Towards a gendered perspective for Irish mental health policy and service provision

Bergin, Michael; Wells, John; Owen, Sara

doi:10.3109/09638237.2012.714513

Cited by 11 publications

(8 citation statements)

References 14 publications

(21 reference statements)

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“…Panter-Brick et al, (2014) highlighted the "distinct expectations, constraints and experiences" (p1208) of mothers and fathers which services should not overlook. To achieve gender inclusive approaches, Bergin, Wells, & Owen, (2013) argued that explicit links are required between macro, meso and micro levels of policy and practice. In the UK, legal frameworks and policy generally remain gender-blind.…”

Section: Discussionmentioning

confidence: 99%

‘It’s the most important thing – I mean, the schooling’: father involvement in the education of children with autism

Potter

2016

European Journal of Special Needs Education

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Father involvement in education has been shown to result in a range of positive outcomes for typically developing children. However, the nature of paternal involvement in the education of children with disabilities and especially autism has been under-researched and is little understood. This study aimed to explore the nature of the involvement of 25 UK fathers in the education and their children with autism, aged up to 19 years through the use of semi-structured interviews. Findings showed that fathers were highly engaged both directly and indirectly across several dimensions of their children's education and schooling.Key areas of indirect engagement were involvement in administrative processes necessary for securing an appropriate educational placement; facilitating daily access to school and general support of children's progress through attendance at school-based meetings and events. Direct support for learning occurred through homework assistance and working on school-related goals. Findings are discussed in relation to diversity and generative models of fatherhood.Implications for greater father inclusion in the education of children with autism are explored with reference to a gender-differentiated approach.

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Section: Discussionmentioning

confidence: 99%

‘It’s the most important thing – I mean, the schooling’: father involvement in the education of children with autism

Potter

2016

European Journal of Special Needs Education

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“…Probably, the call was heed by policymakers to make Irish mental healthcare more gender-sensitive as it was previously designed to be genderneural to enhance equality (Bergin, Wells & Owen, 2012). Evidence suggests that there is a difference in dynamics in how women and men experience mental disorders (WHO, 2020a).…”

Section: Discussionmentioning

confidence: 99%

Digital Mental Health in Ireland: Effectiveness and the Future of the Service

Bamijoko-Okungbaye

Idemudia

2020

BRAIN

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Purpose: Mental disorders are serious concern in our society. In the era of digital technology , Telemental health and mental health apps are becoming an avenue where people seek mental health support, but in general very little is known about the effectiveness of the service considering the complexities surrounding mental disorder as a disease. In the light of COVID-19 pandemic, researchers noticed a spike in anxiety levels amongst the populace, prompting more people to use the service. The purpose of this study is to evaluate the users of the service to check the effectiveness, the cost of the service, and to ask whether users will opt for the service in the future. Design and Methods: Three major questions were asked to adult participants (ages 18-35 years; n=50). Female participants(n-25) and Male participants(n-25).Within the semi-structured interviews, participants were also allowed to share their lived experiences to enhance this study. The questions are as follows: 1. The effectiveness of the service in terms of recovery 2. The cost of service 3. The question about the future use of the service. Differences in groups and research variables were compared across the demographics. To measure psycho-pathology, PHQ-9, GAD-7, SAQ, Insomnia Severity Index and ASI-Lite were used to evaluate the conditions and description of the participants. This evaluation is employed to validate the patient's threshold for Telemental health intervention. Results: The people that are more likely to use the service in the future were female (85%) than their male counterpart (64%), but the groups are similar concerning the effectiveness of the service. When controlled for gender, male (85%) and female (80%) were more satisfied with the service they receive and record a positive outlook of their conditions. Compared with first-time users of the service, regular users mention service providers as key to their recovery. Participants (18-35 years, n-50) describe depression, anxiety, addictions and insomnia as the reason for the use of the service, issues responsive to neuropsychotherapeutical and cognitive behavioural therapy. About the cost, the participants (68%) seem to be satisfied with the cost while (32%) would prefer cost reduction. (Mean age-25.96 years) and (s.d-5.32). Implications: This data shows the effectiveness of Telemental health service. If expanded on a larger scale, it can take the pressure off the traditional mental health care system in Ireland, giving the practitioners time to focus on severe mental conditions. However, variables in the contextual description of patient's experiences will require value-based treatment where individual factors (bio-psycho-social analysis) are needed to be incorporated into the treatment. Besides, the data also reveals that continuous destigmatization of mental disorders will encourage men to opt for the service if societal judgment diminishes. Translating this data to the global data on mental disorders means that those regions, including rural areas without mental health support,...

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“…More recently, researchers in nursing have been called upon to use critical realism in order to demonstrate the complexity that exists in developing effective health care policies, programmes, and interventions in achieving positive outcomes, as well as conducting research for knowledge development in nursing (Wainwright, 1997;Littlejohn, 2003;McEvoy & Richards, 2003;Bergin et al, 2008;Clark et al, 2008). Towards this end, nursing researchers have successfully applied critical realism to research and theory development (Littlejohn, 2003;Bergin et al, 2013), policy reform/evaluation (McEvoy & Richards, 2003), theory-driven programme evaluation (McEvoy & Richards, 2003;Pawson & Tilley, 2004), and improving knowledge translation, chronic disease management, and public health (Clark et al, 2008), to name a few areas. And in this paper, it is our premise that acknowledging the complexity of moral distress at the intersection of the interplay between structures and agents is central to clarifying the concepts underpinning moral distress.…”

Section: Critiques Of Theorizing In Critical Realismmentioning

confidence: 99%

“…Examples of the hierarchically ordered levels include the social and cultural level, psychological level, biological level, and molecular level (Danermark, ; Bergin et al ., ; Clark et al ., ). Each of these levels has its own generative mechanisms that can come together in unique ways to create new mechanisms that are not reducible to their component parts giving rise to the concept of emergence (Danermark, ; Bergin et al ., , ).…”

Section: Critiques Of the Conceptual Framing Of Moral Distressmentioning

confidence: 99%

Moving from conceptual ambiguity to knowledgeable action: using a critical realist approach to studying moral distress

Musto

Rodney

2015

Nursing Philosophy

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Moral distress is a phenomenon that has been receiving increasing attention in nursing and other health care disciplines. Moral distress is a concept that entered the nursing literature - and subsequently the health care ethics lexicon - in 1984 as a result of the work done by American philosopher and bioethicist Andrew Jameton. Over the past decade, research into moral distress has extended beyond the profession of nursing as other health care disciplines have come to question the impact of moral constraint on individual practitioners, professional practice, and patient outcomes. Along with increased interest in the phenomenon of moral distress have come increasing critiques - critiques that in their essence point to a serious lack of conceptual clarity in the definition, study, and application of the concept. Foundational to gaining conceptual clarity in moral distress in order to develop strategies to prevent and ameliorate the experience is a careful revisiting of the epistemological assumptions underpinning our knowledge and use of the concept of moral distress. It is our contention that the conceptual challenges reveal flaws in the original understanding of moral distress that are based on an epistemological stance that holds a linear conception of cause and effect coupled with a simplistic perspective of 'constraint' and 'agency'. We need a more nuanced approach to our study of moral distress such that our ontological and epistemological stances help us to better appreciate the complexity of moral agents acting in organizational contexts. We believe that critical realism offers such a nuanced approach.

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Towards a gendered perspective for Irish mental health policy and service provision

Abstract: Arguably, a move towards developing gender-sensitive mental health policy and service provision requires a stronger awareness of and connections between the macro, meso and micro levels for policy development and analysis.

Cited by 11 publications

References 14 publications

‘It’s the most important thing – I mean, the schooling’: father involvement in the education of children with autism

‘It’s the most important thing – I mean, the schooling’: father involvement in the education of children with autism

Digital Mental Health in Ireland: Effectiveness and the Future of the Service

Moving from conceptual ambiguity to knowledgeable action: using a critical realist approach to studying moral distress

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