Health services, psychiatry and citizenship in a globalizing world: A perspective from Ireland

Kelly, Brendan D.

doi:10.1016/j.healthpol.2009.06.001

Cited by 8 publications

(4 citation statements)

References 37 publications

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“…Research in these areas is important as mental health service providers need to understand the trauma experiences of migrants in order to develop appropriate services for them. 10 …”

Section: Literature Reviewmentioning

confidence: 99%

Trauma and PTSD rates in an irish psychiatric population

et al. 2013

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Although Western mental health services are increasingly finding themselves concerned with assisting traumatized individuals migrating from other countries, trauma and posttraumatic stress disorder (PTSD) are under-detected and undiagnosed in psychiatric populations. This study examined and compared rates of traumatic experiences, frequency of traumatic events, trauma symptomatology levels, rates of torture, rates of PTSD and chart documentation of trauma and PTSD between (a) Irish and migrant service-users and (b) forced migrant and voluntary migrant service-users in Dublin, Ireland. Data were gathered from 178 psychiatric outpatients attending using a sociodemographic questionnaire, the Harvard Trauma Questionnaire-Revised Cambodian Version and the SCID-I/P. A substantial number of service-users had experienced at least one lifetime trauma (71.3%), and a high percentage of both the Irish (47.4%) and migrant groups (70.3%) of service-users had experienced two or more events. Overall, analyses comparing rates between Irish, forced migrant and voluntary migrant service-users found that forced migrants displayed more traumatic life events, posttraumatic symptoms, and higher levels of PTSD than their voluntary migrant and Irish counterparts, with over 50% experiencing torture prior to arrival in Ireland. The lifetime rate of PTSD in the overall sample was 15.7% but only 53.57% of cases were documented in patient charts. The results of this study are informative about the nature and extent of the problem of trauma and PTSD among migrant mental health service users as well as highlighting the under-detected levels of trauma among native-born service users.

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“…Research in these areas is important as mental health service providers need to understand the trauma experiences of migrants in order to develop appropriate services for them. 10 …”

Section: Literature Reviewmentioning

confidence: 99%

Trauma and PTSD rates in an irish psychiatric population

et al. 2013

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“…Prior's (2007) research in the European context, for example, identified how stigma attached to individuals with mental illness prevented them from accessing citizen rights such as employment, housing and family life. Correspondingly, Kelly (2009) advocated for the importance of addressing mental health using culturally sensitive approaches in order to respect various ethnic groups' rights as a citizen. In Asian contexts, Crabtree and Chong (2000) and Irmansyah et al (2009) made a similar call for the government to protect the rights of people with mental illness in Malaysia and Indonesia, respectively.…”

Section: Introductionmentioning

confidence: 99%

The state and my happiness: Youth mental health, citizenship education and discursive contestations in contemporary Indonesia

et al. 2021

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Complementing studies on youth mental health that were mainly depoliticised, this article offers a discursive examination of youth mental health in an Indonesian educational context. We argue that subject positions enabled by the discourse of mental health were at odds with dominant constructions of an ideal Indonesian citizen. Drawing upon qualitative data from 22 teachers and 20 students in a junior high school in Indonesia and analyses of educational policies and textbooks, we identified three discourses underpinning the ideal(ised) constructions of young Indonesian citizen, namely, neoliberalism, (masculine) patriotism and (religious) moralism and discussed how these inhibited youth mental health.

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“…As the literature on host society acculturation continues to grow, it would become increasingly feasible and important to draw international parallels, to generalize findings across Western countries, and to perform systematic literature reviews. Next, despite the fact that host society acculturation has driven positive structural and policy developments across several public health domains, some potential negative consequences have also been pointed out [61,62]. For example, a literature review in the domain of mental health services indicated that models of cultural integration might in fact encourage ethnocultural divisions [61].…”

Section: Discussionmentioning

confidence: 99%

Determinants of Host Society Acculturation and Its Relationship with Health Behaviors and Outcomes: A New Research and Intervention Framework

Andreeva

Unger

2014

J Immigrant Minority Health

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Host society acculturation (or reverse acculturation) is a complex, multifactorial process reflecting the attitude- and behavior-level impact of immigrants on the host society. However, this phenomenon has rarely been the subject of systematic research in the area of public health. Using qualitative and quantitative findings from different health behavior domains, we strove to identify potential individual- and environment-level determinants of host society acculturation. Next, we developed a context-driven multilevel public health research and intervention framework for the study of the relationship between host society acculturation and health practices and outcomes. The framework posits a number of associations to be evaluated by future multidisciplinary research nationally and internationally.

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Health services, psychiatry and citizenship in a globalizing world: A perspective from Ireland

Cited by 8 publications

References 37 publications

Trauma and PTSD rates in an irish psychiatric population

Trauma and PTSD rates in an irish psychiatric population

The state and my happiness: Youth mental health, citizenship education and discursive contestations in contemporary Indonesia

Determinants of Host Society Acculturation and Its Relationship with Health Behaviors and Outcomes: A New Research and Intervention Framework

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