Objective: Previous studies emphasise the negative psychological and physical consequences of Postnatal Depression (PND) on mothers and children's health.In the UK, around 10-20% of women can be affected by perinatal mental health problems. Minority ethnic groups such as Black African mothers are considered to be at greater risk of developing PND and data estimates that immigrant mothers are twice more likely to develop PND than native mothers. The unique experiences and needs of this culturally diverse group remain little explored in the UK. To address this gap in the literature, this study aimed to explore the lived experiences of First-Generation Nigerian Mothers (FGNMs) who suffered PND, their coping behaviours and treatment experiences in the UK.Design: Six FGNMs with a previous diagnosis of PND and treatment experiences were purposefully recruited from GP practices and social groups attended by Nigerian mothers in the UK. Semi-structured interviews were analysed using Interpretative Phenomenological Analysis.Results: Three master and seven subordinate themes were identified: (i) Sociocultural factors (Inter-generational transmission; cultural perceptions: shame and stigma; transitions: adjusting to a new culture); (ii) What about me? The neglected nurturer (experiences of treatment; pretending to be OK); and (iii) Loneliness and coping (lack of support from partner; self-reliance).
Conclusions:The study provides evidence about the difficulties encountered by FGNMs in relation to PND, including socio-cultural factors, neglect from family and healthcare professionals, and self-reliance as a coping strategy. Contrary to reports suggesting that Black ethnic groups do not seek help for their mental health needs, participants' accounts indicated that their attempts to engage with professionals were met with unsatisfactory responses. The findings of this study highlight the need to address barriers affecting access to services by fostering a patient-centred and culturally sensitive approach in healthcare teams to effectively engage mothers at an early stage in the detection pathway.
Background/aims: Literature suggests that the ending phase of therapy can be difficult and challenging for counsellors. Despite this, there is limited research in this area and no study has specifically looked at the experiences of volunteer counsellors. This is the first study to explore the experiences and challenges of volunteer counsellors and the impact of ending therapeutic relationships.
The value of programme logic models as a tool for planning, evaluation, and
communication is well recognised. However, the value of its development
process is less discussed. In this paper, we describe how
we used a combination of literature review and organisational stakeholder
consultations to develop a logic model for a telehealth programme for children
in rural and remote Australia. Our aim was to use this process to further embed
the programme within its implementing organisation, and by so doing to promote
its sustainability and scale-up; a major challenge of telehealth programmes,
especially those involving reorganisation of processes. Our efforts to describe
the components of this complex intervention on the one-page logic model allowed
for debates and discussions within the implementing organisation which then
facilitated an improved cross-organisational understanding of the telehealth
programme; a real time face-to-face (video-link) service which requires the
reorganisation of existing service delivery platforms. The process helped to
embed the telehealth programme within existing services. We conclude that
stakeholder engagement in developing logic models can transform them from being
only a tool that provides the picture of why and how a programme works, to one
that plays a role in embedding programmes within implementing organisations.
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