Kecemasan pasien pre operatif di RSU Sari Mutiara Medan yaitu ringan (70%). Hasil penelitian dengan uji statistik Rank spearman menunjukkan bahwa ada hubungan yang signifikan antara dukungan keluarga dengan kecemasan pasien pre operatif di RSU Sari Mutiara Medan dengan nilai p value = 0.011 dan nilai r = -0.417. Disarankan kepada kelurga untuk selalu memberikan dukungan bagi anggota keluarga pre operatif sehingga dapat mengurangi kecemasan yang dialami anggota keluarga pre operatif.","downloadable_attachments":[{"id":63689560,"asset_id":36007460,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":13056299,"first_name":"Jek","last_name":"Pardede","domain_name":"ui","page_name":"JackAmidos","display_name":"Jek A M I D O S Pardede","profile_url":"https://ui.academia.edu/JackAmidos?f_ri=68217","photo":"https://0.academia-photos.com/13056299/7529135/36901412/s65_jek.pardede.jpg"}],"research_interests":[{"id":2834,"name":"Mental Health nursing","url":"https://www.academia.edu/Documents/in/Mental_Health_nursing?f_ri=68217","nofollow":false},{"id":5985,"name":"Evidence Based Nursing","url":"https://www.academia.edu/Documents/in/Evidence_Based_Nursing?f_ri=68217","nofollow":false},{"id":6535,"name":"Psychiatric \u0026 Mental Health Nursing","url":"https://www.academia.edu/Documents/in/Psychiatric_and_Mental_Health_Nursing?f_ri=68217","nofollow":false},{"id":52970,"name":"Nursing Management","url":"https://www.academia.edu/Documents/in/Nursing_Management?f_ri=68217","nofollow":false},{"id":57294,"name":"Nursing Research","url":"https://www.academia.edu/Documents/in/Nursing_Research?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":181467,"name":"Nursing Education and Research in Nursing","url":"https://www.academia.edu/Documents/in/Nursing_Education_and_Research_in_Nursing?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_35809557" data-work_id="35809557" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/35809557/WOW_This_Is_Amazing_A_Mental_Health_Course_for_Youth_Ages_13_19_download_">WOW! This Is Amazing! A Mental Health Course for Youth, Ages 13-19 (download)</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">THIS IS YOUR CUE: TIME TO TAKE ACTION Call upon the community or general public, parents and youths, mental health professionals, physicians and nurses, educators, Facebook and other internet social media, religious groups, athletes,... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_35809557" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">THIS IS YOUR CUE: TIME TO TAKE ACTION <br />Call upon the community or general public, parents and youths, mental health professionals, physicians and nurses, educators, Facebook and other internet social media, religious groups, athletes, celebrities, secular and SBNR, school administrators, news media, Hollywood, academia, scientists, employers and employees, business owners and managers, private individuals and public officials, to join their talents, opportunities, and influence to support student mental health and end school shootings. 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(2012). Informed grounded theory. Scandinavian Journal of Educational Research, 56, 243-259.</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">There is a widespread idea that in grounded theory (GT) research, the researcher has to delay the literature review until the end of the analysis to avoid contamination – a dictum that might turn educational researchers away from GT.... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_2063552" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">There is a widespread idea that in grounded theory (GT) research, the researcher has to delay the literature review until the end of the analysis to avoid contamination – a dictum that might turn educational researchers away from GT. Nevertheless, in this article the author (a) problematizes the dictum of delaying a literature review in classic grounded theory, (b) presents arguments for using extant literature in the substantive field within a constructivist grounded theory, and (c) suggests data sensitizing principles in using literature, which are: theoretical agnosticism, theoretical pluralism, theoretical sampling of literature, staying grounded, theoretical playfulness, memoing extant knowledge associations, and constant reflexivity.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/2063552" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="0377779b266ea8a7091abe980ad1fe83" rel="nofollow" data-download="{"attachment_id":31348913,"asset_id":2063552,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/31348913/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="2634051" href="https://liu-se.academia.edu/RobertThornberg">Robert Thornberg</a><script data-card-contents-for-user="2634051" type="text/json">{"id":2634051,"first_name":"Robert","last_name":"Thornberg","domain_name":"liu-se","page_name":"RobertThornberg","display_name":"Robert Thornberg","profile_url":"https://liu-se.academia.edu/RobertThornberg?f_ri=68217","photo":"https://0.academia-photos.com/2634051/864290/7210198/s65_robert.thornberg.jpg"}</script></span></span></li><li class="js-paper-rank-work_2063552 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="2063552"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 2063552, container: ".js-paper-rank-work_2063552", }); 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href="https://www.academia.edu/Documents/in/Health_Disparities">Health Disparities</a>, <script data-card-contents-for-ri="7437" type="text/json">{"id":7437,"name":"Health Disparities","url":"https://www.academia.edu/Documents/in/Health_Disparities?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="16623" href="https://www.academia.edu/Documents/in/Migration_And_Health">Migration And Health</a><script data-card-contents-for-ri="16623" type="text/json">{"id":16623,"name":"Migration And Health","url":"https://www.academia.edu/Documents/in/Migration_And_Health?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=3878892]'), work: {"id":3878892,"title":"Good practices in mental health and social care for asylum seekers and refugees. ","created_at":"2013-07-05T22:12:57.163-07:00","url":"https://www.academia.edu/3878892/Good_practices_in_mental_health_and_social_care_for_asylum_seekers_and_refugees?f_ri=68217","dom_id":"work_3878892","summary":null,"downloadable_attachments":[{"id":31506797,"asset_id":3878892,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":4110020,"first_name":"Claudia","last_name":"de Freitas","domain_name":"iscte-iul","page_name":"ClaudiadeFreitas","display_name":"Claudia de Freitas","profile_url":"https://iscte-iul.academia.edu/ClaudiadeFreitas?f_ri=68217","photo":"https://0.academia-photos.com/4110020/2030961/2393959/s65_cl_udia.de_freitas.jpg"}],"research_interests":[{"id":2835,"name":"Refugee Studies","url":"https://www.academia.edu/Documents/in/Refugee_Studies?f_ri=68217","nofollow":false},{"id":4814,"name":"HIV/AIDS","url":"https://www.academia.edu/Documents/in/HIV_AIDS?f_ri=68217","nofollow":false},{"id":7437,"name":"Health Disparities","url":"https://www.academia.edu/Documents/in/Health_Disparities?f_ri=68217","nofollow":false},{"id":16623,"name":"Migration And Health","url":"https://www.academia.edu/Documents/in/Migration_And_Health?f_ri=68217","nofollow":false},{"id":17972,"name":"Access to health services","url":"https://www.academia.edu/Documents/in/Access_to_health_services?f_ri=68217"},{"id":22454,"name":"Refugees Phisical and Mental Health","url":"https://www.academia.edu/Documents/in/Refugees_Phisical_and_Mental_Health?f_ri=68217"},{"id":22455,"name":"Asylum seekers","url":"https://www.academia.edu/Documents/in/Asylum_seekers?f_ri=68217"},{"id":34408,"name":"Refugee Health","url":"https://www.academia.edu/Documents/in/Refugee_Health?f_ri=68217"},{"id":39869,"name":"Refugees","url":"https://www.academia.edu/Documents/in/Refugees?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":105381,"name":"Migration and Mental Health","url":"https://www.academia.edu/Documents/in/Migration_and_Mental_Health?f_ri=68217"},{"id":520126,"name":"Culture, ethnicity and diversity in health and social care","url":"https://www.academia.edu/Documents/in/Culture_ethnicity_and_diversity_in_health_and_social_care?f_ri=68217"},{"id":560482,"name":"Cultural diversity in healthcare","url":"https://www.academia.edu/Documents/in/Cultural_diversity_in_healthcare?f_ri=68217"},{"id":975642,"name":"Immigrant and Refugee Access to Care","url":"https://www.academia.edu/Documents/in/Immigrant_and_Refugee_Access_to_Care?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_12429050" data-work_id="12429050" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/12429050/Assessing_LGBTQ_youth_cultural_competence_in_direct_care_behavioral_health_workers_Development_and_validation_of_a_measure">Assessing LGBTQ youth cultural competence in direct-care behavioral health workers: Development and validation of a measure.</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Direct-care workers can provide an array of service types to children, adolescents, and their families in behavioral health treatment. They may also work in a variety of settings (e.g., group homes, inpatient units/hospitals, residential... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_12429050" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Direct-care workers can provide an array of service types to children, adolescents, and their families in behavioral health treatment. They may also work in a variety of settings (e.g., group homes, inpatient units/hospitals, residential treatment, treatment foster care, day treatment, in-home treatment, etc.). Direct-care workers typically are involved in the supervision of youth and in the implementation of a treatment plan developed by the youth’s treatment team. For youth who are lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) and are receiving behavioral health services, such workers form a critical part of their therapeutic experience. However, little is known about these workers’ competencies related to working with LGBTQ youth. This study begins to fill that gap by developing and testing a measure that assessed LGBTQ cultural competencies related to behavioral health practice with youth and a measure that was relevant to the roles and responsibilities of direct-care (e.g., paraprofessional, front-line) workers. <br /><br />In order for direct-care workers to use LGBTQ cultural competency in their practice, more understanding is needed about their current level of LGBTQ-related cultural competency. The LGBTQ Youth Cultural Competency scale (abbreviated as LGBTQY-CC) provides a means to measure those competencies. An exploratory factor analysis found that the new scale consists of one primary factor which represents knowledge, attitudes, skill, and awareness of LGBTQ cultural competency. Cronbach’s alpha, correlations with other measures for concurrent validity, and correlation with a measure of social desirability all resulted in evidence that the LGBTQY-CC has good validity. <br /><br />Analyses examined how the new measure was related to constructs associated with training and competency in direct-care workers. Multiple regression analyses showed that higher levels of LGBTQ cultural competency (as measured by the LGBTQY-CC) were significantly related to age (younger), political ideology (more liberal), more social contact with LGBTQ individuals, and degree of religious belief about LGBTQ being a sin. A model including these factors explained 60% of the variance in LGBTQY-CC scores. <br /><br />The LGBTQY-CC was created with the long-term goal of creating training interventions for direct-care workers to improve their practice with LGBTQ youth. The measure could be used to assess training participants’ knowledge, attitudes, skills, and awareness and to evaluate the effectiveness of varying types and styles of training programs. Federal and state regulatory bodies have begun to require service providers to identify how they will address disparities faced by LGBTQ individuals, so service providers need to demonstrate how they are improving access to and quality of care for LGBTQ individuals. Therefore, the LGBTQY-CC may provide a means to gather data on efforts made by service providers to improve their behavioral health workforce’s capacity to serve LGBTQ youth.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/12429050" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c752a1b6937cfd23db2ee83424d37896" rel="nofollow" data-download="{"attachment_id":51204237,"asset_id":12429050,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/51204237/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="3524721" href="https://wvu.academia.edu/Megandy">Megan E . Gandy</a><script data-card-contents-for-user="3524721" type="text/json">{"id":3524721,"first_name":"Megan","last_name":"Gandy","domain_name":"wvu","page_name":"Megandy","display_name":"Megan E . Gandy","profile_url":"https://wvu.academia.edu/Megandy?f_ri=68217","photo":"https://0.academia-photos.com/3524721/1209198/49544293/s65_megan.gandy.jpg"}</script></span></span></li><li class="js-paper-rank-work_12429050 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="12429050"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 12429050, container: ".js-paper-rank-work_12429050", }); });</script></li><li class="js-percentile-work_12429050 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 12429050; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_12429050"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_12429050 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="12429050"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 12429050; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=12429050]").text(description); $(".js-view-count-work_12429050").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_12429050").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="12429050"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">13</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="2625" href="https://www.academia.edu/Documents/in/Child_and_adolescent_mental_health">Child and adolescent mental health</a>, <script data-card-contents-for-ri="2625" type="text/json">{"id":2625,"name":"Child and adolescent mental health","url":"https://www.academia.edu/Documents/in/Child_and_adolescent_mental_health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="6288" href="https://www.academia.edu/Documents/in/Measurement_and_Evaluation">Measurement and Evaluation</a>, <script data-card-contents-for-ri="6288" type="text/json">{"id":6288,"name":"Measurement and Evaluation","url":"https://www.academia.edu/Documents/in/Measurement_and_Evaluation?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="6667" href="https://www.academia.edu/Documents/in/LGBT_Issues">LGBT Issues</a>, <script data-card-contents-for-ri="6667" type="text/json">{"id":6667,"name":"LGBT Issues","url":"https://www.academia.edu/Documents/in/LGBT_Issues?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="7273" href="https://www.academia.edu/Documents/in/Cultural_Competency">Cultural Competency</a><script data-card-contents-for-ri="7273" type="text/json">{"id":7273,"name":"Cultural Competency","url":"https://www.academia.edu/Documents/in/Cultural_Competency?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=12429050]'), work: {"id":12429050,"title":"Assessing LGBTQ youth cultural competence in direct-care behavioral health workers: Development and validation of a measure.","created_at":"2015-05-17T15:14:13.753-07:00","url":"https://www.academia.edu/12429050/Assessing_LGBTQ_youth_cultural_competence_in_direct_care_behavioral_health_workers_Development_and_validation_of_a_measure?f_ri=68217","dom_id":"work_12429050","summary":"Direct-care workers can provide an array of service types to children, adolescents, and their families in behavioral health treatment. They may also work in a variety of settings (e.g., group homes, inpatient units/hospitals, residential treatment, treatment foster care, day treatment, in-home treatment, etc.). Direct-care workers typically are involved in the supervision of youth and in the implementation of a treatment plan developed by the youth’s treatment team. For youth who are lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) and are receiving behavioral health services, such workers form a critical part of their therapeutic experience. However, little is known about these workers’ competencies related to working with LGBTQ youth. This study begins to fill that gap by developing and testing a measure that assessed LGBTQ cultural competencies related to behavioral health practice with youth and a measure that was relevant to the roles and responsibilities of direct-care (e.g., paraprofessional, front-line) workers. \n\nIn order for direct-care workers to use LGBTQ cultural competency in their practice, more understanding is needed about their current level of LGBTQ-related cultural competency. The LGBTQ Youth Cultural Competency scale (abbreviated as LGBTQY-CC) provides a means to measure those competencies. An exploratory factor analysis found that the new scale consists of one primary factor which represents knowledge, attitudes, skill, and awareness of LGBTQ cultural competency. Cronbach’s alpha, correlations with other measures for concurrent validity, and correlation with a measure of social desirability all resulted in evidence that the LGBTQY-CC has good validity. \n\nAnalyses examined how the new measure was related to constructs associated with training and competency in direct-care workers. Multiple regression analyses showed that higher levels of LGBTQ cultural competency (as measured by the LGBTQY-CC) were significantly related to age (younger), political ideology (more liberal), more social contact with LGBTQ individuals, and degree of religious belief about LGBTQ being a sin. A model including these factors explained 60% of the variance in LGBTQY-CC scores. \n\nThe LGBTQY-CC was created with the long-term goal of creating training interventions for direct-care workers to improve their practice with LGBTQ youth. The measure could be used to assess training participants’ knowledge, attitudes, skills, and awareness and to evaluate the effectiveness of varying types and styles of training programs. Federal and state regulatory bodies have begun to require service providers to identify how they will address disparities faced by LGBTQ individuals, so service providers need to demonstrate how they are improving access to and quality of care for LGBTQ individuals. Therefore, the LGBTQY-CC may provide a means to gather data on efforts made by service providers to improve their behavioral health workforce’s capacity to serve LGBTQ youth.","downloadable_attachments":[{"id":51204237,"asset_id":12429050,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":3524721,"first_name":"Megan","last_name":"Gandy","domain_name":"wvu","page_name":"Megandy","display_name":"Megan E . Gandy","profile_url":"https://wvu.academia.edu/Megandy?f_ri=68217","photo":"https://0.academia-photos.com/3524721/1209198/49544293/s65_megan.gandy.jpg"}],"research_interests":[{"id":2625,"name":"Child and adolescent mental health","url":"https://www.academia.edu/Documents/in/Child_and_adolescent_mental_health?f_ri=68217","nofollow":false},{"id":6288,"name":"Measurement and Evaluation","url":"https://www.academia.edu/Documents/in/Measurement_and_Evaluation?f_ri=68217","nofollow":false},{"id":6667,"name":"LGBT Issues","url":"https://www.academia.edu/Documents/in/LGBT_Issues?f_ri=68217","nofollow":false},{"id":7273,"name":"Cultural Competency","url":"https://www.academia.edu/Documents/in/Cultural_Competency?f_ri=68217","nofollow":false},{"id":7420,"name":"Cultural Competence","url":"https://www.academia.edu/Documents/in/Cultural_Competence?f_ri=68217"},{"id":9903,"name":"LGBT Youth","url":"https://www.academia.edu/Documents/in/LGBT_Youth?f_ri=68217"},{"id":36434,"name":"LGBTQ psychology","url":"https://www.academia.edu/Documents/in/LGBTQ_psychology?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":83115,"name":"LGBT","url":"https://www.academia.edu/Documents/in/LGBT?f_ri=68217"},{"id":175096,"name":"Lgbtq","url":"https://www.academia.edu/Documents/in/Lgbtq?f_ri=68217"},{"id":178434,"name":"Mental health services","url":"https://www.academia.edu/Documents/in/Mental_health_services?f_ri=68217"},{"id":515795,"name":"Children's Mental Health","url":"https://www.academia.edu/Documents/in/Childrens_Mental_Health?f_ri=68217"},{"id":715077,"name":"Cultural Competency In Health Education","url":"https://www.academia.edu/Documents/in/Cultural_Competency_In_Health_Education?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_4650708" data-work_id="4650708" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/4650708/A_new_tool_for_hazard_analysis_and_force_field_analysis_The_Lovebug_Diagram">A new tool for hazard analysis and force field analysis: The Lovebug Diagram</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">BACKGROUND: Fishbone diagrams have been widely promoted as a systems-focused hazard analysis tool for use in root cause analysis, but they suffer from a number of structural weaknesses, including a unidirectional structure that only takes... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_4650708" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">BACKGROUND: Fishbone diagrams have been widely promoted as a systems-focused hazard analysis tool for use in root cause analysis, but they suffer from a number of structural weaknesses, including a unidirectional structure that only takes into account forces that promote an accident (ignoring those that make the accident less likely or less severe) and a means of displaying these forces that does not convey any difference in strength of influence. In a separate but related issue, many healthcare organizations suffer from a lack of change management expertise. <br /> <br />PROPOSED SOLUTION: To address these concerns, I present a novel technique, the Lovebug diagram, which draws from both Fishbone diagrams and force-field analysis (an approach to analyzing planned change). This new technique adds value to both its progenitor methods, while retaining their key strengths and ease of use. It can be used both prospectively, to assess planned changes, and retrospectively to assess unplanned (accidental) departures from the status quo. <br /> <br />DISCUSSION: The Lovebug diagram is a more powerful analytical tool than its progenitor methods; however, overall adoption of systems-focused tools for root cause analysis remains suboptimal. Additional research is needed to determine how best to promote a truly systems-focused approach to healthcare root cause analysis. Beyond this retrospective use of the technique, it represents a simple tool to assist healthcare organizations with prospective change management. <br /> <br />Available from: <a href="http://cri.sagepub.com/content/early/2013/10/25/1356262213510855.abstract" rel="nofollow">http://cri.sagepub.com/content/early/2013/10/25/1356262213510855.abstract</a></div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/4650708" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="d3cd3ec8fb322b66e79ad1ff10ead456" rel="nofollow" data-download="{"attachment_id":36421489,"asset_id":4650708,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/36421489/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="158154" href="https://ucsd.academia.edu/AlanCard">Alan Card</a><script data-card-contents-for-user="158154" type="text/json">{"id":158154,"first_name":"Alan","last_name":"Card","domain_name":"ucsd","page_name":"AlanCard","display_name":"Alan Card","profile_url":"https://ucsd.academia.edu/AlanCard?f_ri=68217","photo":"https://0.academia-photos.com/158154/414127/12010577/s65_alan.card.jpg"}</script></span></span></li><li class="js-paper-rank-work_4650708 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="4650708"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 4650708, container: ".js-paper-rank-work_4650708", }); 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$(".js-view-count[data-work-id=4650708]").text(description); $(".js-view-count-work_4650708").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_4650708").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="4650708"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">190</a>  </div><span class="InlineList-item-text u-textTruncate u-pl11x"><a class="InlineList-item-text" data-has-card-for-ri="38" href="https://www.academia.edu/Documents/in/Management">Management</a>, <script data-card-contents-for-ri="38" type="text/json">{"id":38,"name":"Management","url":"https://www.academia.edu/Documents/in/Management?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="85" href="https://www.academia.edu/Documents/in/Safety_Engineering">Safety Engineering</a>, <script data-card-contents-for-ri="85" type="text/json">{"id":85,"name":"Safety Engineering","url":"https://www.academia.edu/Documents/in/Safety_Engineering?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="1241" href="https://www.academia.edu/Documents/in/Knowledge_Management">Knowledge Management</a>, <script data-card-contents-for-ri="1241" type="text/json">{"id":1241,"name":"Knowledge Management","url":"https://www.academia.edu/Documents/in/Knowledge_Management?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="1324" href="https://www.academia.edu/Documents/in/Organizational_Change">Organizational Change</a><script data-card-contents-for-ri="1324" type="text/json">{"id":1324,"name":"Organizational Change","url":"https://www.academia.edu/Documents/in/Organizational_Change?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=4650708]'), work: {"id":4650708,"title":"A new tool for hazard analysis and force field analysis: The Lovebug Diagram","created_at":"2013-10-02T00:41:35.732-07:00","url":"https://www.academia.edu/4650708/A_new_tool_for_hazard_analysis_and_force_field_analysis_The_Lovebug_Diagram?f_ri=68217","dom_id":"work_4650708","summary":"BACKGROUND: Fishbone diagrams have been widely promoted as a systems-focused hazard analysis tool for use in root cause analysis, but they suffer from a number of structural weaknesses, including a unidirectional structure that only takes into account forces that promote an accident (ignoring those that make the accident less likely or less severe) and a means of displaying these forces that does not convey any difference in strength of influence. In a separate but related issue, many healthcare organizations suffer from a lack of change management expertise.\r\n\r\nPROPOSED SOLUTION: To address these concerns, I present a novel technique, the Lovebug diagram, which draws from both Fishbone diagrams and force-field analysis (an approach to analyzing planned change). This new technique adds value to both its progenitor methods, while retaining their key strengths and ease of use. It can be used both prospectively, to assess planned changes, and retrospectively to assess unplanned (accidental) departures from the status quo.\r\n\r\nDISCUSSION: The Lovebug diagram is a more powerful analytical tool than its progenitor methods; however, overall adoption of systems-focused tools for root cause analysis remains suboptimal. Additional research is needed to determine how best to promote a truly systems-focused approach to healthcare root cause analysis. Beyond this retrospective use of the technique, it represents a simple tool to assist healthcare organizations with prospective change management.\r\n\r\nAvailable from: http://cri.sagepub.com/content/early/2013/10/25/1356262213510855.abstract","downloadable_attachments":[{"id":36421489,"asset_id":4650708,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":158154,"first_name":"Alan","last_name":"Card","domain_name":"ucsd","page_name":"AlanCard","display_name":"Alan Card","profile_url":"https://ucsd.academia.edu/AlanCard?f_ri=68217","photo":"https://0.academia-photos.com/158154/414127/12010577/s65_alan.card.jpg"}],"research_interests":[{"id":38,"name":"Management","url":"https://www.academia.edu/Documents/in/Management?f_ri=68217","nofollow":false},{"id":85,"name":"Safety Engineering","url":"https://www.academia.edu/Documents/in/Safety_Engineering?f_ri=68217","nofollow":false},{"id":1241,"name":"Knowledge 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Pro-poor Policies and Programs","url":"https://www.academia.edu/Documents/in/Implementation_of_Pro-poor_Policies_and_Programs?f_ri=68217"},{"id":2254277,"name":"Quality Controls (six Sigma)","url":"https://www.academia.edu/Documents/in/Quality_Controls_six_Sigma_?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_25058522" data-work_id="25058522" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/25058522/Gaps_in_responses_to_LGBT_issues_in_Thailand_Mental_health_research_services_and_policies">Gaps in responses to LGBT issues in Thailand: Mental health research, services, and policies</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Focusing on Thailand, we give a historical overview of LGBT identities and issues, highlight psychological, psychiatric and nursing research on LGBT mental health and services, and review LGBT-related policy statements of professional... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_25058522" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Focusing on Thailand, we give a historical overview of LGBT identities and issues, highlight psychological, psychiatric and nursing research on LGBT mental health and services, and review LGBT-related policy statements of professional associations and state-affiliated instances dealing with mental health. Our review demonstrates that stigma, victimisation and familial rejection in Thailand are linked to stress, depression,<br />substance use and suicidality among Thai LGBT people. Research has insufficiently covered transgender men, bisexuals and intersex people. Access to mental health services and their appropriateness are impeded by generic factors (e.g. overcrowded services, stigma, and confidentiality concerns) and low practitioner knowledge of LGBT issues, stereotyping of LGBT clients, and anticipation of practitioners not being accepting or understanding LGBT identities. LGBT-related policy statements have been issued by state-affiliated bodies,<br />but not by professional associations. While sometimes supportive, many policy documents have used stigmatising terminology and perpetuated anti-LGBT prejudice. LGBT-specific counselling and health services have been established, therapeutic strategies have been investigated and information on LGBT issues has been disseminated, but LGBT sensitivity remains to be mainstreamed in Thai health and counselling<br />services. Providing training on LGBT issues, publicising the Yogyakarta Principles and getting professional associations engaged with LGBT issues are among the ways forward.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/25058522" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="3dc1d1e5e5548993f061b12059b7f213" rel="nofollow" data-download="{"attachment_id":45409420,"asset_id":25058522,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/45409420/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="3582463" href="https://thammasat.academia.edu/TimoOjanen">Timo Ojanen</a><script data-card-contents-for-user="3582463" type="text/json">{"id":3582463,"first_name":"Timo","last_name":"Ojanen","domain_name":"thammasat","page_name":"TimoOjanen","display_name":"Timo Ojanen","profile_url":"https://thammasat.academia.edu/TimoOjanen?f_ri=68217","photo":"https://0.academia-photos.com/3582463/1245025/8324457/s65_timo.ojanen.jpg"}</script></span></span></li><li class="js-paper-rank-work_25058522 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="25058522"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 25058522, container: ".js-paper-rank-work_25058522", }); 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data-has-card-for-user="4110020" href="https://iscte-iul.academia.edu/ClaudiadeFreitas">Claudia de Freitas</a><script data-card-contents-for-user="4110020" type="text/json">{"id":4110020,"first_name":"Claudia","last_name":"de Freitas","domain_name":"iscte-iul","page_name":"ClaudiadeFreitas","display_name":"Claudia de Freitas","profile_url":"https://iscte-iul.academia.edu/ClaudiadeFreitas?f_ri=68217","photo":"https://0.academia-photos.com/4110020/2030961/2393959/s65_cl_udia.de_freitas.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-3758250">+4</span><div class="hidden js-additional-users-3758250"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://wur.academia.edu/MeghannOrmond">Meghann Ormond</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://auth.academia.edu/PHatziprokopiou">Panos Hatziprokopiou</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://uva.academia.edu/DavidIngleby">David Ingleby</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://hes-so.academia.edu/MilenaChimienti">Milena Chimienti</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-3758250'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-3758250').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_3758250 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="3758250"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new 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class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_73520328" data-work_id="73520328" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/73520328/_If_we_would_change_things_outside_we_wouldn_t_even_need_to_go_in_supporting_recovery_via_community_based_actions_A_focus_group_study_on_psychiatric_rehospitalization">‘If we would change things outside we wouldn’t even need to go in...’ supporting recovery via community-based actions: A focus group study on psychiatric rehospitalization</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background: Psychiatric rehospitalization is a complex phenomenon in need of more person-centred approaches. The current paper aimed to explore how community-based actions and daily life influence mental health and rehospitalization.... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_73520328" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background: Psychiatric rehospitalization is a complex phenomenon in need of more person-centred approaches. The current paper aimed to explore how community-based actions and daily life influence mental health and rehospitalization.<br />Design,  setting  and  participants:  The  qualitative  study  included  focus  group  data  from six European countries including 59 participants. Data were thematically ana-lysed following an inductive approach deriving themes and subthemes in relation to facilitators and barriers to mental health.<br />Results: Barriers  consisted  of  subthemes  (financial  difficulty,  challenging  family  circumstances  and  stigma),  and  facilitators  consisted  of  three  subthemes  (comple-menting services, signposting and recovery). The recovery subtheme consisted of a further five categories (family and friends, work and recreation, hope, using mental health experience and meaning).<br />Discussion: Barriers to mental health largely related to social determinants of mental health, which may also have implications for psychiatric rehospitalization. Facilitators included community-based actions and aspects of daily life with ties to personal re-covery. By articulating the value of these facilitators, we highlight benefits of a per-son-centred and recovery-focused approach also within the context of psychiatric rehospitalization.<br />Conclusions: This paper portrays how person-centred approaches and day-to-day community actions may impact psychiatric rehospitalization via barriers and facilita-tors, acknowledging the social determinants of mental health and personal recovery.<br />|  175CRESSWELL-SMITH ETaL.1 | BACKGROUNDThere is a growing interest in how the social, economic and physical environments  may  support  mental  health,1-5  with  contemporary  approaches placing increased focus on the social determinants and the importance providing opportunities for meaningful activities, reducing  social  exclusion  and  enhancing  community  connected-ness.6-9 A well-cited definition by the World Health Organisation (WHO) defines mental health as 'A state of well-being in which every  individual  realises  his  or  her  own  potential,  can  cope  with  the  normal  stresses  of  life,  can  work  productively  and  fruitfully,  and is able to make a contribution to her or his community',10 (p.1) underlining the importance of peoples’ everyday actions on men-tal health.Mental health can therefore be promoted both by health-care services and by community-based initiatives, which foster positive mental  health,  prevent  mental  disorders  and  should  be  included  across all policy sectors.11-13 This approach is also endorsed by the WHO Optimal Mix of Services for Mental Health, which emphasizes the need for easily available and balanced mental health services,14while placing considerable emphasis on the value of community and self-care actions.15  Psychiatric  rehospitalization  is  a  complex  phe-nomenon that has been reported to hamper the recovery process16and  be  unfavourable  in  terms  of  quality  and  cost  of  health  care.17Psychiatric  rehospitalization  is  a  good  example  where  comprehen-sive approaches may be beneficial.17–2 2 These approaches may also be  incorporated  prior  to  hospital  discharge,  for  example  ensuring  access  to  meaningful  activities,  and  engaging  in  signposting  and  planning  for  community  life  during  the  hospital  stay.23-25  Such  ap-proaches reflect a person-centred ethos where individuals' unique experiences  are  attended  to  in  a  holistic  manner  and  highlight  the  need  for  organizing  services,  organizations,  families  and  communi-ties accordingly.26,27Although a clear definition of person-centred approaches has not yet been formalized,28 it generally reflects health-care practices where the patients’ perspective and a focus on patient-reported out-comes  are  prioritized.29, 3 0 Person-centred approaches may include recovery-based  thinking,  which  has  its  roots  in  service  user–led contexts and has gained momentum also within mental health ser-vices.31 The recovery model redefines how we view mental health difficulties, nurturing empowerment and participation in society.32,33Personal  recovery  can  be  thought  of  as  a  highly  subjective  experi-ence  around  goals,  relationships  and  skills  that  support  a  positive  life with or without on-going mental health difficulties.34  Although  not universally defined, the model acknowledges that mental health treatment  may  at  times  be  necessary,  but  views  it  as  one  building  block in the recovery process, which should also support 'everyday solutions to everyday problems'(Slade 2012).35,36The  aim  of  the  current  paper  was  to  explore  how  attention  to  community-based actions may support person-centred approaches in  relation  to  psychiatric  rehospitalization  using  qualitative  data  from  the  Comparative  Effectiveness  Research  on  Psychiatric  Hospitalisation  by  Record  Linkage  of  Large  Administrative  Data  Sets (CEPHOS-LINK) project (<a href="http://www.cephos-link.org" rel="nofollow">www.cephos-link.org</a>). Previous pa-pers  from  the  project  report  on  psychiatric  rehospitalization  using  quantitative register-based methodology18  and  explore  meanings  and  experiences  of  the  phenomenon  qualitatively  both  in  general  terms24 and more specifically how it can be avoided.23 The current paper  furthers  this  line  of  enquiry  via  a  secondary  analysis  looking  at how participants relate community-based actions and day-to-day activities  to  their  mental  health.  By  articulating  what  actions  indi-viduals with experience of psychiatric rehospitalization themselves deem  useful  for  their  mental  health,  we  not  only  illuminate  these  actions but also may promote the development of person-centred approaches in relation to psychiatric rehospitalization.2 | METHODSThe  CEPHOS-LINK  project  studied  psychiatric  rehospitalization quantitatively and qualitatively in six different countries: Austria (At), Finland  (Fin),  Italy  (It),  Norway  (Nor),  Romania  (Rom)  and  Slovenia  (Sl).  Ethical  approval  was  sought  from  leading  ethical  committees  in all participating countries, and informed consent was given by all participants who participated in the qualitative study. A focus group methodology  was  employed  in  order  to  gain  insight  into  lived  ex-perience of psychiatric rehospitalization. The reasoning behind this approach related to its suitability for generating insights into experi-ences,  views  and  meanings  through  the  process  of  shared  discus-sion derived from both the individual and the groups.37 Furthermore, focus groups allow for exploring responses to questions not only in relation to the interview guide, but also in terms of digressions and Patient  or  public  contribution:  The  current  study  included  participants  with  ex-perience  of  psychiatric  rehospitalization  from  six  different  European  countries.  Furthermore, transcripts were read by several of the focus group participants, and a service user representative participated in the entire research process in the original study</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/73520328" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c3b9ca4a7eaad0b637123adfb55625b2" rel="nofollow" data-download="{"attachment_id":82011423,"asset_id":73520328,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/82011423/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="4200045" href="https://thl.academia.edu/KristianWahlbeck">Kristian Wahlbeck</a><script data-card-contents-for-user="4200045" type="text/json">{"id":4200045,"first_name":"Kristian","last_name":"Wahlbeck","domain_name":"thl","page_name":"KristianWahlbeck","display_name":"Kristian Wahlbeck","profile_url":"https://thl.academia.edu/KristianWahlbeck?f_ri=68217","photo":"https://0.academia-photos.com/4200045/1649200/1986261/s65_kristian.wahlbeck.jpg"}</script></span></span></li><li class="js-paper-rank-work_73520328 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="73520328"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 73520328, container: ".js-paper-rank-work_73520328", }); 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$(".js-view-count[data-work-id=73520328]").text(description); $(".js-view-count-work_73520328").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_73520328").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="73520328"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">5</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2827" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="12135" href="https://www.academia.edu/Documents/in/Qualitative_Research">Qualitative Research</a>, <script data-card-contents-for-ri="12135" type="text/json">{"id":12135,"name":"Qualitative Research","url":"https://www.academia.edu/Documents/in/Qualitative_Research?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="43445" href="https://www.academia.edu/Documents/in/Patient-Centered_Care">Patient-Centered Care</a>, <script data-card-contents-for-ri="43445" type="text/json">{"id":43445,"name":"Patient-Centered Care","url":"https://www.academia.edu/Documents/in/Patient-Centered_Care?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="68217" href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research">Mental Health Services Research</a><script data-card-contents-for-ri="68217" type="text/json">{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=73520328]'), work: {"id":73520328,"title":"‘If we would change things outside we wouldn’t even need to go in...’ supporting recovery via community-based actions: A focus group study on psychiatric rehospitalization","created_at":"2022-03-11T00:35:34.494-08:00","url":"https://www.academia.edu/73520328/_If_we_would_change_things_outside_we_wouldn_t_even_need_to_go_in_supporting_recovery_via_community_based_actions_A_focus_group_study_on_psychiatric_rehospitalization?f_ri=68217","dom_id":"work_73520328","summary":"Background: Psychiatric rehospitalization is a complex phenomenon in need of more person-centred approaches. The current paper aimed to explore how community-based actions and daily life influence mental health and rehospitalization.\nDesign, setting and participants: The qualitative study included focus group data from six European countries including 59 participants. Data were thematically ana-lysed following an inductive approach deriving themes and subthemes in relation to facilitators and barriers to mental health.\nResults: Barriers consisted of subthemes (financial difficulty, challenging family circumstances and stigma), and facilitators consisted of three subthemes (comple-menting services, signposting and recovery). The recovery subtheme consisted of a further five categories (family and friends, work and recreation, hope, using mental health experience and meaning).\nDiscussion: Barriers to mental health largely related to social determinants of mental health, which may also have implications for psychiatric rehospitalization. Facilitators included community-based actions and aspects of daily life with ties to personal re-covery. By articulating the value of these facilitators, we highlight benefits of a per-son-centred and recovery-focused approach also within the context of psychiatric rehospitalization.\nConclusions: This paper portrays how person-centred approaches and day-to-day community actions may impact psychiatric rehospitalization via barriers and facilita-tors, acknowledging the social determinants of mental health and personal recovery.\n| 175CRESSWELL-SMITH ETaL.1 | BACKGROUNDThere is a growing interest in how the social, economic and physical environments may support mental health,1-5 with contemporary approaches placing increased focus on the social determinants and the importance providing opportunities for meaningful activities, reducing social exclusion and enhancing community connected-ness.6-9 A well-cited definition by the World Health Organisation (WHO) defines mental health as 'A state of well-being in which every individual realises his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community',10 (p.1) underlining the importance of peoples’ everyday actions on men-tal health.Mental health can therefore be promoted both by health-care services and by community-based initiatives, which foster positive mental health, prevent mental disorders and should be included across all policy sectors.11-13 This approach is also endorsed by the WHO Optimal Mix of Services for Mental Health, which emphasizes the need for easily available and balanced mental health services,14while placing considerable emphasis on the value of community and self-care actions.15 Psychiatric rehospitalization is a complex phe-nomenon that has been reported to hamper the recovery process16and be unfavourable in terms of quality and cost of health care.17Psychiatric rehospitalization is a good example where comprehen-sive approaches may be beneficial.17–2 2 These approaches may also be incorporated prior to hospital discharge, for example ensuring access to meaningful activities, and engaging in signposting and planning for community life during the hospital stay.23-25 Such ap-proaches reflect a person-centred ethos where individuals' unique experiences are attended to in a holistic manner and highlight the need for organizing services, organizations, families and communi-ties accordingly.26,27Although a clear definition of person-centred approaches has not yet been formalized,28 it generally reflects health-care practices where the patients’ perspective and a focus on patient-reported out-comes are prioritized.29, 3 0 Person-centred approaches may include recovery-based thinking, which has its roots in service user–led contexts and has gained momentum also within mental health ser-vices.31 The recovery model redefines how we view mental health difficulties, nurturing empowerment and participation in society.32,33Personal recovery can be thought of as a highly subjective experi-ence around goals, relationships and skills that support a positive life with or without on-going mental health difficulties.34 Although not universally defined, the model acknowledges that mental health treatment may at times be necessary, but views it as one building block in the recovery process, which should also support 'everyday solutions to everyday problems'(Slade 2012).35,36The aim of the current paper was to explore how attention to community-based actions may support person-centred approaches in relation to psychiatric rehospitalization using qualitative data from the Comparative Effectiveness Research on Psychiatric Hospitalisation by Record Linkage of Large Administrative Data Sets (CEPHOS-LINK) project (www.cephos-link.org). Previous pa-pers from the project report on psychiatric rehospitalization using quantitative register-based methodology18 and explore meanings and experiences of the phenomenon qualitatively both in general terms24 and more specifically how it can be avoided.23 The current paper furthers this line of enquiry via a secondary analysis looking at how participants relate community-based actions and day-to-day activities to their mental health. By articulating what actions indi-viduals with experience of psychiatric rehospitalization themselves deem useful for their mental health, we not only illuminate these actions but also may promote the development of person-centred approaches in relation to psychiatric rehospitalization.2 | METHODSThe CEPHOS-LINK project studied psychiatric rehospitalization quantitatively and qualitatively in six different countries: Austria (At), Finland (Fin), Italy (It), Norway (Nor), Romania (Rom) and Slovenia (Sl). Ethical approval was sought from leading ethical committees in all participating countries, and informed consent was given by all participants who participated in the qualitative study. A focus group methodology was employed in order to gain insight into lived ex-perience of psychiatric rehospitalization. The reasoning behind this approach related to its suitability for generating insights into experi-ences, views and meanings through the process of shared discus-sion derived from both the individual and the groups.37 Furthermore, focus groups allow for exploring responses to questions not only in relation to the interview guide, but also in terms of digressions and Patient or public contribution: The current study included participants with ex-perience of psychiatric rehospitalization from six different European countries. Furthermore, transcripts were read by several of the focus group participants, and a service user representative participated in the entire research process in the original study","downloadable_attachments":[{"id":82011423,"asset_id":73520328,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":4200045,"first_name":"Kristian","last_name":"Wahlbeck","domain_name":"thl","page_name":"KristianWahlbeck","display_name":"Kristian Wahlbeck","profile_url":"https://thl.academia.edu/KristianWahlbeck?f_ri=68217","photo":"https://0.academia-photos.com/4200045/1649200/1986261/s65_kristian.wahlbeck.jpg"}],"research_interests":[{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false},{"id":12135,"name":"Qualitative Research","url":"https://www.academia.edu/Documents/in/Qualitative_Research?f_ri=68217","nofollow":false},{"id":43445,"name":"Patient-Centered Care","url":"https://www.academia.edu/Documents/in/Patient-Centered_Care?f_ri=68217","nofollow":false},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false},{"id":121291,"name":"Recovery","url":"https://www.academia.edu/Documents/in/Recovery?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_7071316" data-work_id="7071316" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/7071316/Queering_the_sociology_of_diagnosis_Children_and_the_constituting_of_mentally_ill_subjects">Queering the sociology of diagnosis: Children and the constituting of 'mentally ill' subjects</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/7071316" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="a86e39751a2e93dd633237a587de1a58" rel="nofollow" data-download="{"attachment_id":33857243,"asset_id":7071316,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/33857243/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down 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InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="7071316"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 7071316; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=7071316]").text(description); $(".js-view-count-work_7071316").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_7071316").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="7071316"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">34</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="699" href="https://www.academia.edu/Documents/in/Queer_Studies">Queer Studies</a>, <script data-card-contents-for-ri="699" type="text/json">{"id":699,"name":"Queer Studies","url":"https://www.academia.edu/Documents/in/Queer_Studies?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="1231" href="https://www.academia.edu/Documents/in/Sociology_of_Children_and_Childhood">Sociology of Children and Childhood</a>, <script data-card-contents-for-ri="1231" type="text/json">{"id":1231,"name":"Sociology of Children and Childhood","url":"https://www.academia.edu/Documents/in/Sociology_of_Children_and_Childhood?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2595" href="https://www.academia.edu/Documents/in/Critical_Disability_Studies">Critical Disability Studies</a>, <script data-card-contents-for-ri="2595" type="text/json">{"id":2595,"name":"Critical Disability Studies","url":"https://www.academia.edu/Documents/in/Critical_Disability_Studies?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2625" href="https://www.academia.edu/Documents/in/Child_and_adolescent_mental_health">Child and adolescent mental health</a><script data-card-contents-for-ri="2625" type="text/json">{"id":2625,"name":"Child and adolescent mental health","url":"https://www.academia.edu/Documents/in/Child_and_adolescent_mental_health?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=7071316]'), work: {"id":7071316,"title":"Queering the sociology of diagnosis: Children and the constituting of 'mentally ill' 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Childhood","url":"https://www.academia.edu/Documents/in/Sociology_of_Children_and_Childhood?f_ri=68217","nofollow":false},{"id":2595,"name":"Critical Disability Studies","url":"https://www.academia.edu/Documents/in/Critical_Disability_Studies?f_ri=68217","nofollow":false},{"id":2625,"name":"Child and adolescent mental health","url":"https://www.academia.edu/Documents/in/Child_and_adolescent_mental_health?f_ri=68217","nofollow":false},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217"},{"id":3114,"name":"Queer Theory","url":"https://www.academia.edu/Documents/in/Queer_Theory?f_ri=68217"},{"id":5049,"name":"Critical Psychology","url":"https://www.academia.edu/Documents/in/Critical_Psychology?f_ri=68217"},{"id":6013,"name":"Performativity","url":"https://www.academia.edu/Documents/in/Performativity?f_ri=68217"},{"id":6475,"name":"Anthropology of Children and Childhood","url":"https://www.academia.edu/Documents/in/Anthropology_of_Children_and_Childhood?f_ri=68217"},{"id":6535,"name":"Psychiatric \u0026 Mental Health Nursing","url":"https://www.academia.edu/Documents/in/Psychiatric_and_Mental_Health_Nursing?f_ri=68217"},{"id":7217,"name":"The Abject Body","url":"https://www.academia.edu/Documents/in/The_Abject_Body?f_ri=68217"},{"id":7467,"name":"Sociology of Mental Health \u0026 Illness","url":"https://www.academia.edu/Documents/in/Sociology_of_Mental_Health_and_Illness?f_ri=68217"},{"id":8671,"name":"Abjection","url":"https://www.academia.edu/Documents/in/Abjection?f_ri=68217"},{"id":8973,"name":"Diagnosis \u0026 Detection of Mental Illness","url":"https://www.academia.edu/Documents/in/Diagnosis_and_Detection_of_Mental_Illness?f_ri=68217"},{"id":11927,"name":"Michel Foucault","url":"https://www.academia.edu/Documents/in/Michel_Foucault?f_ri=68217"},{"id":12040,"name":"Jacques Derrida","url":"https://www.academia.edu/Documents/in/Jacques_Derrida?f_ri=68217"},{"id":12317,"name":"Judith Butler","url":"https://www.academia.edu/Documents/in/Judith_Butler?f_ri=68217"},{"id":13157,"name":"Queer Theory (Literature)","url":"https://www.academia.edu/Documents/in/Queer_Theory_Literature_?f_ri=68217"},{"id":13229,"name":"History Of Madness And Psychiatry","url":"https://www.academia.edu/Documents/in/History_Of_Madness_And_Psychiatry?f_ri=68217"},{"id":31763,"name":"Women and Madness","url":"https://www.academia.edu/Documents/in/Women_and_Madness?f_ri=68217"},{"id":36693,"name":"Madness and Literature","url":"https://www.academia.edu/Documents/in/Madness_and_Literature?f_ri=68217"},{"id":52096,"name":"Foucault power/knowledge - discourse","url":"https://www.academia.edu/Documents/in/Foucault_power_knowledge_-_discourse?f_ri=68217"},{"id":54533,"name":"Children","url":"https://www.academia.edu/Documents/in/Children?f_ri=68217"},{"id":62341,"name":"Childhood 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Diagnosis","url":"https://www.academia.edu/Documents/in/Sociology_of_Diagnosis?f_ri=68217"},{"id":679674,"name":"Sanism","url":"https://www.academia.edu/Documents/in/Sanism?f_ri=68217"},{"id":1031834,"name":"Citationality","url":"https://www.academia.edu/Documents/in/Citationality?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_31541075" data-work_id="31541075" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/31541075/Beyond_the_Spoken_Word">Beyond the Spoken Word</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm 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Analysis","url":"https://www.academia.edu/Documents/in/Discourse_Analysis?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="221" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="236" href="https://www.academia.edu/Documents/in/Cognitive_Psychology">Cognitive Psychology</a>, <script data-card-contents-for-ri="236" type="text/json">{"id":236,"name":"Cognitive Psychology","url":"https://www.academia.edu/Documents/in/Cognitive_Psychology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="244" href="https://www.academia.edu/Documents/in/Psychoanalysis">Psychoanalysis</a><script data-card-contents-for-ri="244" 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class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/7986434/On_being_a_mental_health_service_user_and_becoming_a_mental_health_service_user_representative_an_autoethnography">On being a mental health service user and becoming a mental health service user representative: an autoethnography.</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Abstract This thesis is my autoethnographic account as I pursue a career as a Service User Representative with the Dorset Mental Health Forum over several years leading up to 2010. This is a period of change in both the social care and... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_7986434" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Abstract <br /> <br />This thesis is my autoethnographic account as I pursue a career as a Service User Representative with the Dorset Mental Health Forum over several years leading up to 2010. This is a period of change in both the social care and health worlds as they impact on to people suffering from mental distress. In this period are introduced Personal Budgets and a three-year pilot scheme to look at the viability of rolling out Personal Health Budgets, in which Dorset is selected as one of 20 sites nationally. There is also a change of government from a Labour administration to a coalition of the Conservative and Liberal Democrat parties, but this does not seem to have changed the planned modernisation of both social care provision and healthcare provision started by the outgoing Labour government. Also in this period we see the wide-ranging revision of the Mental Health Act 1983. <br /> <br />My original contribution to knowledge is in describing the development of a service user representative model that works well in Dorset, UK. This thesis is not about the history and development of the mental health service user involvement but I do offer a précis of the history of service user representation for those unfamiliar with it. <br /> <br />This thesis is laid out in roughly chronological order. I try to show how I changed my views with the help of other people over the period. I also try to explain what it is that ails me. The reason I do this is to paint a picture of a person who is in general "normal" but suffers from mental disorders that sometimes alter the way he sees the world. It is with this backdrop that I ply my trade of being representative of and to other mental health service users. <br />I lead the reader from a consideration of method and methodology and ethics, through the precursors of my mental illness, to how that illness has been treated by the National Health Service, and how it impacts on my role. The main way that I do this is by offering a vignette of my life and then immediately afterwards analysing that vignette in the light of emergent themes. In this way, I ensure that the emergent themes are themselves based in a reality that can be accessed to some degree by the reader. <br /> <br />There were challenges along the way including personal ones, such as having to take time out from my studies to attend courses of psychological treatment and having several heart attacks leading to hospitalisation, as well as the usual ones of finding people to contribute to my research. <br /> <br />I end this thesis by offering a model that service users may find illuminating when setting up their own service user representation services.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/7986434" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="e891f393400be97d5819d5233429bcaf" rel="nofollow" data-download="{"attachment_id":34453888,"asset_id":7986434,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/34453888/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="6855" href="https://independent.academia.edu/RichardLPeacocke">Dr Richard L Peacocke</a><script data-card-contents-for-user="6855" type="text/json">{"id":6855,"first_name":"Dr Richard","last_name":"Peacocke","domain_name":"independent","page_name":"RichardLPeacocke","display_name":"Dr Richard L Peacocke","profile_url":"https://independent.academia.edu/RichardLPeacocke?f_ri=68217","photo":"https://0.academia-photos.com/6855/2636/2638/s65_dr_richard.peacocke.jpeg"}</script></span></span></li><li class="js-paper-rank-work_7986434 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="7986434"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 7986434, container: ".js-paper-rank-work_7986434", }); 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$(".js-view-count[data-work-id=7986434]").text(description); $(".js-view-count-work_7986434").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_7986434").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="7986434"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">27</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="2827" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2834" href="https://www.academia.edu/Documents/in/Mental_Health_nursing">Mental Health nursing</a>, <script data-card-contents-for-ri="2834" type="text/json">{"id":2834,"name":"Mental Health nursing","url":"https://www.academia.edu/Documents/in/Mental_Health_nursing?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="3138" href="https://www.academia.edu/Documents/in/Community-Based_Mental_Health_Services">Community-Based Mental Health Services</a>, <script data-card-contents-for-ri="3138" type="text/json">{"id":3138,"name":"Community-Based Mental Health Services","url":"https://www.academia.edu/Documents/in/Community-Based_Mental_Health_Services?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="3646" href="https://www.academia.edu/Documents/in/Social_Representations">Social Representations</a><script data-card-contents-for-ri="3646" type="text/json">{"id":3646,"name":"Social Representations","url":"https://www.academia.edu/Documents/in/Social_Representations?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=7986434]'), work: {"id":7986434,"title":"On being a mental health service user and becoming a mental health service user representative: an autoethnography.","created_at":"2014-08-15T16:50:49.758-07:00","url":"https://www.academia.edu/7986434/On_being_a_mental_health_service_user_and_becoming_a_mental_health_service_user_representative_an_autoethnography?f_ri=68217","dom_id":"work_7986434","summary":"Abstract\r\n\r\nThis thesis is my autoethnographic account as I pursue a career as a Service User Representative with the Dorset Mental Health Forum over several years leading up to 2010. This is a period of change in both the social care and health worlds as they impact on to people suffering from mental distress. In this period are introduced Personal Budgets and a three-year pilot scheme to look at the viability of rolling out Personal Health Budgets, in which Dorset is selected as one of 20 sites nationally. There is also a change of government from a Labour administration to a coalition of the Conservative and Liberal Democrat parties, but this does not seem to have changed the planned modernisation of both social care provision and healthcare provision started by the outgoing Labour government. Also in this period we see the wide-ranging revision of the Mental Health Act 1983.\r\n\r\nMy original contribution to knowledge is in describing the development of a service user representative model that works well in Dorset, UK. This thesis is not about the history and development of the mental health service user involvement but I do offer a précis of the history of service user representation for those unfamiliar with it.\r\n\r\nThis thesis is laid out in roughly chronological order. I try to show how I changed my views with the help of other people over the period. I also try to explain what it is that ails me. The reason I do this is to paint a picture of a person who is in general \"normal\" but suffers from mental disorders that sometimes alter the way he sees the world. It is with this backdrop that I ply my trade of being representative of and to other mental health service users.\r\nI lead the reader from a consideration of method and methodology and ethics, through the precursors of my mental illness, to how that illness has been treated by the National Health Service, and how it impacts on my role. The main way that I do this is by offering a vignette of my life and then immediately afterwards analysing that vignette in the light of emergent themes. In this way, I ensure that the emergent themes are themselves based in a reality that can be accessed to some degree by the reader.\r\n\r\nThere were challenges along the way including personal ones, such as having to take time out from my studies to attend courses of psychological treatment and having several heart attacks leading to hospitalisation, as well as the usual ones of finding people to contribute to my research.\r\n\r\nI end this thesis by offering a model that service users may find illuminating when setting up their own service user representation services.","downloadable_attachments":[{"id":34453888,"asset_id":7986434,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":6855,"first_name":"Dr Richard","last_name":"Peacocke","domain_name":"independent","page_name":"RichardLPeacocke","display_name":"Dr Richard L Peacocke","profile_url":"https://independent.academia.edu/RichardLPeacocke?f_ri=68217","photo":"https://0.academia-photos.com/6855/2636/2638/s65_dr_richard.peacocke.jpeg"}],"research_interests":[{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false},{"id":2834,"name":"Mental Health nursing","url":"https://www.academia.edu/Documents/in/Mental_Health_nursing?f_ri=68217","nofollow":false},{"id":3138,"name":"Community-Based Mental Health Services","url":"https://www.academia.edu/Documents/in/Community-Based_Mental_Health_Services?f_ri=68217","nofollow":false},{"id":3646,"name":"Social Representations","url":"https://www.academia.edu/Documents/in/Social_Representations?f_ri=68217","nofollow":false},{"id":6182,"name":"History of Psychiatry","url":"https://www.academia.edu/Documents/in/History_of_Psychiatry?f_ri=68217"},{"id":6535,"name":"Psychiatric \u0026 Mental Health Nursing","url":"https://www.academia.edu/Documents/in/Psychiatric_and_Mental_Health_Nursing?f_ri=68217"},{"id":8546,"name":"Philosophy of Psychiatry","url":"https://www.academia.edu/Documents/in/Philosophy_of_Psychiatry?f_ri=68217"},{"id":9540,"name":"Mental Health Counseling","url":"https://www.academia.edu/Documents/in/Mental_Health_Counseling?f_ri=68217"},{"id":10501,"name":"Mental Representation and Content","url":"https://www.academia.edu/Documents/in/Mental_Representation_and_Content?f_ri=68217"},{"id":13933,"name":"Service User Involvement (SW Ed.)","url":"https://www.academia.edu/Documents/in/Service_User_Involvement_SW_Ed._?f_ri=68217"},{"id":16317,"name":"Mental Health Promotion","url":"https://www.academia.edu/Documents/in/Mental_Health_Promotion?f_ri=68217"},{"id":20175,"name":"Global Mental Health","url":"https://www.academia.edu/Documents/in/Global_Mental_Health?f_ri=68217"},{"id":36693,"name":"Madness and Literature","url":"https://www.academia.edu/Documents/in/Madness_and_Literature?f_ri=68217"},{"id":42693,"name":"Post-traumatic stress disorder","url":"https://www.academia.edu/Documents/in/Post-traumatic_stress_disorder?f_ri=68217"},{"id":43571,"name":"Survivor","url":"https://www.academia.edu/Documents/in/Survivor?f_ri=68217"},{"id":50118,"name":"Representation","url":"https://www.academia.edu/Documents/in/Representation?f_ri=68217"},{"id":67750,"name":"Service user perspectives in mental health","url":"https://www.academia.edu/Documents/in/Service_user_perspectives_in_mental_health?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":76107,"name":"Public mental health","url":"https://www.academia.edu/Documents/in/Public_mental_health?f_ri=68217"},{"id":121594,"name":"Psychiatric Nursing","url":"https://www.academia.edu/Documents/in/Psychiatric_Nursing?f_ri=68217"},{"id":139672,"name":"Service user and carer involvement","url":"https://www.academia.edu/Documents/in/Service_user_and_carer_involvement?f_ri=68217"},{"id":178261,"name":"Service User Involvement","url":"https://www.academia.edu/Documents/in/Service_User_Involvement?f_ri=68217"},{"id":215285,"name":"Service Users","url":"https://www.academia.edu/Documents/in/Service_Users?f_ri=68217"},{"id":628884,"name":"Psychology, Sanity, Mental Health","url":"https://www.academia.edu/Documents/in/Psychology_Sanity_Mental_Health?f_ri=68217"},{"id":694605,"name":"Service User Led Research","url":"https://www.academia.edu/Documents/in/Service_User_Led_Research?f_ri=68217"},{"id":780007,"name":"Mental health survivor/service user movement","url":"https://www.academia.edu/Documents/in/Mental_health_survivor_service_user_movement?f_ri=68217"},{"id":995230,"name":"Depression. Post Traumatic Stress Disorder","url":"https://www.academia.edu/Documents/in/Depression._Post_Traumatic_Stress_Disorder?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_28343781" data-work_id="28343781" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/28343781/Toward_a_Culturally_Responsive_Model_of_Mental_Health_Literacy">Toward a Culturally Responsive Model of Mental Health Literacy</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Studies have consistently found that East Asian immigrants in North America are less likely to use mental health services even when they experience levels of distress comparable to Euro-Americans. Although cultural factors that may... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_28343781" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Studies have consistently found that East Asian immigrants in North America are less likely to use mental health services even when they experience levels of distress comparable to Euro-Americans. Although cultural factors that may prevent East Asian immigrants from seeking<br />mental health care have been identified, few studies have explored ways to foster appropriate help-seeking and use of mental health services. Recent work on mental health literacy provides a potential framework for strategies to increase appropriate help-seeking and use of services. This<br />paper reviews the literature on help-seeking for mental health problems among East Asian immigrants living in Western countries to critically assess the relevance of the mental health literacy approach as a framework for interventions to improve appropriate use of services. Modifications needed to develop a culturally responsive framework for mental health literacy are identified.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/28343781" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="87f6562c50822b372579963450e5174e" rel="nofollow" data-download="{"attachment_id":48676921,"asset_id":28343781,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/48676921/download_file?st=MTczMjQ5MzY5NSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="101850" href="https://mcgill.academia.edu/LaurenceKirmayer">Laurence J Kirmayer</a><script data-card-contents-for-user="101850" type="text/json">{"id":101850,"first_name":"Laurence","last_name":"Kirmayer","domain_name":"mcgill","page_name":"LaurenceKirmayer","display_name":"Laurence J Kirmayer","profile_url":"https://mcgill.academia.edu/LaurenceKirmayer?f_ri=68217","photo":"https://0.academia-photos.com/101850/28038/849019/s65_laurence.kirmayer.jpg"}</script></span></span></li><li class="js-paper-rank-work_28343781 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="28343781"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 28343781, container: ".js-paper-rank-work_28343781", }); 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$(".js-view-count[data-work-id=28343781]").text(description); $(".js-view-count-work_28343781").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_28343781").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="28343781"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">7</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="238" href="https://www.academia.edu/Documents/in/Community_Psychology">Community Psychology</a>, <script data-card-contents-for-ri="238" type="text/json">{"id":238,"name":"Community Psychology","url":"https://www.academia.edu/Documents/in/Community_Psychology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="4850" href="https://www.academia.edu/Documents/in/Migration">Migration</a>, <script data-card-contents-for-ri="4850" type="text/json">{"id":4850,"name":"Migration","url":"https://www.academia.edu/Documents/in/Migration?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="7420" href="https://www.academia.edu/Documents/in/Cultural_Competence">Cultural Competence</a>, <script data-card-contents-for-ri="7420" type="text/json">{"id":7420,"name":"Cultural Competence","url":"https://www.academia.edu/Documents/in/Cultural_Competence?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="20174" href="https://www.academia.edu/Documents/in/Cultural_Psychiatry">Cultural Psychiatry</a><script data-card-contents-for-ri="20174" type="text/json">{"id":20174,"name":"Cultural Psychiatry","url":"https://www.academia.edu/Documents/in/Cultural_Psychiatry?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=28343781]'), work: {"id":28343781,"title":"Toward a Culturally Responsive Model of Mental Health Literacy","created_at":"2016-09-08T09:50:09.429-07:00","url":"https://www.academia.edu/28343781/Toward_a_Culturally_Responsive_Model_of_Mental_Health_Literacy?f_ri=68217","dom_id":"work_28343781","summary":"Studies have consistently found that East Asian immigrants in North America are less likely to use mental health services even when they experience levels of distress comparable to Euro-Americans. Although cultural factors that may prevent East Asian immigrants from seeking\nmental health care have been identified, few studies have explored ways to foster appropriate help-seeking and use of mental health services. Recent work on mental health literacy provides a potential framework for strategies to increase appropriate help-seeking and use of services. This\npaper reviews the literature on help-seeking for mental health problems among East Asian immigrants living in Western countries to critically assess the relevance of the mental health literacy approach as a framework for interventions to improve appropriate use of services. Modifications needed to develop a culturally responsive framework for mental health literacy are identified.","downloadable_attachments":[{"id":48676921,"asset_id":28343781,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":101850,"first_name":"Laurence","last_name":"Kirmayer","domain_name":"mcgill","page_name":"LaurenceKirmayer","display_name":"Laurence J Kirmayer","profile_url":"https://mcgill.academia.edu/LaurenceKirmayer?f_ri=68217","photo":"https://0.academia-photos.com/101850/28038/849019/s65_laurence.kirmayer.jpg"}],"research_interests":[{"id":238,"name":"Community Psychology","url":"https://www.academia.edu/Documents/in/Community_Psychology?f_ri=68217","nofollow":false},{"id":4850,"name":"Migration","url":"https://www.academia.edu/Documents/in/Migration?f_ri=68217","nofollow":false},{"id":7420,"name":"Cultural Competence","url":"https://www.academia.edu/Documents/in/Cultural_Competence?f_ri=68217","nofollow":false},{"id":20174,"name":"Cultural Psychiatry","url":"https://www.academia.edu/Documents/in/Cultural_Psychiatry?f_ri=68217","nofollow":false},{"id":27355,"name":"Mental Health Literacy","url":"https://www.academia.edu/Documents/in/Mental_Health_Literacy?f_ri=68217"},{"id":54318,"name":"Immigrants","url":"https://www.academia.edu/Documents/in/Immigrants?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_44222138" data-work_id="44222138" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/44222138/Pengaruh_Acceptance_And_Commitment_Therapy_Dan_Pendidikan_Kesehatan_Kepatuhan_Minum_Obat_Terhadap_Gejala_Kemampuan_Berkomitmen_Pada_Pengobatan_Dan_Kepatuhan_Pasien_Skizofrenia">Pengaruh Acceptance And Commitment Therapy Dan Pendidikan Kesehatan Kepatuhan Minum Obat Terhadap Gejala, Kemampuan Berkomitmen Pada Pengobatan Dan Kepatuhan Pasien Skizofrenia</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">This study aims to obtain the effects of Acceptance and Commitment Therapy and Health Education adherence to symptoms, ability to accept and commit to treatment and compliance in schizophrenia clients Regional Mental Hospital in Medan,... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_44222138" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">This study aims to obtain the effects of Acceptance and Commitment Therapy and Health Education adherence to symptoms, ability to accept and commit to treatment and compliance in schizophrenia clients Regional Mental Hospital in Medan, North Sumatra. This research design quasi-experimental pre-test post-test with control group. The research sample of 90 clients with schizophrenia, 30 the intervention group were given Acceptance and Commitment Therapy and medication adherence health education, intervention group were given 30 Acceptance and Commitment Therapy and 30 control group. Results of this study found a reduction in symptoms risk of violent behavior, hallucinations, and low self-esteem and increased ability to accept and commit to the treatment of schizophrenia and compliance client who gets Acceptance and Commitment Therapy and health education greater medication adherence than those who only get Acceptance and Commitment Therapy (pvalue <0.05). Acceptance and Commitment Therapy and health education medication adherence recommended as a therapeutic nursing and therapy support advanced nursing care for clients in the risk of schizophrenia with violent behavior, hallucinations, and low self esteem. Keyword: Acceptance And Commitment Therapy; health education; medication adherence; ability to accept; commit to treatment. PENDAHULUAN Skizofrenia merupakan suatu penyakit otak persisten dan serius yang dapat mengakibatkan timbulnya perilaku psikotik, pemikiran konkrit dan kesulitan memproses informasi (Stuart, 2009), sedangkan Isaacs (2005) mengatakan skizofrenia adalah sekelompok reaksi psikotik yang mempengaruhi berbagai area fungsi individu, termasuk berfikir dan berkomunikasi, menerima, dan menginterpretasikan realitas, merasakan dan menunjukkan emosi, dan berperilaku dengan sikap yang dapat diterima secara sosial. Sehingga bisa dikatakan skizofrenia merupakan penyakit otak persisten dan serius yang mengakibatkan gangguan persepsi, pikiran, afek dan perilaku yang mempengaruhi berbagai area fungsi individu. Isaacs (2005) mengatakan skizofrenia mampu meningkatkan risiko ekspresi perilaku yang tidak disadari sehingga menyebabkan risiko perilaku kekerasan dan halusinasi; diagnosa keperawatan yang diprioritaskan bagi klien dan keluarganya adalah harga diri rendah. Hal inilah alasan mengapa perlu diberikan tindakan keperawatan. Beberapa penelitian telah dilakukan dengan menggunakan ACT dimana ditemukan sangat efektif dalam menciptakan penerimaan, perhatian dan lebih terbuka dalam mengembangkan kemampuan yang dimiliki klien, salah satunya klien skizofrenia (Hayes, 2005). Penelitian yang dilakukan oleh Thowig (2009) menyebutkan pemberian ACT dapat menurunkan gejala perilaku marah secara bermakna. Selain itu terlihat juga adanya perbaikan gejala afektif dan sosial halusinasi yang terjadi pada klien skizofrenia setelah pemberian ACT (Gaudiano &</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/44222138" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="1556f4ef99f7f69456b82a467bea44d4" rel="nofollow" data-download="{"attachment_id":64589421,"asset_id":44222138,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/64589421/download_file?st=MTczMjQ5MzY5Niw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="13056299" href="https://ui.academia.edu/JackAmidos">Jek A M I D O S Pardede</a><script data-card-contents-for-user="13056299" type="text/json">{"id":13056299,"first_name":"Jek","last_name":"Pardede","domain_name":"ui","page_name":"JackAmidos","display_name":"Jek A M I D O S Pardede","profile_url":"https://ui.academia.edu/JackAmidos?f_ri=68217","photo":"https://0.academia-photos.com/13056299/7529135/36901412/s65_jek.pardede.jpg"}</script></span></span></li><li class="js-paper-rank-work_44222138 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="44222138"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 44222138, container: ".js-paper-rank-work_44222138", }); 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$(".js-view-count[data-work-id=44222138]").text(description); $(".js-view-count-work_44222138").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_44222138").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="44222138"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">9</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="260" href="https://www.academia.edu/Documents/in/Health_Psychology">Health Psychology</a>, <script data-card-contents-for-ri="260" type="text/json">{"id":260,"name":"Health Psychology","url":"https://www.academia.edu/Documents/in/Health_Psychology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2827" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2834" href="https://www.academia.edu/Documents/in/Mental_Health_nursing">Mental Health nursing</a>, <script data-card-contents-for-ri="2834" type="text/json">{"id":2834,"name":"Mental Health nursing","url":"https://www.academia.edu/Documents/in/Mental_Health_nursing?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="3227" href="https://www.academia.edu/Documents/in/Schizophrenia">Schizophrenia</a><script data-card-contents-for-ri="3227" type="text/json">{"id":3227,"name":"Schizophrenia","url":"https://www.academia.edu/Documents/in/Schizophrenia?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=44222138]'), work: {"id":44222138,"title":"Pengaruh Acceptance And Commitment Therapy Dan Pendidikan Kesehatan Kepatuhan Minum Obat Terhadap Gejala, Kemampuan Berkomitmen Pada Pengobatan Dan Kepatuhan Pasien Skizofrenia","created_at":"2020-10-03T11:07:20.363-07:00","url":"https://www.academia.edu/44222138/Pengaruh_Acceptance_And_Commitment_Therapy_Dan_Pendidikan_Kesehatan_Kepatuhan_Minum_Obat_Terhadap_Gejala_Kemampuan_Berkomitmen_Pada_Pengobatan_Dan_Kepatuhan_Pasien_Skizofrenia?f_ri=68217","dom_id":"work_44222138","summary":"This study aims to obtain the effects of Acceptance and Commitment Therapy and Health Education adherence to symptoms, ability to accept and commit to treatment and compliance in schizophrenia clients Regional Mental Hospital in Medan, North Sumatra. This research design quasi-experimental pre-test post-test with control group. The research sample of 90 clients with schizophrenia, 30 the intervention group were given Acceptance and Commitment Therapy and medication adherence health education, intervention group were given 30 Acceptance and Commitment Therapy and 30 control group. Results of this study found a reduction in symptoms risk of violent behavior, hallucinations, and low self-esteem and increased ability to accept and commit to the treatment of schizophrenia and compliance client who gets Acceptance and Commitment Therapy and health education greater medication adherence than those who only get Acceptance and Commitment Therapy (pvalue \u003c0.05). Acceptance and Commitment Therapy and health education medication adherence recommended as a therapeutic nursing and therapy support advanced nursing care for clients in the risk of schizophrenia with violent behavior, hallucinations, and low self esteem. Keyword: Acceptance And Commitment Therapy; health education; medication adherence; ability to accept; commit to treatment. PENDAHULUAN Skizofrenia merupakan suatu penyakit otak persisten dan serius yang dapat mengakibatkan timbulnya perilaku psikotik, pemikiran konkrit dan kesulitan memproses informasi (Stuart, 2009), sedangkan Isaacs (2005) mengatakan skizofrenia adalah sekelompok reaksi psikotik yang mempengaruhi berbagai area fungsi individu, termasuk berfikir dan berkomunikasi, menerima, dan menginterpretasikan realitas, merasakan dan menunjukkan emosi, dan berperilaku dengan sikap yang dapat diterima secara sosial. Sehingga bisa dikatakan skizofrenia merupakan penyakit otak persisten dan serius yang mengakibatkan gangguan persepsi, pikiran, afek dan perilaku yang mempengaruhi berbagai area fungsi individu. Isaacs (2005) mengatakan skizofrenia mampu meningkatkan risiko ekspresi perilaku yang tidak disadari sehingga menyebabkan risiko perilaku kekerasan dan halusinasi; diagnosa keperawatan yang diprioritaskan bagi klien dan keluarganya adalah harga diri rendah. Hal inilah alasan mengapa perlu diberikan tindakan keperawatan. Beberapa penelitian telah dilakukan dengan menggunakan ACT dimana ditemukan sangat efektif dalam menciptakan penerimaan, perhatian dan lebih terbuka dalam mengembangkan kemampuan yang dimiliki klien, salah satunya klien skizofrenia (Hayes, 2005). Penelitian yang dilakukan oleh Thowig (2009) menyebutkan pemberian ACT dapat menurunkan gejala perilaku marah secara bermakna. Selain itu terlihat juga adanya perbaikan gejala afektif dan sosial halusinasi yang terjadi pada klien skizofrenia setelah pemberian ACT (Gaudiano \u0026","downloadable_attachments":[{"id":64589421,"asset_id":44222138,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":13056299,"first_name":"Jek","last_name":"Pardede","domain_name":"ui","page_name":"JackAmidos","display_name":"Jek A M I D O S Pardede","profile_url":"https://ui.academia.edu/JackAmidos?f_ri=68217","photo":"https://0.academia-photos.com/13056299/7529135/36901412/s65_jek.pardede.jpg"}],"research_interests":[{"id":260,"name":"Health Psychology","url":"https://www.academia.edu/Documents/in/Health_Psychology?f_ri=68217","nofollow":false},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false},{"id":2834,"name":"Mental Health nursing","url":"https://www.academia.edu/Documents/in/Mental_Health_nursing?f_ri=68217","nofollow":false},{"id":3227,"name":"Schizophrenia","url":"https://www.academia.edu/Documents/in/Schizophrenia?f_ri=68217","nofollow":false},{"id":6535,"name":"Psychiatric \u0026 Mental Health Nursing","url":"https://www.academia.edu/Documents/in/Psychiatric_and_Mental_Health_Nursing?f_ri=68217"},{"id":22517,"name":"CBT","url":"https://www.academia.edu/Documents/in/CBT?f_ri=68217"},{"id":33137,"name":"Acceptance and Commitment Therapy","url":"https://www.academia.edu/Documents/in/Acceptance_and_Commitment_Therapy?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":251982,"name":"Mindfulness \u0026 CBT","url":"https://www.academia.edu/Documents/in/Mindfulness_and_CBT?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_36816383" data-work_id="36816383" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/36816383/Involuntary_admission_in_Norwegian_adult_psychiatric_hospitals_a_systematic_review">Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background: It is an important objective of the psychiatric services to keep the use of involuntary procedures to a minimum, as the use of coercion involves clinical, ethical, and legal issues. It has been claimed that Norway has a... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_36816383" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background: It is an important objective of the psychiatric services to keep the use of involuntary procedures to a minimum, as the use of coercion involves clinical, ethical, and legal issues. It has been claimed that Norway has a relatively high rate of involuntary admissions. We reviewed the peer-reviewed literature on the use of involuntary admission in Norway, with the purpose of identifying the current state of knowledge and areas in need of further research. Methods: A systematic review following the PRISMA statement was conducted. We searched the electronic databases PsycInfo, PubMed, Web of Science, CINAHL, and Embase for studies relating to involuntary admission to Norwe-gian adult psychiatric hospitals published in the period 1 January 2001 to 8 August 2016. The database searches were supplemented with manual searches of relevant journals, reference lists, and websites. Results: Seventy-four articles were included and grouped into six categories based on their main topics: Patients' experiences, satisfaction and perceived coercion (21 articles), the Referral and admission process (11 articles), Rates of admission (8 articles), Characteristics of the patients (17 articles), Staff attitudes (9 articles), and Outcomes (8 articles). Four of the included articles described intervention studies. Fifty-seven of the articles had a quantitative design, 16 had a qualitative design, and one a mixed-method design. There was a broad range of topics that were studied and considerable variation in study designs. The findings were largely in line with the international literature, but the particularities of Norwegian legislation and the Norwegian health services were reflected in the literature. The four intervention studies explored interventions for reducing rates of involuntary admission, such as modifying referring routines, improving patient information procedures, and increasing patients' say in the admission process, and represent an important avenue for future research on involuntary admission in Norway. Conclusions: The review suggests that Norway has a relatively high rate of involuntary admissions. The identified studies represent a broad mix of topics and designs. Four intervention studies were identified. More studies with strong designs are needed to bring research on involuntary admission in Norway to a next level.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/36816383" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="03a17ee5b0f61faf90e8fd14ecaa4fe3" rel="nofollow" data-download="{"attachment_id":56767256,"asset_id":36816383,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/56767256/download_file?st=MTczMjQ5MzY5Niw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="46500144" href="https://jokstad.academia.edu/RolfWynn">Rolf Wynn</a><script data-card-contents-for-user="46500144" type="text/json">{"id":46500144,"first_name":"Rolf","last_name":"Wynn","domain_name":"jokstad","page_name":"RolfWynn","display_name":"Rolf Wynn","profile_url":"https://jokstad.academia.edu/RolfWynn?f_ri=68217","photo":"https://0.academia-photos.com/46500144/12299971/13694567/s65_rolf.wynn.jpg"}</script></span></span></li><li class="js-paper-rank-work_36816383 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="36816383"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 36816383, container: ".js-paper-rank-work_36816383", }); });</script></li><li class="js-percentile-work_36816383 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 36816383; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_36816383"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_36816383 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="36816383"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 36816383; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=36816383]").text(description); $(".js-view-count-work_36816383").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_36816383").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="36816383"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">9</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="226" href="https://www.academia.edu/Documents/in/Clinical_Psychology">Clinical Psychology</a>, <script data-card-contents-for-ri="226" type="text/json">{"id":226,"name":"Clinical Psychology","url":"https://www.academia.edu/Documents/in/Clinical_Psychology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="635" href="https://www.academia.edu/Documents/in/Psychiatry">Psychiatry</a>, <script data-card-contents-for-ri="635" type="text/json">{"id":635,"name":"Psychiatry","url":"https://www.academia.edu/Documents/in/Psychiatry?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2827" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="6482" href="https://www.academia.edu/Documents/in/Meta-Analysis_and_Systematic_Review">Meta-Analysis and Systematic Review</a><script data-card-contents-for-ri="6482" type="text/json">{"id":6482,"name":"Meta-Analysis and Systematic Review","url":"https://www.academia.edu/Documents/in/Meta-Analysis_and_Systematic_Review?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=36816383]'), work: {"id":36816383,"title":"Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review","created_at":"2018-06-10T10:19:51.005-07:00","url":"https://www.academia.edu/36816383/Involuntary_admission_in_Norwegian_adult_psychiatric_hospitals_a_systematic_review?f_ri=68217","dom_id":"work_36816383","summary":"Background: It is an important objective of the psychiatric services to keep the use of involuntary procedures to a minimum, as the use of coercion involves clinical, ethical, and legal issues. It has been claimed that Norway has a relatively high rate of involuntary admissions. We reviewed the peer-reviewed literature on the use of involuntary admission in Norway, with the purpose of identifying the current state of knowledge and areas in need of further research. Methods: A systematic review following the PRISMA statement was conducted. We searched the electronic databases PsycInfo, PubMed, Web of Science, CINAHL, and Embase for studies relating to involuntary admission to Norwe-gian adult psychiatric hospitals published in the period 1 January 2001 to 8 August 2016. The database searches were supplemented with manual searches of relevant journals, reference lists, and websites. Results: Seventy-four articles were included and grouped into six categories based on their main topics: Patients' experiences, satisfaction and perceived coercion (21 articles), the Referral and admission process (11 articles), Rates of admission (8 articles), Characteristics of the patients (17 articles), Staff attitudes (9 articles), and Outcomes (8 articles). Four of the included articles described intervention studies. Fifty-seven of the articles had a quantitative design, 16 had a qualitative design, and one a mixed-method design. There was a broad range of topics that were studied and considerable variation in study designs. The findings were largely in line with the international literature, but the particularities of Norwegian legislation and the Norwegian health services were reflected in the literature. The four intervention studies explored interventions for reducing rates of involuntary admission, such as modifying referring routines, improving patient information procedures, and increasing patients' say in the admission process, and represent an important avenue for future research on involuntary admission in Norway. Conclusions: The review suggests that Norway has a relatively high rate of involuntary admissions. The identified studies represent a broad mix of topics and designs. Four intervention studies were identified. More studies with strong designs are needed to bring research on involuntary admission in Norway to a next level.","downloadable_attachments":[{"id":56767256,"asset_id":36816383,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":46500144,"first_name":"Rolf","last_name":"Wynn","domain_name":"jokstad","page_name":"RolfWynn","display_name":"Rolf Wynn","profile_url":"https://jokstad.academia.edu/RolfWynn?f_ri=68217","photo":"https://0.academia-photos.com/46500144/12299971/13694567/s65_rolf.wynn.jpg"}],"research_interests":[{"id":226,"name":"Clinical Psychology","url":"https://www.academia.edu/Documents/in/Clinical_Psychology?f_ri=68217","nofollow":false},{"id":635,"name":"Psychiatry","url":"https://www.academia.edu/Documents/in/Psychiatry?f_ri=68217","nofollow":false},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false},{"id":6482,"name":"Meta-Analysis and Systematic Review","url":"https://www.academia.edu/Documents/in/Meta-Analysis_and_Systematic_Review?f_ri=68217","nofollow":false},{"id":44348,"name":"Systematic Reviews","url":"https://www.academia.edu/Documents/in/Systematic_Reviews?f_ri=68217"},{"id":66683,"name":"Systematic Literature Review","url":"https://www.academia.edu/Documents/in/Systematic_Literature_Review?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":349502,"name":"Coercion","url":"https://www.academia.edu/Documents/in/Coercion?f_ri=68217"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_8444322" data-work_id="8444322" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/8444322/A_Systematic_Review_of_Effective_Intercultural_Communication_in_Mental_Health">A Systematic Review of Effective Intercultural Communication in Mental Health</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Purpose of the Research: Effective intercultural communication between patients and clinicians is essential for the delivery of high quality health care. To date, there has been no systematic assessment of empirical literature on... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_8444322" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Purpose of the Research: Effective intercultural communication between patients and clinicians is essential for the delivery of high quality health care. To date, there has been no systematic assessment of empirical literature on effective communication within a mental health context, despite theoretical models purporting certain criteria make health communications more effective. The current research aims to determine factors which aid or hinder communication effectiveness in such a context, and to see whether the literature supports Teal and Street’s (2009) theoretical model specifically. Additionally, the review considered the role of language disparity between patients and clinicians within the mental health context. <br /> <br />Method: Electronic databases Medline, Psych Info and Web of Science were searched using an optomised search strategy in June 2014. Studies were considered where intercultural communication between a clinician and patient was a primary focus. To meet inclusion the papers needed to be empirical in nature, written in English, peer-reviewed and of sound quality. Data relating to the study type and analysis used, characteristics of participants (both patients and clinicians), cultural and communication information were extracted. <br /> <br />Results: Eight papers were included in the final review. The results largely support Teal and Street’s model and highlight that nonverbal and verbal behaviour skill, recognition of cultural differences, incorporating cultural knowledge, alongside negotiation and collaboration with patients and family members, all aid in effective communication. Additionally, language barriers were found to pose a significant barrier to communication. The quantity of current literature investigating the effectiveness of intercultural communication specifically within a mental health setting is limited, highlighting the need for further investigation.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/8444322" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="e0ca689f03b14a6f24a94f6498a6cb0d" rel="nofollow" data-download="{"attachment_id":34832839,"asset_id":8444322,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/34832839/download_file?st=MTczMjQ5MzY5Niw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="380092" href="https://unsw.academia.edu/ShannaLogan">Shanna Logan</a><script data-card-contents-for-user="380092" type="text/json">{"id":380092,"first_name":"Shanna","last_name":"Logan","domain_name":"unsw","page_name":"ShannaLogan","display_name":"Shanna Logan","profile_url":"https://unsw.academia.edu/ShannaLogan?f_ri=68217","photo":"https://0.academia-photos.com/380092/97380/14852278/s65_shanna.logan.jpg"}</script></span></span></li><li class="js-paper-rank-work_8444322 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="8444322"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 8444322, container: ".js-paper-rank-work_8444322", }); });</script></li><li class="js-percentile-work_8444322 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 8444322; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_8444322"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_8444322 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="8444322"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 8444322; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=8444322]").text(description); $(".js-view-count-work_8444322").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_8444322").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="8444322"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">4</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="226" href="https://www.academia.edu/Documents/in/Clinical_Psychology">Clinical Psychology</a>, <script data-card-contents-for-ri="226" type="text/json">{"id":226,"name":"Clinical Psychology","url":"https://www.academia.edu/Documents/in/Clinical_Psychology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="5515" href="https://www.academia.edu/Documents/in/Cross-Cultural_Psychology">Cross-Cultural Psychology</a>, <script data-card-contents-for-ri="5515" type="text/json">{"id":5515,"name":"Cross-Cultural Psychology","url":"https://www.academia.edu/Documents/in/Cross-Cultural_Psychology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="36495" href="https://www.academia.edu/Documents/in/Cross-Cultural_Communication">Cross-Cultural Communication</a>, <script data-card-contents-for-ri="36495" type="text/json">{"id":36495,"name":"Cross-Cultural Communication","url":"https://www.academia.edu/Documents/in/Cross-Cultural_Communication?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="68217" href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research">Mental Health Services Research</a><script data-card-contents-for-ri="68217" type="text/json">{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=8444322]'), work: {"id":8444322,"title":"A Systematic Review of Effective Intercultural Communication in Mental Health","created_at":"2014-09-22T14:29:37.076-07:00","url":"https://www.academia.edu/8444322/A_Systematic_Review_of_Effective_Intercultural_Communication_in_Mental_Health?f_ri=68217","dom_id":"work_8444322","summary":"Purpose of the Research: Effective intercultural communication between patients and clinicians is essential for the delivery of high quality health care. To date, there has been no systematic assessment of empirical literature on effective communication within a mental health context, despite theoretical models purporting certain criteria make health communications more effective. The current research aims to determine factors which aid or hinder communication effectiveness in such a context, and to see whether the literature supports Teal and Street’s (2009) theoretical model specifically. Additionally, the review considered the role of language disparity between patients and clinicians within the mental health context. \r\n\r\nMethod: Electronic databases Medline, Psych Info and Web of Science were searched using an optomised search strategy in June 2014. Studies were considered where intercultural communication between a clinician and patient was a primary focus. To meet inclusion the papers needed to be empirical in nature, written in English, peer-reviewed and of sound quality. Data relating to the study type and analysis used, characteristics of participants (both patients and clinicians), cultural and communication information were extracted.\r\n\r\nResults: Eight papers were included in the final review. The results largely support Teal and Street’s model and highlight that nonverbal and verbal behaviour skill, recognition of cultural differences, incorporating cultural knowledge, alongside negotiation and collaboration with patients and family members, all aid in effective communication. Additionally, language barriers were found to pose a significant barrier to communication. The quantity of current literature investigating the effectiveness of intercultural communication specifically within a mental health setting is limited, highlighting the need for further investigation. ","downloadable_attachments":[{"id":34832839,"asset_id":8444322,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":380092,"first_name":"Shanna","last_name":"Logan","domain_name":"unsw","page_name":"ShannaLogan","display_name":"Shanna Logan","profile_url":"https://unsw.academia.edu/ShannaLogan?f_ri=68217","photo":"https://0.academia-photos.com/380092/97380/14852278/s65_shanna.logan.jpg"}],"research_interests":[{"id":226,"name":"Clinical Psychology","url":"https://www.academia.edu/Documents/in/Clinical_Psychology?f_ri=68217","nofollow":false},{"id":5515,"name":"Cross-Cultural Psychology","url":"https://www.academia.edu/Documents/in/Cross-Cultural_Psychology?f_ri=68217","nofollow":false},{"id":36495,"name":"Cross-Cultural Communication","url":"https://www.academia.edu/Documents/in/Cross-Cultural_Communication?f_ri=68217","nofollow":false},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_11178781" data-work_id="11178781" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/11178781/Intervento_psicologico_breve_e_nuove_domande_nel_centro_di_salute_mentale">Intervento psicologico breve e nuove domande nel centro di salute mentale</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Si analizza lo stato attuale degli interventi psicoterapici nei centri di salute mentale in riferimento al significativo incremento delle domande riconducibili all'area dei cosiddetti disturbi emotivi comuni e ai problemi di gestione che... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_11178781" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Si analizza lo stato attuale degli interventi psicoterapici nei centri di salute mentale in riferimento al significativo incremento delle domande riconducibili all'area dei cosiddetti disturbi emotivi comuni e ai problemi di gestione che pongono nei servizi in rapporto alla scarsità di risorse disponibili. <br />E' riferita una esperienza clinica di una Unità di Accoglienza e Interventi Brevi condotta presso un Centro di Salute Mentale di Roma. I presupposti  della psicoterapia breve psicodinamica teorizzata da diversi Autori sono analizzati criticamente evidenziandone la difficile applicabilità nei servizi. Sempre entro il paradigma psicodinamico è proposto un modello d'intervento breve i cui presupposti teorico clinici tengano in considerazione gli aspetti contestuali e organizzativi dell'istituzione.  Nel corso dell'articolo sono presentati diverse situazioni cliniche esemplificative del modello proposto.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/11178781" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="63092f12a23d75757452e4e989375c21" rel="nofollow" data-download="{"attachment_id":36812870,"asset_id":11178781,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/36812870/download_file?st=MTczMjQ5MzY5Niw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="24387810" href="https://independent.academia.edu/RobertoVari">Roberto Vari</a><script data-card-contents-for-user="24387810" type="text/json">{"id":24387810,"first_name":"Roberto","last_name":"Vari","domain_name":"independent","page_name":"RobertoVari","display_name":"Roberto Vari","profile_url":"https://independent.academia.edu/RobertoVari?f_ri=68217","photo":"https://0.academia-photos.com/24387810/16504611/17899723/s65_roberto.vari.jpg"}</script></span></span></li><li class="js-paper-rank-work_11178781 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="11178781"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 11178781, container: ".js-paper-rank-work_11178781", }); });</script></li><li class="js-percentile-work_11178781 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 11178781; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_11178781"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_11178781 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="11178781"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 11178781; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=11178781]").text(description); $(".js-view-count-work_11178781").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_11178781").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="11178781"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">17</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="221" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="226" href="https://www.academia.edu/Documents/in/Clinical_Psychology">Clinical Psychology</a>, <script data-card-contents-for-ri="226" type="text/json">{"id":226,"name":"Clinical Psychology","url":"https://www.academia.edu/Documents/in/Clinical_Psychology?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="229" href="https://www.academia.edu/Documents/in/Brief_Psychotherapy">Brief Psychotherapy</a>, <script data-card-contents-for-ri="229" type="text/json">{"id":229,"name":"Brief Psychotherapy","url":"https://www.academia.edu/Documents/in/Brief_Psychotherapy?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="2827" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a><script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=11178781]'), work: {"id":11178781,"title":"Intervento psicologico breve e nuove domande nel centro di salute mentale","created_at":"2015-03-01T04:02:17.420-08:00","url":"https://www.academia.edu/11178781/Intervento_psicologico_breve_e_nuove_domande_nel_centro_di_salute_mentale?f_ri=68217","dom_id":"work_11178781","summary":"Si analizza lo stato attuale degli interventi psicoterapici nei centri di salute mentale in riferimento al significativo incremento delle domande riconducibili all'area dei cosiddetti disturbi emotivi comuni e ai problemi di gestione che pongono nei servizi in rapporto alla scarsità di risorse disponibili. \r\nE' riferita una esperienza clinica di una Unità di Accoglienza e Interventi Brevi condotta presso un Centro di Salute Mentale di Roma. I presupposti della psicoterapia breve psicodinamica teorizzata da diversi Autori sono analizzati criticamente evidenziandone la difficile applicabilità nei servizi. Sempre entro il paradigma psicodinamico è proposto un modello d'intervento breve i cui presupposti teorico clinici tengano in considerazione gli aspetti contestuali e organizzativi dell'istituzione. Nel corso dell'articolo sono presentati diverse situazioni cliniche esemplificative del modello proposto.","downloadable_attachments":[{"id":36812870,"asset_id":11178781,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":24387810,"first_name":"Roberto","last_name":"Vari","domain_name":"independent","page_name":"RobertoVari","display_name":"Roberto Vari","profile_url":"https://independent.academia.edu/RobertoVari?f_ri=68217","photo":"https://0.academia-photos.com/24387810/16504611/17899723/s65_roberto.vari.jpg"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=68217","nofollow":false},{"id":226,"name":"Clinical Psychology","url":"https://www.academia.edu/Documents/in/Clinical_Psychology?f_ri=68217","nofollow":false},{"id":229,"name":"Brief Psychotherapy","url":"https://www.academia.edu/Documents/in/Brief_Psychotherapy?f_ri=68217","nofollow":false},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false},{"id":3138,"name":"Community-Based Mental Health Services","url":"https://www.academia.edu/Documents/in/Community-Based_Mental_Health_Services?f_ri=68217"},{"id":6535,"name":"Psychiatric \u0026 Mental Health Nursing","url":"https://www.academia.edu/Documents/in/Psychiatric_and_Mental_Health_Nursing?f_ri=68217"},{"id":56992,"name":"PSICOLOGIA ORGANIZACIONAL","url":"https://www.academia.edu/Documents/in/PSICOLOGIA_ORGANIZACIONAL?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":69482,"name":"Psicología clínica","url":"https://www.academia.edu/Documents/in/Psicolog%C3%ADa_cl%C3%ADnica?f_ri=68217"},{"id":76107,"name":"Public mental health","url":"https://www.academia.edu/Documents/in/Public_mental_health?f_ri=68217"},{"id":118411,"name":"Psicoanalisis","url":"https://www.academia.edu/Documents/in/Psicoanalisis?f_ri=68217"},{"id":123612,"name":"Psicología Social","url":"https://www.academia.edu/Documents/in/Psicolog%C3%ADa_Social-1?f_ri=68217"},{"id":140226,"name":"Psichiatria","url":"https://www.academia.edu/Documents/in/Psichiatria?f_ri=68217"},{"id":297991,"name":"Psicoterapia","url":"https://www.academia.edu/Documents/in/Psicoterapia?f_ri=68217"},{"id":350523,"name":"Entrevista Psicológica","url":"https://www.academia.edu/Documents/in/Entrevista_Psicol%C3%B3gica?f_ri=68217"},{"id":551218,"name":"Salute Mentale","url":"https://www.academia.edu/Documents/in/Salute_Mentale?f_ri=68217"},{"id":1197861,"name":"Psicologia","url":"https://www.academia.edu/Documents/in/Psicologia-2?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_34674811 coauthored" data-work_id="34674811" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/34674811/Peruvian_Mental_Health_Reform_A_Framework_for_Scaling_up_Mental_Health_Services">Peruvian Mental Health Reform: A Framework for Scaling-up Mental Health Services</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background: Mental, neurological, and substance (MNS) use disorders are a leading cause of disability worldwide; specifically in Peru, MNS affect 1 in 5 persons. However, the great majority of people suffering from these disorders do not... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_34674811" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background: Mental, neurological, and substance (MNS) use disorders are a leading cause of disability worldwide; specifically in Peru, MNS affect 1 in 5 persons. However, the great majority of people suffering from these disorders do not access care, thereby making necessary the improvement of existing conditions including a major rearranging of current health system structures beyond care delivery strategies. This paper reviews and examines recent developments in mental health policies in Peru, presenting an overview of the initiatives currently being introduced and the main implementation challenges they face. Methods: Key documents issued by Peruvian governmental entities regarding mental health were reviewed to identify and describe the path that led to the beginning of the reform; how the ongoing reform is taking place; and, the plan and scope for scale-up. Results: Since 2004, mental health has gained importance in policies and regulations, resulting in the promotion of a mental health reform within the national healthcare system. These efforts crystallized in 2012 with the passing of Law 29889 which introduced several changes to the delivery of mental healthcare, including a restructuring of mental health service delivery to occur at the primary and secondary care levels and the introduction of supporting services to aid in patient recovery and reintegration into society. In addition, a performance-based budget was approved to guarantee the implementation of these changes. Some of the main challenges faced by this reform are related to the diversity of the implementation settings, eg, isolated rural areas, and the limitations of the existing specialized mental health institutes to substantially grow in parallel to the scaling-up efforts in order to be able to provide training and clinical support to every region of Peru. Conclusion: Although the true success of the mental healthcare reform will be determined in the coming years, thus far, Peru has achieved a number of legal, policy and fiscal milestones, thereby presenting a unique and fertile environment for the expansion of mental health services. Implications for policy makers • The achievement of important legal and fiscal policy milestones provides a framework in which the mental health reform in Peru is taking place. Additionally, a specific budget allocation for the implementation of this reform guarantees a setting in which the changes are fostered and activities are implemented. • Despite this, it is important to identify the implementation challenges to overcome, for example, obstacles to the medication supply chain or the limited capacity for mental health training for primary healthcare providers. • These challenges have to be addressed at the macro, meso, and micro levels, and include policy-makers, infrastructure and organization of services, as well as the micro point-of-care level of users and providers. Implications for the public The implementation of a mental health reform process creates fertile ground on which to grow and improve mental healthcare delivery. In doing so, governmental institutions will need to collaborate with community-based, non-profit organizations as well as academic organizations in order to develop innovative and efficient implementation approaches to tackle the challenges that arise from implementing the reform activities within the public health system.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/34674811" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="f2bd666263b1987ff1279e5d61b01ed2" rel="nofollow" data-download="{"attachment_id":54534143,"asset_id":34674811,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/54534143/download_file?st=MTczMjQ5MzY5Niw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="8946853" href="https://ijhpm.academia.edu/InternationalJournalofHealthPolicyandManagementIJHPM">International Journal of Health Policy and Management IJHPM</a><script data-card-contents-for-user="8946853" type="text/json">{"id":8946853,"first_name":"International Journal of Health Policy and Management","last_name":"IJHPM","domain_name":"ijhpm","page_name":"InternationalJournalofHealthPolicyandManagementIJHPM","display_name":"International Journal of Health Policy and Management IJHPM","profile_url":"https://ijhpm.academia.edu/InternationalJournalofHealthPolicyandManagementIJHPM?f_ri=68217","photo":"https://0.academia-photos.com/8946853/2925285/3421893/s65_international_journal_of_health_policy_and_management.ijhpm.png"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-34674811">+4</span><div class="hidden js-additional-users-34674811"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/MauricioToyama">Mauricio Toyama</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/HumbertoMartell">Humberto Martell</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/GaleaJerome">Jerome Galea</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/BrandtLena">Lena Brandt</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-34674811'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-34674811').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_34674811 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="34674811"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 34674811, container: ".js-paper-rank-work_34674811", }); });</script></li><li class="js-percentile-work_34674811 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 34674811; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_34674811"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_34674811 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="34674811"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 34674811; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=34674811]").text(description); $(".js-view-count-work_34674811").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_34674811").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="34674811"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">6</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="29841" href="https://www.academia.edu/Documents/in/Public_Policy_Analysis">Public Policy Analysis</a>, <script data-card-contents-for-ri="29841" type="text/json">{"id":29841,"name":"Public Policy Analysis","url":"https://www.academia.edu/Documents/in/Public_Policy_Analysis?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="40536" href="https://www.academia.edu/Documents/in/Health_Systems">Health Systems</a>, <script data-card-contents-for-ri="40536" type="text/json">{"id":40536,"name":"Health Systems","url":"https://www.academia.edu/Documents/in/Health_Systems?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="68217" href="https://www.academia.edu/Documents/in/Mental_Health_Services_Research">Mental Health Services Research</a>, <script data-card-contents-for-ri="68217" type="text/json">{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="114041" href="https://www.academia.edu/Documents/in/Healthcare_reform">Healthcare reform</a><script data-card-contents-for-ri="114041" type="text/json">{"id":114041,"name":"Healthcare reform","url":"https://www.academia.edu/Documents/in/Healthcare_reform?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=34674811]'), work: {"id":34674811,"title":"Peruvian Mental Health Reform: A Framework for Scaling-up Mental Health Services","created_at":"2017-09-25T12:55:40.059-07:00","url":"https://www.academia.edu/34674811/Peruvian_Mental_Health_Reform_A_Framework_for_Scaling_up_Mental_Health_Services?f_ri=68217","dom_id":"work_34674811","summary":"Background: Mental, neurological, and substance (MNS) use disorders are a leading cause of disability worldwide; specifically in Peru, MNS affect 1 in 5 persons. However, the great majority of people suffering from these disorders do not access care, thereby making necessary the improvement of existing conditions including a major rearranging of current health system structures beyond care delivery strategies. This paper reviews and examines recent developments in mental health policies in Peru, presenting an overview of the initiatives currently being introduced and the main implementation challenges they face. Methods: Key documents issued by Peruvian governmental entities regarding mental health were reviewed to identify and describe the path that led to the beginning of the reform; how the ongoing reform is taking place; and, the plan and scope for scale-up. Results: Since 2004, mental health has gained importance in policies and regulations, resulting in the promotion of a mental health reform within the national healthcare system. These efforts crystallized in 2012 with the passing of Law 29889 which introduced several changes to the delivery of mental healthcare, including a restructuring of mental health service delivery to occur at the primary and secondary care levels and the introduction of supporting services to aid in patient recovery and reintegration into society. In addition, a performance-based budget was approved to guarantee the implementation of these changes. Some of the main challenges faced by this reform are related to the diversity of the implementation settings, eg, isolated rural areas, and the limitations of the existing specialized mental health institutes to substantially grow in parallel to the scaling-up efforts in order to be able to provide training and clinical support to every region of Peru. Conclusion: Although the true success of the mental healthcare reform will be determined in the coming years, thus far, Peru has achieved a number of legal, policy and fiscal milestones, thereby presenting a unique and fertile environment for the expansion of mental health services. Implications for policy makers • The achievement of important legal and fiscal policy milestones provides a framework in which the mental health reform in Peru is taking place. Additionally, a specific budget allocation for the implementation of this reform guarantees a setting in which the changes are fostered and activities are implemented. • Despite this, it is important to identify the implementation challenges to overcome, for example, obstacles to the medication supply chain or the limited capacity for mental health training for primary healthcare providers. • These challenges have to be addressed at the macro, meso, and micro levels, and include policy-makers, infrastructure and organization of services, as well as the micro point-of-care level of users and providers. Implications for the public The implementation of a mental health reform process creates fertile ground on which to grow and improve mental healthcare delivery. In doing so, governmental institutions will need to collaborate with community-based, non-profit organizations as well as academic organizations in order to develop innovative and efficient implementation approaches to tackle the challenges that arise from implementing the reform activities within the public health system.","downloadable_attachments":[{"id":54534143,"asset_id":34674811,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":8946853,"first_name":"International Journal of Health Policy and Management","last_name":"IJHPM","domain_name":"ijhpm","page_name":"InternationalJournalofHealthPolicyandManagementIJHPM","display_name":"International Journal of Health Policy and Management IJHPM","profile_url":"https://ijhpm.academia.edu/InternationalJournalofHealthPolicyandManagementIJHPM?f_ri=68217","photo":"https://0.academia-photos.com/8946853/2925285/3421893/s65_international_journal_of_health_policy_and_management.ijhpm.png"},{"id":68713390,"first_name":"Mauricio","last_name":"Toyama","domain_name":"independent","page_name":"MauricioToyama","display_name":"Mauricio Toyama","profile_url":"https://independent.academia.edu/MauricioToyama?f_ri=68217","photo":"/images/s65_no_pic.png"},{"id":69017235,"first_name":"Humberto","last_name":"Martell","domain_name":"independent","page_name":"HumbertoMartell","display_name":"Humberto Martell","profile_url":"https://independent.academia.edu/HumbertoMartell?f_ri=68217","photo":"https://gravatar.com/avatar/21faa76756d3ef7c85a3d08beae9db07?s=65"},{"id":38462641,"first_name":"Jerome","last_name":"Galea","domain_name":"independent","page_name":"GaleaJerome","display_name":"Jerome Galea","profile_url":"https://independent.academia.edu/GaleaJerome?f_ri=68217","photo":"/images/s65_no_pic.png"},{"id":15575436,"first_name":"Lena","last_name":"Brandt","domain_name":"independent","page_name":"BrandtLena","display_name":"Lena Brandt","profile_url":"https://independent.academia.edu/BrandtLena?f_ri=68217","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":29841,"name":"Public Policy Analysis","url":"https://www.academia.edu/Documents/in/Public_Policy_Analysis?f_ri=68217","nofollow":false},{"id":40536,"name":"Health Systems","url":"https://www.academia.edu/Documents/in/Health_Systems?f_ri=68217","nofollow":false},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217","nofollow":false},{"id":114041,"name":"Healthcare reform","url":"https://www.academia.edu/Documents/in/Healthcare_reform?f_ri=68217","nofollow":false},{"id":441412,"name":"Health policy in low- and middle-income countries","url":"https://www.academia.edu/Documents/in/Health_policy_in_low-_and_middle-income_countries?f_ri=68217"},{"id":816898,"name":"HEALTH POLICY ANALYSIS","url":"https://www.academia.edu/Documents/in/HEALTH_POLICY_ANALYSIS?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_1201577 coauthored" data-work_id="1201577" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/1201577/Brymer_Steinberg_Sornborger_Layne_and_Pynoos_2008_Acute_interventions_for_refugee_children_and_families">Brymer, Steinberg, Sornborger, Layne, & Pynoos (2008). Acute interventions for refugee children and families. </a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/1201577" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="8c7dc42f5d86aab9e7f40029ee5d4b15" rel="nofollow" data-download="{"attachment_id":31074785,"asset_id":1201577,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/31074785/download_file?st=MTczMjQ5MzY5Niw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="92453" href="https://nova.academia.edu/ChristopherMLayne">Christopher M. Layne</a><script data-card-contents-for-user="92453" type="text/json">{"id":92453,"first_name":"Christopher M.","last_name":"Layne","domain_name":"nova","page_name":"ChristopherMLayne","display_name":"Christopher M. Layne","profile_url":"https://nova.academia.edu/ChristopherMLayne?f_ri=68217","photo":"https://0.academia-photos.com/92453/8342060/9329317/s65_christopher_m..layne.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-1201577">+1</span><div class="hidden js-additional-users-1201577"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://ucla.academia.edu/AlanMSteinbergPhD">Alan M. M Steinberg, Ph.D.</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-1201577'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-1201577').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_1201577 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="1201577"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 1201577, container: ".js-paper-rank-work_1201577", }); });</script></li><li class="js-percentile-work_1201577 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 1201577; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_1201577"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_1201577 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="1201577"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 1201577; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=1201577]").text(description); $(".js-view-count-work_1201577").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_1201577").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="1201577"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">8</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2835" href="https://www.academia.edu/Documents/in/Refugee_Studies">Refugee Studies</a>, <script data-card-contents-for-ri="2835" type="text/json">{"id":2835,"name":"Refugee Studies","url":"https://www.academia.edu/Documents/in/Refugee_Studies?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="4814" href="https://www.academia.edu/Documents/in/HIV_AIDS">HIV/AIDS</a>, <script data-card-contents-for-ri="4814" type="text/json">{"id":4814,"name":"HIV/AIDS","url":"https://www.academia.edu/Documents/in/HIV_AIDS?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="7437" href="https://www.academia.edu/Documents/in/Health_Disparities">Health Disparities</a>, <script data-card-contents-for-ri="7437" type="text/json">{"id":7437,"name":"Health Disparities","url":"https://www.academia.edu/Documents/in/Health_Disparities?f_ri=68217","nofollow":false}</script><a class="InlineList-item-text" data-has-card-for-ri="39869" href="https://www.academia.edu/Documents/in/Refugees">Refugees</a><script data-card-contents-for-ri="39869" type="text/json">{"id":39869,"name":"Refugees","url":"https://www.academia.edu/Documents/in/Refugees?f_ri=68217","nofollow":false}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=1201577]'), work: {"id":1201577,"title":"Brymer, Steinberg, Sornborger, Layne, \u0026 Pynoos (2008). Acute interventions for refugee children and families. ","created_at":"2012-01-05T02:50:13.836-08:00","url":"https://www.academia.edu/1201577/Brymer_Steinberg_Sornborger_Layne_and_Pynoos_2008_Acute_interventions_for_refugee_children_and_families?f_ri=68217","dom_id":"work_1201577","summary":null,"downloadable_attachments":[{"id":31074785,"asset_id":1201577,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":92453,"first_name":"Christopher M.","last_name":"Layne","domain_name":"nova","page_name":"ChristopherMLayne","display_name":"Christopher M. Layne","profile_url":"https://nova.academia.edu/ChristopherMLayne?f_ri=68217","photo":"https://0.academia-photos.com/92453/8342060/9329317/s65_christopher_m..layne.jpg"},{"id":806783,"first_name":"Alan M.","last_name":"Steinberg, Ph.D.","domain_name":"ucla","page_name":"AlanMSteinbergPhD","display_name":"Alan M. M Steinberg, Ph.D.","profile_url":"https://ucla.academia.edu/AlanMSteinbergPhD?f_ri=68217","photo":"https://0.academia-photos.com/806783/277353/19998801/s65_alan_m..steinberg_ph.d..jpg"}],"research_interests":[{"id":2835,"name":"Refugee Studies","url":"https://www.academia.edu/Documents/in/Refugee_Studies?f_ri=68217","nofollow":false},{"id":4814,"name":"HIV/AIDS","url":"https://www.academia.edu/Documents/in/HIV_AIDS?f_ri=68217","nofollow":false},{"id":7437,"name":"Health Disparities","url":"https://www.academia.edu/Documents/in/Health_Disparities?f_ri=68217","nofollow":false},{"id":39869,"name":"Refugees","url":"https://www.academia.edu/Documents/in/Refugees?f_ri=68217","nofollow":false},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":163614,"name":"Mental health interventions with refugee and asylum seeking children","url":"https://www.academia.edu/Documents/in/Mental_health_interventions_with_refugee_and_asylum_seeking_children?f_ri=68217"},{"id":915573,"name":"Acute Mental Health Interventions","url":"https://www.academia.edu/Documents/in/Acute_Mental_Health_Interventions?f_ri=68217"},{"id":975642,"name":"Immigrant and Refugee Access to Care","url":"https://www.academia.edu/Documents/in/Immigrant_and_Refugee_Access_to_Care?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_37855101" data-work_id="37855101" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/37855101/The_Queer_Youth_Cultural_Competency_QYCC_scale_Measuring_competency_in_direct_care_behavioral_health_workers">The Queer Youth Cultural Competency (QYCC) scale: Measuring competency in direct-care behavioral health workers</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Sexual and gender minority (SGM) youth are disproportionately represented in behavioral health treatment settings, and face disparities in outcomes when compared to their non-SGM peers. These youth need workers who are culturally... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_37855101" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Sexual and gender minority (SGM) youth are disproportionately represented in behavioral health treatment settings, and face disparities in outcomes when compared to their non-SGM peers. These youth need workers who are culturally competent in addressing their specific needs. This paper presents a scale to measure the SGM-related cultural competence of direct care workers. The scale, named the Queer Youth Cultural Competency scale (QYCC), fills a gap in the measurement literature and enables social workers to more robustly address the cultural competency of service providers as it relates to lesbian, gay, bisexual, transgender, queer, and questioning youth receiving behavioral health treatment.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/37855101" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c5346f8f6e4bab62530d62163729a3d2" rel="nofollow" data-download="{"attachment_id":57859631,"asset_id":37855101,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/57859631/download_file?st=MTczMjQ5MzY5Niw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="3524721" href="https://wvu.academia.edu/Megandy">Megan E . 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These youth need workers who are culturally competent in addressing their specific needs. This paper presents a scale to measure the SGM-related cultural competence of direct care workers. The scale, named the Queer Youth Cultural Competency scale (QYCC), fills a gap in the measurement literature and enables social workers to more robustly address the cultural competency of service providers as it relates to lesbian, gay, bisexual, transgender, queer, and questioning youth receiving behavioral health treatment.","downloadable_attachments":[{"id":57859631,"asset_id":37855101,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":3524721,"first_name":"Megan","last_name":"Gandy","domain_name":"wvu","page_name":"Megandy","display_name":"Megan E . Gandy","profile_url":"https://wvu.academia.edu/Megandy?f_ri=68217","photo":"https://0.academia-photos.com/3524721/1209198/49544293/s65_megan.gandy.jpg"}],"research_interests":[{"id":940,"name":"Social Work","url":"https://www.academia.edu/Documents/in/Social_Work?f_ri=68217","nofollow":false},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=68217","nofollow":false},{"id":6667,"name":"LGBT Issues","url":"https://www.academia.edu/Documents/in/LGBT_Issues?f_ri=68217","nofollow":false},{"id":7273,"name":"Cultural Competency","url":"https://www.academia.edu/Documents/in/Cultural_Competency?f_ri=68217","nofollow":false},{"id":7420,"name":"Cultural Competence","url":"https://www.academia.edu/Documents/in/Cultural_Competence?f_ri=68217"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent?f_ri=68217"},{"id":54533,"name":"Children","url":"https://www.academia.edu/Documents/in/Children?f_ri=68217"},{"id":68217,"name":"Mental Health Services Research","url":"https://www.academia.edu/Documents/in/Mental_Health_Services_Research?f_ri=68217"},{"id":175096,"name":"Lgbtq","url":"https://www.academia.edu/Documents/in/Lgbtq?f_ri=68217"},{"id":286025,"name":"Psychometrics and Test Development","url":"https://www.academia.edu/Documents/in/Psychometrics_and_Test_Development?f_ri=68217"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_417714" data-work_id="417714" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/417714/Can_I_Prevent_you_from_Entering_my_Mind">Can I Prevent you from Entering my Mind?</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Shaun Gallagher has actively looked into the possibility that psychopathologies involving “thought insertion” might supply a counterexample to the Cartesian principle according to which one can always recognize one’s own thoughts as one’s... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_417714" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Shaun Gallagher has actively looked into the possibility that psychopathologies involving “thought insertion” might supply a counterexample to the Cartesian principle according to which one can always recognize one’s own thoughts as one’s own. Animated by a general distrust of a priori demonstrations, Gallagher is convinced that pitting clinical cases against philosophical arguments is a worthwhile endeavor. There is no doubt that, if true, a falsification of the immunity to error through misidentification would entail drastic revisions in how we conceive the boundary between self and other. However, I argue that (1) the idea of unearthing an exception to the Cartesian thesis is, on further reflection, not a realistic prospect and that (2) this casts doubt on the attempt to conjoin first-person phenomenology and third-person cognitive science in the service of philosophical debates.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/417714" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="f4d0c8318125a59e9ffcf5639ea7d4da" rel="nofollow" data-download="{"attachment_id":100634899,"asset_id":417714,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/100634899/download_file?st=MTczMjQ5MzY5Niw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="90594" href="https://kwantlen.academia.edu/MarcChampagne">Marc Champagne</a><script data-card-contents-for-user="90594" type="text/json">{"id":90594,"first_name":"Marc","last_name":"Champagne","domain_name":"kwantlen","page_name":"MarcChampagne","display_name":"Marc Champagne","profile_url":"https://kwantlen.academia.edu/MarcChampagne?f_ri=68217","photo":"https://0.academia-photos.com/90594/25175/116736640/s65_marc.champagne.jpg"}</script></span></span></li><li class="js-paper-rank-work_417714 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="417714"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 417714, container: ".js-paper-rank-work_417714", }); 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