A Sociodemographic Profile of Asian Americans Served in Community Mental Health Centers for a Diagnosis of Schizophrenia Spectrum Disorder

Lim, Caroline; Hernández, Mercedes; Gaona, Lizbeth; Helu-Brown, Paula; Barrio, Concepción

doi:10.1007/s10488-019-00935-0

Cited by 2 publications

(2 citation statements)

References 36 publications

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“…In the research, patient relatives stated that the effects of the disease symptoms on the individual and the family and difficulty in coping with them affected the continuity to the center. Mental illnesses affect one’s cognitive functions such as memory, perception and attention; emotions; movements; and judgment (Bilge & Çam, 2010; Lim et al, 2019; Townsend, 2016; Uz Gül et al, 2014). All these may negatively affect patients’ continuity to CMHC.…”

Section: Discussionmentioning

confidence: 99%

Views of patient relatives and health professionals about the reasons of the patients enrolled in the community mental health center to discontinue or irregularly continue the center

Guvenc

Öner

2020

Int J Soc Psychiatry

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Background: The aim of the study was to determine the views of patient relatives and health professionals about the reasons of patients enrolled in the community mental health center to discontinue or irregularly continue the center. Methods: This study is qualitative and phenomenological. The study group consisted of 17 patient relatives and eight health professionals according to the maximum variation sampling method. In the study, the data were collected using the personal information form in semi-structured interviews. The data were analyzed with the descriptive (thematic) method in the MAXQDA 2018 package program. Results: In line with the research findings, themes and codes were determined based on the statements of patient relatives and health professionals. For patient relatives, the themes were determined as disease symptoms, disease effect/coping difficulties, misbeliefs-fears, problems about the center, and social and economic causes. For health professionals, the themes were determined as reasons for not coming to the community mental health center, problems related to center health professionals, level/severity of the disease and treatment compliance, socio-economic conditions and problems experienced by health professionals. Conclusion: It can be said that the views of patient relatives and health professionals about the discontinuity of patients to the center were similar. It was seen that the problems regarding factors such as disease severity, disease effects, knowledge and beliefs of the family, stigma, functionality and promotion of the center were effective in patient’s continuity to the center. In line with the research findings, it was recommended to improve the quality of the activities in the center to increase the number of patients enrolled in the community mental health center and their continuity, develop training programs that also involve health professionals to increase the quality of service, and increase the cooperation with patient relatives.

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Section: Discussionmentioning

confidence: 99%

Views of patient relatives and health professionals about the reasons of the patients enrolled in the community mental health center to discontinue or irregularly continue the center

Guvenc

Öner

2020

Int J Soc Psychiatry

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“…By acknowledging the characteristics of SMI that family caregivers tend to be the decision makers, some studies examined the associations between caregiver’s perceived quality of health care provided to persons diagnosed with a SMI, trust in the provider and mental health service utilization, hence yielded similar findings (Ishikura et al, 2015; Werner, Stern, Roth, & Tenenbaum, 2019). This is particularly important to China’s case, since it points out that caregiver’s perceived quality of primary healthcare services provided to the person in their care from CHCs may influence their institutional trust in the provider, which determines the utilization of a new type of service—CBR (Wang et al, 2018), considering their role in decision‐making under the oriental culture (Lim, Hernandez, Gaona, Helu‐Brown, & Barrio, 2019). In other words, identification of provider‐side predictors of caregiver’s institutional trust can inform CHC’s capacity building and wider policymaking and, therefore, facilitate the utilization of CBR services among families of persons diagnosed with a SMI.…”

Section: Introductionmentioning

confidence: 99%

Perceived quality of primary healthcare services and its association with institutional trust among caregivers of persons diagnosed with a severe mental illness in China

Ling

Zhou

Wang

et al. 2020

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject Low utilization of the family‐oriented community rehabilitation services is a threatening challenge facing low‐ and middle‐ income countries. Family caregiver’s trust in community healthcare providers is the precondition of service utilization and is shaped by their perceived quality of primary healthcare services from previous experience. Most of the studies concerning the relationship between perceived quality and institutional trust were conducted in western countries, resulting in limited attention paid to conditions in non‐western countries. Which aspect of quality predicts institutional trust in China has not been studied yet. What the paper adds to existing knowledge In China’s context, institutional trust was generally associated with communication, worry relief and risk of privacy leak, but not with technical competence. Significant rural–urban disparity was observed: among rural respondents, institutional trust was associated with technical competence, communication and risk of privacy leak, but not with worry relief; institutional trust was only associated with worry relief in urban respondents. What are the implications for practice Mental health nurses training or working with community healthcare workers may improve their technical and communicative competence. Priorities may differ between rural and urban areas. Mental health nurses or community healthcare workers may provide more family‐oriented psycho‐education to rural families, and more emotional support to urban families. Wider public anti‐stigma initiatives are needed to reduce the affiliated stigma of families of persons diagnosed with a severe mental illness. Abstract IntroductionPrior studies suggested that caregiver’s trust in community healthcare providers is the precondition of the utilization of community‐based rehabilitation services and is shaped by their perceived quality of primary healthcare services. Nevertheless, the research conducted in non‐western countries is scarce, and which aspect of quality is associated with institutional trust in China has not been studied. AimTo explore the association between perceived quality of primary healthcare services and institutional trust in China’s context. MethodsThis cross‐sectional study was conducted with 796 family caregivers from Eastern, Central and Western China between August 2018 and October 2019. Perceived quality of primary healthcare services was measured by technical competence, communication, worry relief and risk of privacy leak. ResultsInstitutional trust was generally associated with communication, worry relief and risk of privacy leak, but not with technical competence. Among rural respondents, institutional trust was associated with technical competence, communication and risk of privacy leak, but not with worry relief. Contrary finding was observed in urban respondents. Discussion and implications for practiceWith rural–urban disparity considered, strategies such as improving the technical and communicative com...

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A Sociodemographic Profile of Asian Americans Served in Community Mental Health Centers for a Diagnosis of Schizophrenia Spectrum Disorder

Cited by 2 publications

References 36 publications

Views of patient relatives and health professionals about the reasons of the patients enrolled in the community mental health center to discontinue or irregularly continue the center

Views of patient relatives and health professionals about the reasons of the patients enrolled in the community mental health center to discontinue or irregularly continue the center

Perceived quality of primary healthcare services and its association with institutional trust among caregivers of persons diagnosed with a severe mental illness in China

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