Reenvisioning Success for Programs Supporting Pregnant Women With Problematic Substance Use
Community-based, integrated, primary care maternity programs for pregnant women affected by problematic substance use are emerging as effective models for engaging women affected by multiple health and social issues. Although addictions services have historically been evaluated by individual achievement of abstinence, new definitions of program success are required as addiction comes to be viewed as a chronic illness. We conducted a mixed-methods study to follow the formative development stages of a community-based program, identifying key evaluation indicators and processes related to this program, program team members, a...
Source: Qualitative Health Research - March 5, 2015 Category: Global & Universal Authors: Marcellus, L., MacKinnon, K., Benoit, C., Phillips, R., Stengel, C. Tags: Articles Source Type: research
Reconsidering Culturally Competent Approaches to American Indian Healing and Well-Being
There is an urgent need to eliminate mental health disparities experienced by American Indians and Alaska Natives (AI/ANs). Service providers and researchers often address these disparities by focusing on low rates of participation in Western mental health services. In part, this reflects limited understandings of the sociopolitical and historical context of AI/AN mental health problems. Furthermore, this emphasis fails to recognize the importance of emic understandings of locally resonant coping strategies, healing, and treatment. In this article, we describe (a) a study designed to address these gaps, (b) findings relate...
Source: Qualitative Health Research - March 5, 2015 Category: Global & Universal Authors: Goodkind, J. R., Gorman, B., Hess, J. M., Parker, D. P., Hough, R. L. Tags: Articles Source Type: research
Doing Fence Sitting: A Discursive Analysis of Clinical Psychologists' Constructions of Mental Health
A growing body of research indicates that the way health care professionals conceptualize mental health might have important clinical implications. We adopted a discursive psychology approach to explore clinical psychologists’ accounts of mental health and its effects. Semistructured interviews were conducted with 11 clinical psychologists in the East Midlands region of the United Kingdom. The participants constructed mental health through building up biological factors and psychosocial aspects as opposite ends of the same spectrum, and then positioned themselves as distant from these extremes to manage issues of sta...
Source: Qualitative Health Research - March 5, 2015 Category: Global & Universal Authors: Lofgren, A., Hewitt, V., das Nair, R. Tags: Articles Source Type: research
Decisions for Institutionalization Among Nursing Home Residents and Their Children in Shanghai
An increasing number of elders in Shanghai have moved into nursing homes to meet their needs for long-term care. This shift from family caregiving to nursing home care calls for an exploration of caregiving decision making in urban China. In this article I present both generations’ experiences of deciding to institutionalize. Face-to-face, semistructured interviews took place with 12 dyads of matched elders and their children (N = 24) in a government-sponsored, municipal-level nursing home in Shanghai. Spatially situated in a Cartesian coordinate system, the essence of participants’ experiences showed that they...
Source: Qualitative Health Research - March 5, 2015 Category: Global & Universal Authors: Chen, L. Tags: Articles Source Type: research
Exploring the Mental Health Effects of Political Trauma With Newly Arrived Refugees
We explored the mental health effects of war trauma and torture as described by 111 refugees newly arrived in the United States. We used ethnocultural methodologies to inform 13 culture-specific focus groups with refugees from Bhutan (34), Burma (23), Ethiopia (27), and Somalia (27). Contrary to the belief that stigma prevents refugees from discussing mental health distress, participants readily described complex conceptualizations of degrees of mental health distress informed by political context, observation of symptoms, cultural idioms, and functional impairment. Recommendations for health care providers include assessm...
Source: Qualitative Health Research - March 5, 2015 Category: Global & Universal Authors: Shannon, P. J., Wieling, E., McCleary, J. S., Becher, E. Tags: Articles Source Type: research
