Community Engagement in a complex intervention to improve access to primary mental health care for hard‐to‐reach groups

Lamb, James L.; Dowrick, Christopher; Burroughs, Heather; Beatty, Susan; Edwards, Suzanne; Bristow, Kate; Clarke, Pam; Hammond, Jonathan; Waheed, Waquas; Gabbay, Mark; Gask, Linda

doi:10.1111/hex.12272

Cited by 29 publications

(34 citation statements)

References 31 publications

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“…Research suggests current approaches may not have enough penetration into the ethnic groups. Alternates via community organisations, media or community champions, needs to be further explored [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Barriers and facilitators in accessing dementia care by ethnic minority groups: a meta-synthesis of qualitative studies

et al. 2017

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BackgroundIt is estimated that there are about 25,000 people from UK ethnic minority groups with dementia. It is clear that there is an increasing need to improve access to dementia services for all ethnic groups to ensure that everyone has access to the same potential health benefits. The aim was to systematically review qualitative studies and to perform a meta-synthesis around barriers and facilitators to accessing care for dementia in ethnic minorities.MethodsDatabases were searched to capture studies on barriers and facilitators to accessing care for dementia in ethnic minorities. Analysis followed the guidelines for meta-ethnography. All interpretations of data as presented by the authors of the included papers were extracted and grouped into new themes.ResultsSix hundred and eighty four papers were identified and screened. Twenty eight studies were included in the meta-synthesis. The analysis developed a number of themes and these were incorporated into two overarching themes: ‘inadequacies’ and ‘cultural habitus’.ConclusionsThe two overarching themes lend themselves to interventions at a service level and a community level which need to happen in synergy.Trial registrationThe review was registered with PROSPERO: CRD42016049326.Electronic supplementary materialThe online version of this article (10.1186/s12888-017-1474-0) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Barriers and facilitators in accessing dementia care by ethnic minority groups: a meta-synthesis of qualitative studies

et al. 2017

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“…This study identified mental health problems as one main targets for interventions. As individuals in this population are likely to have a complex set of socio-medical problem constellations interventions that base on principles of case management may be promising ( Björkman & Hansson, 2000 ; Gask et al, 2012 ; Lamb et al, 2014 ). Of course, potential future interventions to ameliorate the health of deprived populations and to optimize the use of health resources should be accompanied by scientific evaluation.…”

Section: Discussionmentioning

confidence: 99%

Health Care Utilization and Expenditures in Persons Receiving Social Assistance in 2012 Evidence From Switzerland

Reich¹,

Wolffers²,

Signorell³

et al. 2014

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Introduction:Lower socioeconomic position and measures of social and material deprivation are associated with morbidity and mortality. These inequalities in health among groups of various statuses remain one of the main challenges for public health. The aim of the study was to investigate differences in health care use and costs between recipients of social assistance and non-recipients aged 65 years and younger within the Swiss healthcare system.Methods:We analyzed claims data of 13 492 individuals living in Bern, Switzerland of which 391 received social assistance. For the year 2012, we compared the number of physician visits, hospitalizations, prescribed drugs, and total health care costs as covered by mandatory health insurance. Linear and logistic adjusted regression analyses were made to estimate the effect of receipt of social assistance on health service use and costs.Results:Multivariate linear regression analysis revealed that health care costs increased on average by 1 666 CHF if individuals received social assistance. Recipients of social assistance had on average 1.2 more ambulatory consultations than non-recipients and got 1.65 more different medications prescribed as compared to non-recipients. The chance for recipients of social assistance to be hospitalized was almost twice that of non-recipients (Odds Ratio 1.96, 95% confidence interval 1.49-2.59).Conclusions:Recipients of social assistance demonstrate an exceedingly high use of health services. The need for interventions to alleviate the identified inequalities in health and health care needs is obvious.

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“…Although primary mental health care community based in LAMIC has relevant references in the literature 35,40 , there is a gap about this subject in Brazil. Thus, the sub-categories, were developed inductively 41 and fostered the answers to the 3 key-issues of this study.…”

Section: Analysesmentioning

confidence: 99%

“…Due to the fact that the group studied has CMD, mental health stigma 33 and difficulties to accept mental health as a health problem were embedded in these references. Secondly rather than to install a community centre in a vulnerable community, which does not seem enough to a vulnerable population to trust 34 , the literature recommends identifying stakeholders to create service linked to the local people 35,36 . Hence, access to mental health care in a community-based service is a bridge linking the service and community, containing clinical, social, cultural and political elements.…”

Section: Introductionmentioning

confidence: 99%

Anxious and depressed women's experiences of emotional suffering and help seeking in a Rio de Janeiro favela

Athié

Dowrick

Menezes

et al. 2017

Ciênc. saúde coletiva

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Community Engagement in a complex intervention to improve access to primary mental health care for hard‐to‐reach groups

Cited by 29 publications

References 31 publications

Barriers and facilitators in accessing dementia care by ethnic minority groups: a meta-synthesis of qualitative studies

Barriers and facilitators in accessing dementia care by ethnic minority groups: a meta-synthesis of qualitative studies

Health Care Utilization and Expenditures in Persons Receiving Social Assistance in 2012 Evidence From Switzerland

Anxious and depressed women's experiences of emotional suffering and help seeking in a Rio de Janeiro favela

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