Transnational Feminisms and Psychologies: Selves, Suffering, and Moral Personhood in Sri Lanka

Abeyasekera, Asha L.; Marecek, Jeanne

doi:10.1080/02703149.2020.1775002

Cited by 10 publications

(11 citation statements)

References 31 publications

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“…This could be especially difficult in a culture where saving "face" is of paramount importance. A startling study conducted in SL by Abeyasekera and Marecek (2020) illustrated that not even the act of suicide or near-fatal self-harm in SL was considered to be a personal act. The paper further illustrates a resolute denial in addressing emotional distress and the assumption that a person must simply "behave well" and "get over it" soon, as there are responsibilities that demand attention, further illustrating the subthemes of parental denial and the belief that MH issues were inconsequential.…”

Section: Discussionmentioning

confidence: 99%

Exploring challenges in mental health service provisions for school-going adolescents in Sri Lanka

Jayawardena

Gamage

2021

School Psychology International

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Schools provide an ideal setting for early, accessible intervention according to research conducted in developed countries for adolescents experiencing adverse mental health (MH). Many schools in South Asia, however, lack structured and standardized school counselling services. Research indicates that where services do exist, students are reluctant to access them due to perceived high risks and low benefits in MH help seeking. This paper explores the challenges experienced in MH provision from the perspective of school counsellors. A qualitative approach was chosen, and three main themes emerged from the data using the thematic analysis: negative perceptions of MH and counselling, the unwillingness to invest in MH services, and the challenges inherent in the system itself. The findings reveal cultural implications behind these challenges and suggest grassroots level initiatives that can be implemented within schools to reduce the barriers to service provision without the need for legislative changes at a national level.

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Section: Discussionmentioning

confidence: 99%

Exploring challenges in mental health service provisions for school-going adolescents in Sri Lanka

Jayawardena

Gamage

2021

School Psychology International

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“…This could be explained by cultural norms with regards to social behaviour and selfpresentation. While public behaviours of self-control, obedience, and emotional restraint are important traits in Sri Lanka, behaviours that are more in line with the construct covered by the externalizing vignette such as overt extensive expression of emotions and children directly confronting an older person, are discouraged [32]. The differences between detecting internalising and externalising problems seem to be in con ict with dominant conceptualisations in other contexts (e.g., from Europe or North America).…”

Section: Constructs and Performance Of The Ccdtmentioning

confidence: 97%

“…This could be explained by a rise in reported family-related issues in Sri Lanka in the past years, such as alcohol abuse, maternal migration, domestic violence and child protection issues [31]. This combined with the strong emphasis on the family unit as a central pillar of life in Sri Lanka [32] may have facilitated the accurate detection of family related problems compared to symptoms of internalising or externalising problems among children.…”

Section: Constructs and Performance Of The Ccdtmentioning

confidence: 99%

Proactive Detection of People In Need Of Mental Healthcare: Accuracy Of The Community Case Detection Tool Among Children, Adolescents And Families In Sri Lanka

Broek

Ponniah

Jeyakumar³

et al. 2021

Preprint

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BackgroundMost children and adolescents in need of mental healthcare remain untreated even when services are available. This study evaluates the accuracy of a new tool, the Community Case Detection Tool (CCDT), which uses illustrated vignettes, two questions and simple decision algorithm to support proactive community-level detection of children, adolescents and families in need of mental healthcare in order to improve help-seeking. MethodsTrusted and respected community members in the Eastern Province of Sri Lanka used the CCDT in their daily routine. Children and families detected as potentially in need of mental healthcare based on utilizing the CCDT (N=157, aged 6-18 years) were invited for a clinical interview by a mental health counsellor using the Mini-International Neuropsychiatric Interview for Children and Adolescents. The CCDT results were compared against the outcomes of the clinical interview. The concurrent validity and performance of the CCDT were also evaluated by comparing the CCDT outcomes against the Strengths and Difficulties Questionnaire (SDQ). Results7 out of 10 children and families detected by community members using the CCDT were confirmed to be in need for treatment (positive predictive value = 0.69; 0.75 when compared to the SDQ). Detections based on the family problem vignette were most accurate (PPV=0.76), followed by the internalising problem vignette (PPV=0.71) and the externalising problem vignette (PPV=0.62).ConclusionsThe CCDT is a promising low-cost solution to overcome under-detection of children and families in need of mental healthcare. Future research should focus on evaluating the efficacy, as well as additional strategies to improve help-seeking.

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“…This could be explained by cultural norms with regards to social behaviour and self-presentation. While public behaviours of self-control, obedience, and emotional restraint are important traits in Sri Lanka, behaviours that are more in line with the construct covered by the externalizing vignette such as overt extensive expression of emotions and children directly confronting an older person, are more often discouraged [36]. The differences between detecting internalising and externalising problems seem to be in conflict with dominant conceptualisations in other contexts (e.g., from Europe or North America).…”

Section: Constructs and Performance Of The Ccdtmentioning

confidence: 97%

Proactive detection of people in need of mental healthcare: accuracy of the community case detection tool among children, adolescents and families in Sri Lanka

Broek

Ponniah²,

Jeyakumar³

et al. 2021

Child Adolesc Psychiatry Ment Health

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Background Most children and adolescents in need of mental healthcare remain untreated even when services are available. This study evaluates the accuracy of a new tool, the Community Case Detection Tool (CCDT). The CCDT uses illustrated vignettes, two questions and a simple decision algorithm to support proactive community-level detection of children, adolescents and families in need of mental healthcare to improve help-seeking. Methods Trusted and respected community members in the Eastern Province of Sri Lanka used the CCDT in their daily routine. Children and families detected as potentially in need of mental healthcare based on utilizing the CCDT (N = 157, aged 6–18 years) were invited for a clinical interview by a mental health counsellor using the Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI-KID). The CCDT results were compared against the results of the clinical interview. The concurrent validity and performance of the CCDT were also evaluated by comparing the CCDT outcomes against the Strengths and Difficulties Questionnaire (SDQ). Results 7 out of 10 children and families detected by community members using the CCDT were confirmed to be in need for treatment (positive predictive value [PPV] = 0.69; 0.75 when compared to the SDQ). Detections based on the family problem vignette were most accurate (PPV = 0.76), followed by the internalising problem vignette (PPV = 0.71) and the externalising problem vignette (PPV = 0.62). Conclusions The CCDT is a promising low-cost solution to overcome under-detection of children and families in need of mental healthcare. Future research should focus on evaluating the effectiveness, as well as additional strategies to improve help-seeking.

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Transnational Feminisms and Psychologies: Selves, Suffering, and Moral Personhood in Sri Lanka

Cited by 10 publications

References 31 publications

Exploring challenges in mental health service provisions for school-going adolescents in Sri Lanka

Exploring challenges in mental health service provisions for school-going adolescents in Sri Lanka

Proactive Detection of People In Need Of Mental Healthcare: Accuracy Of The Community Case Detection Tool Among Children, Adolescents And Families In Sri Lanka

Proactive detection of people in need of mental healthcare: accuracy of the community case detection tool among children, adolescents and families in Sri Lanka

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