Few studies have considered whether the gender of educator or same-gender classes have any influence on the participation of male partners, and even fewer studies have examined any factors that limit attendance from ethnic minority groups. The objective of this study was to investigate male partners' initial experience and associated factors that limit attendance. Data were collected by means of a questionnaire given to 69 male partners in North London. In total, 49 male partners preferred to attend the same class with their partners even if all male forums were offered. The gender of the educator had no influence on their participation. Comments from 23 participants from three different ethnic minority groups indicated that they preferred to have a separate class from their partners.
Rigorous studies of community alternatives to hospitalisation show that they are feasible and effective but have spawned considerable debate about their methodology, replicability, and appropriateness for normal clinical practice. In Britain, many demonstration projects have been centrally funded and evaluated initially by the Personal Social Services Research Unit at the University of Kent and latterly by Good Practices in Mental Health (Renshaw et al, 1988). Such community-based projects have attempted to avoid the problems of community mental health centres in the United States which have, with some important exceptions, failed to offer a comprehensive service that would allow closure or a significant drop in bed numbers at state hospitals (Dowell & Ciarlo, 1983). In practice, the design of community services is very dependent on local circumstances, including the demography of the population, existing service provision and attitudes. For this reason, planners and practitioners need to be aware of many practical options for service delivery.
Today one in six people in England suffer from a mental health disorder equating to around eight million people being affected in UK. Mental health problems are very common with depression ranked as the third most frequent cause of consultation in general practice. Depression is a common condition with 9 of every 10 cases is treated in primary care. The costs of treating depression have been shown to outweigh those of treating psychoses. It is now widely seen to be a burden for those who suffer from the condition including the economic and health costs. In clinical practice, it is important for clinicians to identify and accurately assess depression and have an awareness of some of the pharmacological treatment and psychological management strategies available. This article focuses on the concept of depression, assessment or screening, considers treatment options, management and educational preparation for specialist community public health nurses. Community nurses especially name professionals have a crucial role in identifying mental health problems, tackling stigma and developing models of collaborative working with mental health specialists to promote the overall mental wellbeing across the whole population lifespan from young children to older people
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