Effectiveness of Gatekeeper Training Program (GTP) on awareness, attitude, mental help seeking intention and gatekeeper behavior among Koraga tribe: A study protocol (original) (raw)
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Social Psychiatry and Psychiatric Epidemiology, 2021
We present a cultural adaptation of the Growth and Empowerment Measure (GEM) from the Kanien’kehá:ka people of Quebec (Canada). Our aim was to develop a culturally competent and safe tool to assess and promote well-being among this population. We followed a qualitative, collaborative, and participatory method that sought to benefit Indigenous participants and communities, while honouring their culture and philosophies. Twelve adults from health and community services of Kahnawà:ke participated in total five focus group meetings. We carried out a thematic analysis of the data collected through an advisory group that led a revision of the cultural and conceptual relevance of the tool and its content. The group integrated socio-culturally relevant elements and restructured the tool so that it reflected local well-being factors and showed its versatility of being an assessment tool and therapeutic support. A narrative and empowerement-driven approach, culturally based intervention, cultural safety and flexibility when using the instrument were considered successful strategies to improve wellness. This project provides valuable information about the perspectives of local Indigenous communities regarding mental health and factors of empowerment. Mutual understanding and integration of psychological and traditional knowledge can create a beneficial program to improve emotional, mental, spiritual, and physical well-being for the local population. It remains to be tested whether the Kanien’kehá:ka Growth and Empowerment Measure (K-GEM) is clinically useful in psychological and psychiatric intervention, and social and community services.
2021
Method: The study was based on the descriptive cross-sectional design and was conducted in 3, 4, 6, 8, and 15 wards of the Madhyabindu municipality of Nawalpur District as the majority of the Tharu's household are located in these wards. This research administered a structured questionnaire to assess awareness of Tharu adults on mental illness. Data were collected in September and October 2018. The collected data were analyzed by using descriptive statistical methods where the researcher calculated mean, standard deviation, percentage, and frequency. Chi-square test was used for inferential statistics.
Annals of Anthropological Research & Reviews, 2024
The World Health Organization has defined ‘Health’ as “a state of complete physical, mental, social and spiritual well-being and not merely the absence of disease or infirmity”. The concept of mental health includes subjective well-being, perception of self-efficacy, autonomy, competence, and recognition of one's ability to realize one's intellectual and emotional potential. It is also defined as a state of well-being in which individuals realize their abilities or are able to cope with the stresses of normal life, be productive at work, and contribute effectively to their communities. India is home to the largest tribal populations in the world with 8.6% of the total population belonging to Scheduled Tribes forming 705 tribal groups across India, a significant section of which are suffering from a multitude of mental health issues. This article narrates the state of the mental health conditions pervading inside the tribal groups across India and their ability to cope with the emerging trends and issues responsible for the increase in cases of mental health problems. Tribal communities are not immune from the clutches of mental illness and the unique cultures of each tribal society have shaped their own understanding of mental illness and the strategies for its treatment/management. Further, it is observed that the decisions and choices taken by the authorities catering to the wider arena of mental health issues, which were imposed on the tribal groups without consulting their prerogatives and social proclivities, have led to a state of social-emotional distress and lethargy in terms of the treatment seeking behaviour.
PLOS ONE, 2021
A cross-sectional qualitative study was conducted in Arghakhanchi district of Nepal in JulyAugust 2019 that collected information through face-to-face In-depth and Key Informant Interviews of three categories of participants selected judgmentally. Thirty-two purposively selected participants from the three categories were interviewed using validated interview guidelines. Thematic analysis was performed using RQDA package for EZR software. Validation of translated transcripts, member checking, and inter-coder percent agreement was performed to maintain rigor in the study. Mental health stigma and inadequate awareness were identified as major factors that caused barriers for mental health service utilization at the community level. They also influenced different factors at other socio-ecological levels to act as barriers. Awareness in community along with accessibility and availability of comprehensive mental health services were recommended by the participants for increasing service utilization from Primary Health Care facilities
Community perceptions of mental health needs: a qualitative study in the Solomon Islands
International Journal of Mental Health Systems, 2009
Background: Psychosocial and mental health needs in the aftermath of conflict and disaster have attracted substantial attention. In the Solomon Islands, the conceptualisation of mental health, for several decades regarded by policy makers as primarily a health issue, has broadened and been incorporated into the national development and social policy agendas, reflecting recognition of the impact of conflict and rapid social change on the psychosocial wellbeing of the community as a whole. We sought to understand how mental health and psychosocial wellbeing were seen at the community level, the extent to which these issues were identified as being associated with periods of 'tension', violence and instability, and the availability of traditional approaches and Ministry of Health services to address these problems.
2021
Objective Mental health care needs of urban, rural, and tribal regions of India are varied and challenging, which require region-specific approaches. A significant treatment gap calls out for a state-wise introspection of existing service delivery models to cater to the specific mental health needs. In Madhya Pradesh, key findings were noted from a camp conducted in one of the tribal districts. To establish patient-centered services, it is important to understand their mental health care needs. Materials and Methods A cross-sectional study within a mental health camp was conducted in the east-central tribal district of Madhya Pradesh by using a semi-structured interview. Statistical Analysis Treatment deficit, pathways to care, and treatment barriers were assessed for correlation with demographic and clinical variables and analyzed by using the Chi-square test and logistic regression method using SPSS version 20. Results Among 113 patients who sought help, treatment deficit was ...
Public Mental Health - Using the Mental Health Gap Action Program to Put all Hands to the Pumps
Frontiers in public health, 2014
Although mental ill health constitutes a huge portion of the Global Burden of Disease (GBD), the majority of people with mental health problems do not receive any treatment, a scenario much worse in developing countries where mental health personnel are in gross short supply. The mhGAP was launched to address this gap, especially by training non-mental health professionals to deliver effective services for selected priority mental health problems. Especially in developing countries, many people with mental health problems consult traditional healers either as a first step in the pathway to biomedical mental health care or as the sole mental health service providers. Bridging the gap between mental health needs and available services in developing countries needs to incorporate traditional healers, who are ubiquitously available, easily accessible, and acceptable to the natives. Even though there are barriers in forging collaborations between traditional and biomedical mental health ...
The awareness and management of mental illness among the Babukusu of Bungoma district
1992
Anthropologists have turned in increasing numbers to carry out investigation on health care systems, etiologies and management of diseases and illnesses in societies of differing complexity. What is apparent from their works is that little has been done on mental illness with regard to etiological concepts, health seeking behaviour and role of traditional health care in the management of the problems particularly in the nonWestern societies. This underscores the primacy of looking at these aspects in a given culture, thereby providing this study a major point for departure. This study was undertaken among the Bukusu Community of Bungoma District. The study discusses mental illness with regard to causation, perception and resources employed in the management of the problem. It tries to investigate the extent to which Babukusu are aware of various signs and symptoms of psychiatric disorders and their attitudes towards the mentally ill and/or mental illness. The study also examines fac...
Frontiers in psychiatry, 2024
Background: Traditional healers are in the front line to give the mental healthcare service in developing countries like Ethiopia. In Ethiopia, different studies were done focusing on the role of traditional medicine and perception of the community toward traditional medicine. However, there is paucity of studies, which shows the level of mental health literacy among traditional healers. Therefore, this study intended to mental health literacy level of traditional healers in Jimma town, Ethiopia. Method: A community-based cross-sectional study design was employed among 310 participants. To select the participants from Jimma town, a stratified random sampling method was utilized from August 1 to September 30, 2020. The Mental Health Literacy Questionnaire was used to assess mental health literacy for assessment of mental health literacy among traditional healers. The collected data were coded and entered into EpiData version 4.6 and exported to SPSS version 25.0 for analysis. Bivariate and multivariable linear regression was used for data analysis. Result: The finding of this study showed that the samples of traditional healers found in Jimma town scored a total mean of 95.91 ± 3.0025 for mental health literacy. Age [b = −0.052 (95% CI: −0.078, −0.026)], year of experience [b = 0.095 (95% CI: 0.067, 0.123)], family history of mental illness [b = 1.709 (95% CI: 0.543, 2.360)], history of professional help seeking on mental illness [b = 0.501 (95% CI: 0.715, 2.288)], history of getting information of mental illness on media [b = 0.941 (95% CI: 0.345, 1.538)], training on mental health [b = 2.213 (995% CI: 1.520, 2.906)], history of treating mental illness [b = 1.676 (95% CI: 0.808, 2.544)], and informal education [b = −1.664 (95% CI: −2.081, −1.247)] were factors significantly associated with MHL.
African Journal of Psychiatry, 2013
The study aimed to investigate the types of mental illnesses treated by traditional healers, and their methods of identifying and treating mental illnesses in their patients. Method: In urban informal settlements of Kibera, Kangemi and Kawangware in Nairobi, Kenya, we used opportunistic sampling until the required number of traditional healers was reached, trying as much as possible to represent the different communities of Kenya. Focus group discussions were held with traditional healers in each site and later an in-depth interview was conducted with each traditional healer. An in-depth interview with each patient of the traditional healer was conducted and thereafter the MINIPLUS was administered to check the mental illness diagnoses arrived at or missed by the traditional healers. Quantitative analysis was performed using SPSS while focus group discussions and in-depth interviews were analysed for emerging themes. Results: Traditional healers are consulted for mental disorders by members of the community. They are able to recognize some mental disorders, particularly those relating to psychosis. However, they are limited especially for common mental disorders. Conclusion: There is a need to educate healers on how to recognize different types of mental disorders and make referrals when patients are not responding to their treatments.