Crossing boundaries. Identifying and meeting the mental health needs of Gypsies and Travellers

Goward, Peter; Repper, Julie; Appleton, Lynda; Hagan, Theresa

doi:10.1080/09638230600700888

Cited by 43 publications

(54 citation statements)

References 12 publications

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“…Normative perspectives tend to focus on the risk of wounding and harm, using epidemiological factors of poorer health outcomes and higher morbidity and mortality (Goward et al . , Parry et al . ).…”

Section: Discussionmentioning

confidence: 99%

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Lived experience of vulnerability from a Gypsy Roma Traveller perspective

Heaslip

Hean

Parker

2016

Journal of Clinical Nursing

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Aim To describe the lived experience of vulnerability of individuals within a Gypsy Roma Travelling community.Background People experience vulnerability whenever their health or usual functioning is compromised. This may increase when they enter unfamiliar surroundings, situations or relationships. One's experience of vulnerability can also be heightened through interactions between the individual and the society within which they live. Gypsy Roma Travellers are often identified as vulnerable owing to increased morbidity and mortality as well as their marginalised status within society. Yet little is known of the experiences of vulnerability by the individuals themselves. Without their stories and experiences, health professionals cannot effectively develop services that meet their needs.

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Section: Discussionmentioning

confidence: 99%

“…There is also evidence that GRT have poorer mental health (Goward et al . , Parry et al . ) than the general population.…”

Section: Introductionmentioning

confidence: 99%

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Lived experience of vulnerability from a Gypsy Roma Traveller perspective

Heaslip

Hean

Parker

2016

Journal of Clinical Nursing

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“…(or the etic side), both Goward et al . () and Parry et al . () identify that GRT experience poorer mental health than individuals within wider society.…”

Section: Background: What Is Already Known Regarding Vulnerability?mentioning

confidence: 85%

“…For example, under the etic perspective of vulnerability, Gypsy Roma Travellers are defined as a vulnerable community as they experience poorer health in comparison with the settled community (Goward et al . , Parry et al . ).…”

Section: Background: What Is Already Known Regarding Vulnerability?mentioning

confidence: 99%

The etemic model of Gypsy Roma Traveller community vulnerability: is it time to rethink our understanding of vulnerability?

Heaslip

Hean

Parker

2017

Journal of Clinical Nursing

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Aim: To present a new etemic model of vulnerability.Background: Despite vulnerability being identified as a core consequence of health and health experiences there has been little research exploring the meaning of vulnerability as a concept. Yet being vulnerable is known to have dire physical/mental health consequences. It is therefore a fundamental issue for nurses to address. To date, the meaning of the term vulnerability has been influenced by the work of Spiers (2000Spiers ( , 2005. Spiers identified two aspects of vulnerability; the etic (external judgment of another persons' vulnerability and the emic (internal lived experience of vulnerability). This approach has led to a plethora of research which has explored the etic (external judgment) of vulnerability and rendered the internal lived (or emic) experience invisible. Consequences of this, for marginalised communities such as Gypsy Roma Travellers include a lack of culturally sensitive services compounding health inequalities. Design: Position paperMethod: Drawing upon a qualitative phenomenological research study exploring the lived experience of vulnerability from a Gypsy Roma Travelling community (published previously), this paper presents a new model of vulnerability. This etemic model of vulnerability values both external and internal dimensions of vulnerability and argues for a fusion of these two opposing perspectives. Conclusion and relevance to clinical practice:If nurses and other health and social care professionals wish to develop practice that is successful in engaging with Gypsy Roma Travellers then there is a need to both understand and respect their community. This can be achieved through an etemic approach to understanding their vulnerability achieved by eliciting lived experience alongside the appreciation of epidemiological studies. Doing so would enable the development and delivery of culturally sensitive services facilitating health access to this community. Only then, will their poor health status be successfully addressed.Keywords: Vulnerable, Gypsy, Romany, Irish Traveller, indigenous, marginalised, patient voice, mental health, nursing, healthcare. Summary Statement:What does this paper contribute to the wider global clinical community? The concept of vulnerability, whilst a crucial aspect of nurses' professional practice has had little examination to date. This paper provides a critical examination of vulnerability providing a timely contribution to ongoing debates regarding vulnerability.

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