Barriers to mental healthcare for psychiatrists

White, A. C.; Shiralkar, Purushottam; Hassan, Tariq; Galbraith, Niall; Callaghan, Rhiannon

doi:10.1192/pb.30.10.382

Cited by 45 publications

(83 citation statements)

References 15 publications

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“…; White et al . ). Whilst there is currently no clear evidence regarding underlying mental health problems as a cause of the poorer well‐being in this mental healthcare staff, this possibility raises the question of how the well‐being of staff in mental healthcare trusts is promoted.…”

Section: Discussionmentioning

confidence: 97%

Mental healthcare staff well‐being and burnout: A narrative review of trends, causes, implications, and recommendations for future interventions

Johnson

Hall

Berzins

et al. 2017

Int J Mental Health Nurs

275

222

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Rising levels of burnout and poor well-being in healthcare staff are an international concern for health systems. The need to improve well-being and reduce burnout has long been acknowledged, but few interventions target mental healthcare staff, and minimal improvements have been seen in services. This review aimed to examine the problem of burnout and well-being in mental healthcare staff and to present recommendations for future research and interventions. A discursive review was undertaken examining trends, causes, implications, and interventions in burnout and well-being in healthcare staff working in mental health services. Data were drawn from national surveys, reports, and peer-reviewed journal articles. These show that staff in mental healthcare report poorer well-being than staff in other healthcare sectors. Poorer wellbeing and higher burnout are associated with poorer quality and safety of patient care, higher absenteeism, and higher turnover rates. Interventions are effective, but effect sizes are small. The review concludes that grounding interventions in the research literature, emphasizing the positive aspects of interventions to staff, building stronger links between healthcare organizations and universities, and designing interventions targeting burnout and improved patient care together may improve the effectiveness and uptake of interventions by staff.

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Section: Discussionmentioning

confidence: 97%

Mental healthcare staff well‐being and burnout: A narrative review of trends, causes, implications, and recommendations for future interventions

Johnson

Hall

Berzins

et al. 2017

Int J Mental Health Nurs

275

222

View full text Add to dashboard Cite

show abstract

“…However, this may be due to the fact that non-psychiatrists are not disclosing their mental illness or are failing to recognise it. 18 A text box was provided for free comments at the end of the questionnaire. It was interesting to note that, of the doctors who 'had' experienced a mental illness and been in touch with local mental health services, they generally reported a very positive experience.…”

Section: Discussionmentioning

confidence: 99%

A postal survey of doctors' attitudes to becoming mentally ill

et al. 2009

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-A postal survey of 3,512 doctors in Birmingham was carried out to assess attitudes to becoming mentally ill. The response rate for the questionnaire was 70% (2,462 questionnaires). In total, 1,807 (73.4%) doctors would choose to disclose a mental illness to family and friends rather than to a professional. Career implications were cited by 800 (32.5%) respondents as the most frequent reason for failure to disclose. For outpatient treatment, 51.1% would seek formal professional advice. For inpatient treatment, 41.0% would choose a local private facility, with only 21.1% choosing a local NHS facility. Of respondents 12.4% indicated that they had experienced a mental illness. Stigma to mental health is prevalent among doctors. At present there are no clear guidelines for doctors to follow for mental healthcare. Confidential referral pathways to specialist psychiatric care for doctors and continuous education on the vulnerability of doctors to mental illness early on in medical training is crucial.

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“…A critical issue here concerns the validity of self-reported data obtained from non-clinical subjects, particularly where questions explicitly pertain to mental illness, given the understandable unwillingness of subjects to provide honest responses where these could present participants in a socially unacceptable manner [11,12] . Stigma associated with mental illness is well recognised as an important factor influencing access to mental healthcare by the general population [13] . Indeed, a study of military personnel revealed that many had not honestly answered health screening questions for reasons of lack of trust in medical confidentiality, stigmatisation and fears that the process would jeopardise career prospects [14] .…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Delusion-Like Beliefs Relative to Sociocultural Beliefs in the General Population

Pechey

Halligan²

2010

Psychopathology

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Background: Delusions are defined as false beliefs different from those that almost everyone else believes. The aim was to develop a new measure (the Cardiff Beliefs Questionnaire, CBQ) to establish the range and prevalence of delusion-like beliefs (DLB) and compare these to other types of beliefs in the general population. Sampling and Methods: A total of 1,000 participants completed the CBQ, which uniquely assesses a broader range of currently held beliefs [delusion-like (bizarre and non-bizarre), paranormal and religious and general political/social beliefs) using this large stratified sample. Results: Strong belief in 1 or more DLB was reported by 39% of the participants (91% reporting ‘weak’, ‘moderate’ or ‘strong’ belief in at least 1 DLB). Moreover, 25% endorsed at least 1 bizarre DLB (76% one or more at any strength). Endorsements of DLB were strongly correlated with paranormal and religious beliefs but not general political/social beliefs. Conclusions: Both bizarre and non-bizarre DLB are frequently found in the general population, lending support to the psychosis continuum account and need to revise key clinical criteria used to diagnose delusions. The good psychometric properties demonstrated by the CBQ indicate that this measure is a useful tool to investigate the wider continuum of beliefs held in the general population.

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Barriers to mental healthcare for psychiatrists

Cited by 45 publications

References 15 publications

Mental healthcare staff well‐being and burnout: A narrative review of trends, causes, implications, and recommendations for future interventions

Mental healthcare staff well‐being and burnout: A narrative review of trends, causes, implications, and recommendations for future interventions

A postal survey of doctors' attitudes to becoming mentally ill

The Prevalence of Delusion-Like Beliefs Relative to Sociocultural Beliefs in the General Population

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