Psychiatry in primary care and training: a Singapore perspective

Peh, Andrew Lai Huat; Tan, Gilbert Choon Seng; Soon, Winnie Shok Wen; Cheah, Benjamin Soon Min; Ng, Jared Wei Lik

doi:10.11622/smedj.2021056

Cited by 8 publications

(10 citation statements)

References 7 publications

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“…The Institute of Mental Health (IMH) is the only state-run psychiatric hospital comprising in-patient and out-patient services. Public and private hospitals deliver inpatient and outpatient mental health services also but in small-scale capacities [ 36 ]. In the community, mental health services are delivered by primary care physicians in state-run clinics (i.e., polyclinics) or as General Practitioners (GP), psychologists, and counsellors working in either volunteer welfare organisations that provide care to PMI or educational institutions and other settings [ 36 ].…”

Section: Introductionmentioning

confidence: 99%

“…Public and private hospitals deliver inpatient and outpatient mental health services also but in small-scale capacities [ 36 ]. In the community, mental health services are delivered by primary care physicians in state-run clinics (i.e., polyclinics) or as General Practitioners (GP), psychologists, and counsellors working in either volunteer welfare organisations that provide care to PMI or educational institutions and other settings [ 36 ]. A nationwide survey reported considerable stigma towards PMI in Singapore among the general public [ 35 ], and stigma has also been surmised to be a contributor to the wide treatment gap in Singapore.…”

Section: Introductionmentioning

confidence: 99%

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The perspectives of healthcare professionals in mental health settings on stigma and recovery - A qualitative inquiry

Gunasekaran

Tan

Shahwan

et al. 2022

BMC Health Serv Res

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Background Mental health stigma is one of the most prominent barriers to recovery, and it is widely known that stigma may manifest differentially in different cultures. Healthcare professionals working closely with persons with mental illnesses (PMI) may provide important insights towards stigma that are otherwise unattainable from caregivers and consumers. However, there is a dearth of literature on healthcare professionals’ perspectives on this topic. Thus, this study uses a multilevel approach to explore how stigma affects recovery from the perspectives of healthcare professionals that work closely with PMI in Singapore. Methods Semi-structured interviews were conducted with a total of 17 healthcare professionals who were working in mental health settings in Singapore. Participants were recruited via direct email invitation or through snowball sampling. Data collected was analysed with the inductive thematic analysis method. All coding and inter-rater analyses were performed with NVivo. Results The current study themes identified stigma-related factors that influence PMI’s recovery from the perspectives of healthcare professionals working closely with PMI. These factors were organised into three overarching themes in a multilevel structure. The three themes were classified as Micro Factors (e.g., internalised stigma), Meso Factors (e.g., discrimination of people associated with the stigmatised group), and Macro Factors (e.g., structural stigma and stigma within healthcare settings). Conclusions The findings of this study gave us a greater understanding of how stigma influences recovery in Singapore, which could be used to guide the development and implementation of future policies and strategies to promote recovery. Importantly, our results suggest that improving mental health literacy, addressing cultural misgivings towards mental illness, implementing recovery-oriented practices, and making insurance more accessible for PMI could mitigate the deleterious impact that stigma has on recovery.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The perspectives of healthcare professionals in mental health settings on stigma and recovery - A qualitative inquiry

Gunasekaran

Tan

Shahwan

et al. 2022

BMC Health Serv Res

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“…Among the many practices, tools, and policies available to editors for journal development, editorials have earned a special place. ‘To editorialize is to state an opinion’ (Copp, 1992, p. 137), so editorials help editors explicitly and directly communicate with the readers and shape a unique character of the journal (Peh & Ng, 2010; van Teijlingen et al, 2022). Editorials serve as a platform for editors to inform, educate, and challenge the audience, for example, by suggesting an alternative view or a range of views on a topic, identifying a new perspective on the field or profession, sharing their voice, evaluating articles in a particular issue, or providing methodological guidance to improve quality of submissions (Leslie & Hemmings, 2020; Odom‐Forren, 2021; Waksman, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Over the years, researchers and editors in many fields have published articles dealing with the art and craft of editorials, discussing their content, structure, style, authorship, or frequency (Leslie & Hemmings, 2020; Peh & Ng, 2010; van Teijlingen et al, 2022). Despite the vital and diverse roles of editorials in academic journals, they have rarely been systematically analysed for common characteristics, patterns, or impact on readership (Iob et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

How do editors use editorials to lead their journals? Insights from the field of human resource management

Plakhotnik

2023

Learned Publishing

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Editorials have earned a special place among many practices, tools, and policies available to editors for journal advancement. Despite the vital and diverse roles of editorials in academic journals, they have rarely been systematically analysed for common characteristics or patterns. In this study, I approached editorials as a leadership practice of journal editors. Therefore, the purpose of this study was to understand how editors use editorials to lead their journals. To render a manageable set of editorials and, at the same time, to capture the latest trends, I focused on editorials published in 2022 in top journals in the field of organizational behaviour/human resource management indexed by Scopus. The sample consisted of 120 editorials found in 103 journals managed by 21 publishers. I analysed the editorials using qualitative content analysis that was guided by two research questions: (1) How commonly do editors use editorials? (2) What objectives do editors pursue in their editorials? The analyses showed that editorials appear to be neither a regular nor a common practice. An overwhelming majority of editorials were written to validate existing knowledge. The findings raise several important issues, including an unclear contribution of editorials, perceived or factual, to academic journals and the editor's role in the journal development process. Journal editors, editorial board members, publishers, universities, and organizations associated with journals should consider revisiting their policies and practices to ensure a purposeful, meaningful, and systematic use of editorials.

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“…Other public and private hospitals also provide in-patient and out-patient mental health care but in smaller capacities. Mental health care in the community is provided by primary care physicians working either in polyclinics or as General Practitioners (GPs) as well as psychologists and counselors working in voluntary welfare organisations (Peh et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Exploration of the Views of Policymakers and Policy Advisors on the Impact of Mental Health Stigma on the Development and Implementation of Mental Health Policy in Singapore

Subramaniam

Shahwan

Goh

et al. 2021

Adm Policy Ment Health

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Few studies have examined the views of policy makers regarding the impact of mental health stigma on the development and implementation of mental health policies. This study aimed to address this knowledge gap by exploring policymakers’ and policy advisors’ perspectives regarding the impact of mental health stigma on the development and implementation of mental health programmes, strategies, and services in Singapore. In all 13 participants were recruited for the study comprising practicing policymakers, senior staff of organisations involved in implementing the various mental health programmes, and policy advisors. Data was collected through semi-structured interviews, which were transcribed verbatim and analysed using reflexive thematic analysis. Data analysis revealed three superordinate themes related to challenges experienced by the policymakers/advisors when dealing with mental health policy and implementation of programmes. These themes included stigma as a barrier to mental health treatment, community-level barriers to mental health recovery, and mental health being a neglected need. Policymakers/advisors demonstrated an in-depth and nuanced understanding of the barriers (consequent to stigma) to mental healthcare delivery and access. Policymakers/advisors were able to associate the themes related to the stigma towards mental illness with help-seeking barriers based on personal experiences, knowledge, and insight gained through the implementation of mental health programmes and initiatives.

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Psychiatry in primary care and training: a Singapore perspective

Cited by 8 publications

References 7 publications

The perspectives of healthcare professionals in mental health settings on stigma and recovery - A qualitative inquiry

The perspectives of healthcare professionals in mental health settings on stigma and recovery - A qualitative inquiry

How do editors use editorials to lead their journals? Insights from the field of human resource management

A Qualitative Exploration of the Views of Policymakers and Policy Advisors on the Impact of Mental Health Stigma on the Development and Implementation of Mental Health Policy in Singapore

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