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Mental Health and Social Inclusion
Journal Prestige (SJR): 0.223
Number of Followers: 38  
 
Hybrid Journal Hybrid journal   * Containing 2 Open Access Open Access article(s) in this issue *
ISSN (Print) 2042-8308 - ISSN (Online) 2042-8316
Published by Emerald Homepage  [362 journals]
  • Higher education for students with mental health conditions: the policy
           and legislative support in India

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      Authors: Amrita Roy
      Abstract: The enrolment rates of students with special needs (SwSN) decrease from primary to secondary education and decline steeply in higher education. The incessant impact of stigma and misconceptions about their capability in academic performance acts as a major roadblock for students with mental health conditions (SwMHC) while seeking and pursuing higher education, in addition to the host of other challenges faced by all SwSN. SwMHC are the least represented in higher educational institutions (HEIs) and are seldom considered when it comes to the provision of support and accommodation. Policies across countries aim to make education accessible and inclusive for SwSN, including India. This study aims to appraise the current policies and legislation in terms of the support they provide for SwMHC. This study is a “document analysis” of all policies, legislation, schemes and guidelines that impact the higher education of SwMHC to recognize the existing provisions that are likely to impact the higher educational outcomes for SwMHC. The issues of access, accommodation, equity, inclusion, and financial support are appropriately handled by the current policies and legislation. The National Education Policy (NEP) 2020 serves as a holistic guidebook and the Rights of Persons with Disabilities Act (RPDA) 2016 provides the legislative framework for realizing education as a ‘right for all.’ The RPDA ensures open gateways of HEIs for all SwSN through reservations and mandating necessary support and accommodation. NEP guides inclusion and equity in higher education. The ‘University Grants Commission’, an autonomous body under the Ministry of Education, is a crucial stakeholder in achieving the vision of supportive policies by formulating requisite guidelines and monitoring their implementation. The study involved document analysis spanning macro to micro level, i.e. from national policies and legislation to policies and guidelines of autonomous or statutory organizations to institutional-level policies and documents.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-08-27
      DOI: 10.1108/MHSI-08-2024-0131
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Assessing the impact of emotional distress on internet gaming disorder
           among youth in Bangladesh: a cross-sectional survey

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      Authors: Abdul Muyeed, Anup Talukder, Ratul Rahman, Maruf Hasan Rumi
      Abstract: As technology becomes more widely accessible, there is a growing concern about internet gaming disorder (IGD) around the world. The aim of this study is to evaluate the prevalence of IGD and also assess the effects of depression, anxiety, stress and insomnia levels on the IGD of youths in Bangladesh. A cross-sectional quantitative study design was used to collect data from the youths of different locations in Bangladesh between October 21, 2023 and January 15, 2024. A total of 501 samples were collected using the convenience sampling technique. The following measurement scales were Internet Gaming Disorder Scale short form, depression, anxiety and stress scales and insomnia severity index, which were used to assess scores for IGD, psychological distress and insomnia, respectively. The study found that the prevalence of IGD was 9.8%. IGD was shown to be significantly associated with depression, anxiety and stress. Aside from that, IGD and insomnia had a significant association, as did a friendly family environment. The generalizability of the results could be improved by conducting additional studies with a more diverse sample, such as the general population or a different age group. The study will help the government reduce the prevalence of IGD, improving the mental and physical health of youth. No research has been conducted on youth and different professions in Bangladesh. There has also been very little research on the prevalence of gaming addiction and mental health.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-08-26
      DOI: 10.1108/MHSI-05-2024-0077
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • “One of Us”/“One of them”: negotiating peer support on a men’s
           mental health ward

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      Authors: Benjamin Thomas Gray, Matthew Sisto, Renee Conley
      Abstract: The purpose of this service user narrative and viewpoint article is to describe interprofessional and interpersonal barriers to peer support on a men’s mental health ward over the course of a year from a lived experience perspective. A reflective journal was kept and participant observation was conducted over the course of the year. There is sometimes a fissure and binary of “Us” and “Them” on the ward. In other words, staff can sometimes perceive peer support workers to be “one of us” (a member of staff) or “one of them” (a service user). For service users, the opposite is sometimes true: “one of us” (a service user) or “one of them” (a member of staff). Peer support workers must bridge this gap and strive to be “one of us” with both these groups, which is no easy task. A good ward manager or peer team leader can smooth over interprofessional differences and support the peer worker in their efforts of care towards the recovery of people with mental health problems. Little has been written on this topic in a mental health inpatient setting as most papers address community peer support work, which is very different from peer support in hospital. This paper addresses one of the first peer support pilot projects in hospital of its kind in NHS England so is quite innovative and perhaps even unique.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-08-22
      DOI: 10.1108/MHSI-07-2024-0119
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Mental health and locus of control among Naga youth giving various
           competitive examinations

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      Authors: Razouneinuo Suokhrie, Imlisongla Longkumer
      Abstract: Competitive examinations, especially in a country like India, are important in deciding careers and access to prestigious institutions. Each year thousands of youth appear for different national and state level examinations, the competition for which becomes progressively tougher. Hence, it is important to study the mental health of youth appearing for competitive examinations. Nagaland, with an unemployment rate of 19.3%, is among the states with the highest unemployment rate in India. Therefore, this paper aims to study Naga youth with special focus on three aspects, namely, the status of mental health, to examine locus of control and to examine the correlation between mental health and locus of control. The study was conducted in Kohima town and Dimapur town respectively with a sample comprising of 196 youth. The participants were in the age range of 15–35 years. The tools used included the Rotter’s Locus of Control Scale, Mental Health Continuum (Short-form) and a demographic questionnaire. A considerable proportion of the participants (36%) were found in flourishing category whereas majority of the participants were either moderately healthy (46%) or languishing (17%). Age and employment status were found to have a significant relationship with mental health whereas gender was found to have a significant relationship with locus of control. Pearson chi-square showed a significant association between mental health and locus of control. The present study used the mental health continuum model and locus of control to give a comprehensive view of mental health and the perceived control among Naga youth appearing competitive examinations.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-08-15
      DOI: 10.1108/MHSI-05-2024-0079
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • A step towards community inclusion for individuals experiencing mental
           health challenges: promoting social inclusion and social recovery through
           physical activity

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      Authors: Adam Benkwitz, Esther Ogundipe, Kirsty Spencer
      Abstract: After initially positioning this paper within the broader mental health recovery literature, this paper aims to highlight the role that physical activity can play in promoting social inclusion and social recovery for those experiencing mental health challenges. This conceptual paper draws together the limited, but growing, research on how physical activity can facilitate improved social inclusion and benefit an individual’s recovery. For individuals suffering with mental health challenges, not being able to exercise their right to inclusion is concerning from a recovery perspective, because experiencing social inclusion is recognised as a facilitator of recovery. Initial research has demonstrated by embracing community inclusion and supporting initiatives such as physical activity programs, mental health services can better facilitate individuals’ journeys towards social inclusion and social recovery. Future research should appreciate the interplay between inclusion, recovery and physical activity. Collaborating with individuals with lived experience, peer mentors and social prescribing teams to explore options for physical activity within local communities fosters empowerment, social inclusion and ensures interventions align with individuals’ preferences and needs. Practitioners in health service and community settings should recognise the wide-ranging benefits of physical activity for individuals with mental health challenges, especially in terms of helping their social inclusion and social recovery. This paper is unique in synthesising the mental health literature relating to social inclusion, social recovery and physical activity. Initial findings show promise, but more attention is needed to explore the relationship between these elements and how individuals experiencing mental health challenges can be supported using physical activity.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-08-15
      DOI: 10.1108/MHSI-06-2024-0100
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Student perceptions of post-pandemic university learning: challenges and
           benefits

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      Authors: Sarah A. Callaghan, Maureen T.B. Drysdale, Ronaldo K.S. Riley, Zana Berisha, Avery J. Beavers
      Abstract: This study aims to investigate university students’ perceptions and experiences of postpandemic campus environments. Posts from a subreddit dedicated to a large, research-intensive Canadian university were analyzed to understand how students were affected by the evolving circumstances, their coping strategies and the resources that could support their flourishing in both academic and campus life. A total of 42 Reddit posts from 427 unique users were selected for qualitative thematic analysis. Three researchers independently analyzed the posts and developed codes representing recurring themes, categories and subcategories. Discrepancies were resolved through discussion to establish the final themes. Six major themes emerged from the analysis: modality of learning, perceived rights, attitudes and expectations, public health safety, political nature, mental health and well-being and communication patterns. Students expressed mixed preferences for learning modalities, concerns about accommodations and perceived freedoms, apprehension about contracting future viruses and the impact of changing university policies on their mental health and well-being. This study contributes to the growing understanding of university students’ experiences post-COVID-19 pandemic, specifically focusing on their return to in-person learning and their evolving relationships with the campus community. The findings highlight the importance of addressing students’ concerns and providing appropriate resources to support their mental health and well-being during major transitional periods.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-08-13
      DOI: 10.1108/MHSI-07-2024-0106
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Mental health and positive introversion: a positive autoethnographic case
           study of Mark Weeks

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      Authors: Mark Weeks, Freda Gonot-Schoupinsky
      Abstract: The purpose of this article is to garner insight into positive introversion, meaning experiences of introverted behaviour that may be perceived as positive and perform positive functions in one’s life. The subject is Mark Weeks, whose primary research has been in cultural studies and philosophy, particularly focusing on laughter and humour, during a career spent mostly at Nagoya University in Japan. This case study uses positive autoethnography, a methodology that was co-conceived by Weeks. It includes a 10-question interview. The authors learn how Weeks has positively embraced his introversion to negotiate challenges in his life, fostering resilience, gratitude and joyful experience. In the process, Weeks foregrounds the importance of solitary laughter and humour in his existential journey. Introversion is often depicted negatively in the literature. Yet, much introversion is and can be developed as, positive. The narrative shared here is one of trials, exploration and discovery, offering practical insight for introverts and those interested in understanding introverted behaviour in general. Positively embracing aspects of introversion can be an important step for introverts in finding a healthy and enjoyable balance between the social and the solitary. Indeed, the same may apply to extraverts who fear being alone. Greater social recognition of valuable experiences within solitude could help to produce more tolerant and adaptable societies. To the best of the authors’ knowledge, this is an original article, narrated by a contributor to the development of positive autoethnography. It focuses on areas of personal experience that are often marginalized and poorly understood, including positive potentials of introversion and of solitary laughter.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-08-12
      DOI: 10.1108/MHSI-05-2024-0086
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • A comparison of gambling behaviours among sport-based and non-sport-based
           students in the UK

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      Authors: Paul McGivern, Mark Mierzwinski
      Abstract: In recent years, gambling among university students has received significant focus as it may be viewed as an attractive and exciting form of income whilst studying. Given this, stakeholders in protection from gambling-related harm need to better understand student gambling behaviours. This understanding should include students on sports-based programmes given their closer connection to sporting events, and a heightened sense of competition among such often gendered cohorts. This study aims to provide greater insights into gambling behaviours among these cohorts. The present pilot study comprised 210 university students on sports-based and non-sport-based programmes. Participants self-reported frequencies of gambling activity and expenditure via an online survey. Results showed a significantly greater frequency of female student non-gamblers on non-sports-based degree programmes and a high frequency of male student gamblers on sports-based degree programmes (p = 0.02). Sports-based students also reported significantly higher scores on the Problem Gambling Severity Index (PGSI) than non-sports students (p < 0.01). Finally, gambling expenditure (p < 0.01) and regularity (p < 0.01) were significantly lower among students studying non-sports degree programmes. The findings of the present study provide evidence to warrant further investigation into gambling perceptions and behaviours among students on sports-based programmes, with a view to assessing the potential need for targeted awareness, tailored support and how both can most effectively be provided.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-08-06
      DOI: 10.1108/MHSI-07-2024-0112
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Effect of lay counselling on mental health and TB treatment outcomes: an
           experience from Gujarat state, India

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      Authors: Deepti Bhatt, Apurvakumar Pandya, Vibha Salaliya, Ajay Chauhan, Rutu Trivedi, Siddharth Chowdhury, Amar Shah, Prachi Shukla, Pankaj Nimavat, Chandra Shekhar Joshi, Vivekanand Pandey
      Abstract: Depression and anxiety are the most common comorbidities in TB patients, adversely impacting TB treatment outcomes. The purpose of this study is to assess the effect of lay counselling in reducing symptoms of depression and anxiety and TB treatment completion. The study used a pre-post interventional research design. Patients were screened for depression and anxiety. All symptomatic TB patients were followed up and offered four to six or more lay counselling sessions whenever necessary. The authors assessed changes in depression and anxiety symptoms before lay counselling intervention and after fourth lay counselling session or the completion of TB treatment, whichever occurred the last. Approximately 6,974 TB patients were screened for symptoms of depression and anxiety. The mean age was 36.7 ± 14.7 years. Total 25.9% patients were symptomatic. About 99.8% were provided lay counselling and received at least one to two follow-up sessions, while two patients who screened with severe depression were referred to a mental health specialist. Nearly 96.9% TB patients did not report symptoms of depression or anxiety after four lay counselling sessions, and TB treatment completion rate was higher among symptomatic TB patients who completed at least four counselling sessions (92.5%). Lay counselling services delivered by field coordinators offer a promising approach to address mental health comorbidities among TB patients in resource-limited settings. It explores a novel approach – lay counselling delivered by field coordinators – in tackling depression and anxiety among TB patients, which is a potentially scalable solution in resource-limited settings.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-07-26
      DOI: 10.1108/MHSI-06-2024-0095
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • “The urge to tell and its consequences”: women’s memoirs of
           schizophrenia and schizoaffective disorder

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      Authors: Rosalind Austin
      Abstract: This paper aims to explore the efforts of four American women living with psychosis to chart their recovery process in published memoirs. This paper looks at the different types of stigma that the patient-authors claim to encounter. The author discusses the impact that the patient-authors see stigma as having on their recovery, and why they need artistic spaces to express themselves. The memoirs offer a space for the women to revisit their memories of psychosis, and to achieve at least a partial acceptance of these experiences.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-07-26
      DOI: 10.1108/MHSI-07-2024-0105
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Love of life as a measure of quality of life

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      Authors: Ahmed M. Abdel-Khalek
      Abstract: Love of life (LOL) is a new construct in positive psychology. LOL is defined by a generally positive evaluation of one’s own life, positive regard towards life and a pleasurable attachment to life. The purpose of this study is that LOL is associated with quality of life (QOL) and could be predicted by some of its subscales. A sample of Alexandria University undergraduates took part in this study (n = 298). They responded to the WHOQOL Brief and LOL scales. Men obtained significantly higher mean total scores than did women for general health, and the physical and psychological domains of QOL. All the Pearson correlations between LOL and QOL were significant except for two correlations for women. The strongest correlation with LOL is for the psychological QOL domain. Principal components analysis extracted one component for men which was labeled “QOL and LOL.” For women, two components were extracted, which were labeled “QOL and LOL” and “General and physical health.” Predictors of LOL were psychological and social QOL domains (men), and psychological, social and environmental QOL domains (women). It was concluded that LOL is associated with QOL, in particular, the psychological subscale. Furthermore, LOL can predict QOL, in particular, the psychological and social domains. This study used nonprobability sampling with a sample of students drawn from only one university. So, it may be difficult to generalize the findings. LOL is a comparatively new concept in the field of positive psychology.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-07-25
      DOI: 10.1108/MHSI-04-2024-0061
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Refugees and mental wellbeing. A call for community approaches in Aotearoa
           New Zealand
         This is an Open Access Article Open Access Article

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      Authors: Tula Brannelly, Anjali Bhatia, Arezoo Zarintaj Malihi, Lucie Vanderpyl, Buster Brennan, Leo Gonzalez Perez, Fahima Saeid, Eleanor Holroyd, Nadia Charania
      Abstract: The purpose of this paper is to examine community based, trauma informed to support refugee mental health and wellbeing, recognising that refugee status is met through forced displacement in which refugees have experience of personal human rights abuses and have survived atrocities in which family and community have been lost. A co-production approach was taken to review existing literature and policy to produce a position statement on how to better meet the needs of people who experience mental distress who are refugees. The co-production was between refugee and mental health researchers and refugee representatives. Understanding the mental health needs of refugees has conventionally focused on incidence of mental illness such as post-traumatic stress disorder and depression. If mental health and illness are understood as a continuum, diagnosis of mental illness indicates a significant problem, and furthermore access to services is predicated on risks associated with mental illness. When accessing mental health services, refugees have an added issue in a lack of communication availability and recognition of the trauma that they have survived. In this paper, a different position is advocated, that understanding the mental health of refugees can be framed more effectively as a process of recovery from trauma that emerges during resettlement, and over a long period of time before people are able to talk about the trauma they experienced. Community-based responses that enable recovery from trauma are more readily able to meet the mental health and wellbeing needs of refugee communities.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-07-16
      DOI: 10.1108/MHSI-04-2024-0049
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Mental health and meaning: a positive autoethnographic case study of Paul
           Wong

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      Authors: Paul T.P. Wong, Freda Gonot-Schoupinsky
      Abstract: The purpose of this article is to meet Professor Paul T.P. Wong, PhD, CPscyh, who is based at the Department of Psychology, Trent University, Peterborough, Ontario, Canada. Wong represents an interesting case of how a racial/cultural minority could achieve success in a hostile environment consisting of the systemic biases of injustice, discrimination and marginalization. His life also epitomizes how one can experience the paradoxical truth of healing and flourishing in an upside-down world through the positive suffering mindset (PSM). This case study is presented in two sections: a positive autoethnography written by Wong, followed by his answers to ten questions. The core methodology of positive autoethnography allows people to understand how Wong’s life experience of being a war baby in China, a constant outsider and a lone voice in Western culture, has shaped a very different vision of meaning, positive mental health and global flourishing. Wong reveals how to live a life of meaning and happiness for all the suffering people in a difficult world. He has researched the positive psychology of suffering for 60 years, from effective coping with stress and searching for meaning to successful aging and positive death. According to Wong’s suffering hypothesis and the emerging paradigm of existential positive psychology (Wong, 2021), cultivating a PSM is essential for healing and flourishing in all seasons of life. An expanding literature has been developed to illustrate why the missing link in well-being research is how to transcend and transform suffering into triumph. Wong reveals how this emerging area of research is still not fully embraced by mainstream psychology dominated by the individualistic Euro-American culture, and thus why, in an adversarial milieu, existential positive psychology is limited by its inability to attract more researchers to test out Wong’s suffering hypothesis. The wisdom and helpful tools presented here may enable people to achieve mature happiness and existential well-being even when they have a very painful past, a very difficult present and a bleak future. This autoethnographic case study offers new grounds for hope for all those who are injured by life, marginalized by systemic biases or tormented by chronic illnesses and disorders. It also provides a road map for a better world with more decent human beings who dare to stand up for justice, integrity and compassion. Meaning as reflected in suffering is according to Wong the most powerful force to bring out either the worst or the best in people. The new science of suffering shows us how the authors can achieve positive transformation through cultivating a PSM, no matter how harsh one’s fate may be.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-07-16
      DOI: 10.1108/MHSI-06-2024-0092
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Reducing barriers to help-seeking in ethnic minorities in the USA: a call
           for increased adoption of alternative mental health approaches

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      Authors: Francis Onyemaechi Okafor
      Abstract: The purpose of this paper is to draw attention to inherent barriers to help-seeking, particularly those caused by increased globalization and diversification of our societies. It explores the underutilization of mental health resources by ethnic minority groups while highlighting some alternative treatment approaches with growing evidence bases. Using a literature review and comparative analysis of relevant studies, the author makes a case for increased adoption of alternative therapies; citing the evidence base for the most promising treatments which include exercise therapy, mindfulness-based therapies, yoga for depression and spirituality-based therapies. It further compares the efficacy and advantages of these therapies with common mainstream therapies. In comparison, some alternative treatment modules are just as effective, if not better than traditional, mainstream therapies for certain ailments. In conclusion, the paper calls for increased research on the efficacy of alternative therapies; and beckons service providers to explore the potential for these therapies to bridge the gap in treatment towards a more inclusive and client-centered mental health care. The author provides a plethora of thought-provoking ideas in this article. For instance, he tendered a different outlook on barriers to treatment by differentiating between accessibility challenges versus underutilization. He also highlights the critical impact of Eurocentrism as a contributor to barriers to treatment utilization.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-07-12
      DOI: 10.1108/MHSI-05-2024-0071
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • The measure of meaning: redefining success in patient-oriented research

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      Authors: Sandy Rao, Rae Jardine, Laetitia Satam, Kaiden Dalley
      Abstract: This manuscript aims to consider traditional success metrics in patient-oriented research (POR) using insights from the Helping Enable Access and Remove Barriers To Support for Young Adults with Mental Health-Related Disabilities (HEARTS) study. Through collective reflexivity, this manuscript underscores the inadequacy of current evaluation standards that focus primarily on quantifiable outputs. The findings suggest that significant systemic challenges persist, including ageism and discrimination, which undermine the efforts of POR. This manuscript argues for an expanded evaluation encompassing traditional metrics and integrating emotional, experiential and community impact measures. Such an approach is crucial to capturing POR's comprehensive effects and fostering a research environment that values inclusivity, supports well-being and ensures responsive and equitable research practices. Thus, aligning with the transformative goals of POR, aiming to enhance the quality and impact of health research and reflect the profound personal and communal transformations that are as significant as the outcomes they facilitate. This manuscript represents an emancipatory approach to POR, distinguished by its authentic co-authorship model. Uniquely, it is composed in collaboration with young adults who are experts in experience and coresearchers. These co-authors bring invaluable first-hand insights that both critique and enrich our understanding, enabling them to actively shape the discourse and direction of future POR research. This collaboration ensures the development of more relevant, grounded and transformative approaches in mental health research, thereby enhancing the pertinence and impact of these findings in real-world settings.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-07-12
      DOI: 10.1108/MHSI-06-2024-0094
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Evaluating the impact of employability skill training on the self-efficacy
           of disadvantaged adults

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      Authors: Dara Mojtahedi, Rosie Allen, Ellie Jess, Maria Ioannou, John Synnott
      Abstract: Employability skills training programmes are an effective means for reducing unemployment rates. Such programmes also have the potential to improve the general well-being (e.g. self-efficacy) of disadvantaged individuals, however, reliable longitudinal evaluations of the psychological benefits of such programmes are limited. The present study evaluated the impact of an employability programme offered to disadvantaged adults in North-West England on self-efficacy. Additionally, the study aimed to identify risk factors for programme disengagement to identify at-risk groups that require further support. Secondary longitudinal data pertaining to the background characteristics, programme engagement and self-efficacy scores (repeatedly measured on a monthly basis) of 308 programme users were analysed. Results demonstrated that employability programme engagement significantly increased self-efficacy scores. Additionally, the findings suggested that individuals with mental health and learning difficulties were more likely to disengage from the programme. The findings demonstrate that employability programmes can have a positive impact on the well-being of individuals from disadvantaged backgrounds, however, prolonged engagement is needed for which some individuals require further support with. The present study analysed longitudinal data from a diverse sample of disadvantaged individuals to reliably evaluate psychological outcomes from employability training programmes.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-07-09
      DOI: 10.1108/MHSI-05-2024-0082
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • What supports the emotional well-being of peer workers in an NHS mental
           health service'

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      Authors: Sam Robertson, Helen Leigh-Phippard, Donald Robertson, Abigail Thomson, Jessica Casey, Lucy Jane Walsh
      Abstract: This study aims to explore the experiences of peers working in a range of roles within a single NHS mental health service. This study also aims to provide evidence of the impact of existing support, organisational structure and culture around peer working and provide recommendations for a Good Practice Guide for Peer Working. Peer roles require lived experience of mental health conditions and/or services. While the impact on them of using their own lived experience is not fully understood, anecdotal evidence suggests that peer workers may experience a greater emotional impact than other mental health workers. Burnout and retention are particular concerns. This was a two-stage study using focus groups and reflexive thematic analysis in Stage 1. The key themes formed the basis of the Stage 2 workshop, which provided recommendations for a Good Practice Guide. The study team consisted of peer researchers with lived experience, supported by a Lived Experience Advisory Panel. There is a perceived lack of support and an increased peer burden for peer workers. Recommendations included relevant ongoing training and development; support and supervision; and organisational cultural change. Working within a peer-led co-production framework, this study contributes to the development of the evidence base for peer emotional labour. Based on the findings, a Good Practice Guide for Peer Working is being developed to promote good practice for the development of future peer worker roles.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-07-05
      DOI: 10.1108/MHSI-02-2024-0023
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Cultural differences and migrants’ interpretations of their voices

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      Authors: Rosalind Austin
      Abstract: The purpose of this survivor-researcher-led study is to explore the agency of voice-hearers who are migrants and/or from black and minority ethnic backgrounds in actively negotiating the gaps between their understanding of hearing voices, and those of their family, their society or the medical establishment. This study draws four case studies of voice-hearers, who are migrants and/or from black and minority ethnic backgrounds. Data were thematically analysed. This study shows how bilingual voice-hearers related emotionally to voices in one or two languages. This study is original in that it shows that bilingual voice-hearers may hear their voice/s in either their native language or second language, but that in both cases voices may embody strong positive or negative emotions.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-07-03
      DOI: 10.1108/MHSI-05-2024-0075
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Connection, disconnection and reconnection in peer support: a summary of
           the case of “Christopher”

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      Authors: Benjamin Thomas Gray, Matthew Sisto
      Abstract: The purpose of this service user paper and narrative is to highlight that peer support is not a continuous, easy or uniform process but given to disruption, fragmentation, breakdowns in relationships and hurdles. This is illustrated in a summary of the case of “Christopher”. A reflective journal was kept, and participant observation was conducted for just under a year on the ward where Christopher was under Section. Peer support can be given to fissure, breakages in relationships and discontinuity. This can negatively impact the mental health of peer support workers. With this in mind, it is vitally important to ensure that the people who take up this role are appropriately trained, supported and supervised. There needs to be a focus on “restorative” supervision and supervision by someone with experience of the peer support role as well as buddying between peer workers. There is an abundance of literature and research on peer support in the community but little in the inpatient setting, making this paper novel and a contribution to understanding peer support on mental health wards.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-07-03
      DOI: 10.1108/MHSI-05-2024-0083
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Emily’s voices: a memoir

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      Authors: Rosalind Austin
      Abstract: The purpose of this paper is to challenge some of the stigma that surrounds voice-hearing. This excerpt of creative writing comes from a self-published memoir, that tells a young woman's story of her struggle with hearing voices, and her journey through the mental health system. Writing provides a useful filter for Emily to reflect on what it was like to receive various diagnoses, treatments and therapies when she was hearing voices. Emily learns to accept that she hears voices. This is a journey that takes all of her new-found strength and resolve. This memoir describes voices (auditory verbal hallucinations) that need to be more widely understood.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-06-26
      DOI: 10.1108/MHSI-05-2024-0069
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • An artist’s journey to self-acceptance

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      Authors: Victoria Claire
      Abstract: This paper provides an insight into the left and career of the sculptress Victoria Claire, told in her own words. This is a lived experience narrative. Diagnosed with retinitis pigmentosa at the age of 19, Victoria’s life was turned upside down. Plunged into the depths of despair, it was her love for and practice of sculpture and music which saved her and gave her purpose. Years of therapy have helped her to understand and love herself as beautiful imperfection. The vast majority of us inhabit a “sighted world”. Victoria helps us to understand how many of the things we take for granted are so much harder for the visually impaired. We all need to be sensitive to helping those with sensory difficulties navigate our social world. When you look at the amazing sculptures that Victoria creates, you cannot help but be impressed that she can create such works of art using her hands, her sculpting tools and her imagination. We can gaze at the beauty of her creations. She cannot.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-06-25
      DOI: 10.1108/MHSI-04-2024-0062
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Toxicity in the trans debate: what are the psychological phenomena that
           turn an issue of mental health and social inclusion into a forum for
           vitriolically vicious social exclusion'

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      Authors: Nigel MacLennan
      Abstract: This study aims to explore and document some of the phenomena that seem to have toxified the trans debate. To create a partial compilation of the phenomena most known to cloud human judgement and reasoning, using the trans debate as the prime example. The trans debate seems to have been increasingly toxified in ways predicted by well-documented psychological phenomena. Although much is known about the psychological toxifiers on an individual basis, little is known about how they interact to cause the emergence and amplification of toxic debate. It is anticipated by studying the emergence of the toxicity around the trans debate, that the descent into toxic discourse in many other contexts can be better understood. If lessons can be learnt from the descent into toxicity in the trans debate, and its participants become aware of their behaviour, perhaps they can better work towards a mutually acceptable solution. By compiling the factors responsible for the toxification of debate, it is hoped that what appear to be the precursors of all conflict and war can be better understood, prevented or avoided.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-06-20
      DOI: 10.1108/MHSI-05-2024-0072
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Mental health, positive psychology and forgiveness: a positive
           autoethnographic case study of Everett Worthington

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      Authors: Everett L. Worthington; Jr., Freda Gonot-Schoupinsky
      Abstract: The purpose of this article is to elicit understanding of how forgiveness, religion and spirituality, and relationships can better our lives. It draws from the life of Everett L. Worthington, Jr, a positive psychologist and Commonwealth Professor Emeritus at Virginia Commonwealth University. He has published almost 50 books and over 500 scholarly articles or chapters. This is a case study, followed by a ten-question interview. The core methodology is positive autoethnography which is embraced by Worthington to reveal life lessons from things he has done. Worthington reveals a life honoring the interwoven lives of people. He has studied forgiveness intensively and finds it to be an essential way of making our way in the world and in a world community that all too often hosts hurt. An extensive literature has developed to understand what forgiveness is, how it comes about naturally and how the REACH Forgiveness method can help people who struggle to forgive themselves or others, and do it more quickly, thoroughly and frequently. Forgiving has psychological, social, spiritual and physical benefits to the forgiver. This article is filled with practical information on how to forgive and how to pursue eudaemonia, which Worthington defines as virtue for oneself. Forgiveness has widespread social implications. Good relationships are those that can help form, maintain, grow and repair when damaged close emotional bonds. Forgiveness helps repair, maintain and grow those bonds. Worthington has been instrumental in the establishment and growth of the subfield of forgiveness studies and in the study of humility.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-06-20
      DOI: 10.1108/MHSI-05-2024-0076
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Financial well-being in supported accommodation: an analysis of the nature
           and extent of clients’ financial problems and support strategies
         This is an Open Access Article Open Access Article

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      Authors: Wendy Albers, Diana Roeg
      Abstract: Due to the deinstitutionalization, many individuals with severe mental illness are able to live independently nowadays, by making use of supported accommodation. The financial well-being of these individuals significantly influences their overall quality of life, yet this aspect remains underexplored. This study aims to enhance the understanding of the financial circumstances of supported accommodation clients and the specific support mechanisms they rely on. This investigation involved an examination of electronic patient records from a large supported accommodation organization. Additionally, an online questionnaire was distributed to staff members to elucidate the prevalence of financial support among clients, the nature of such support and the extent of financial challenges they face. In total, 25% of clients were found to be in debt, with a majority carrying debts exceeding €5,000. Financial support was extended to over half of the supported accommodation clients. Notably, 17% of clients with intricate financial issues were assigned to a budget coach. The most common forms of support included assistance with financial administration and protective guardianship, whereas clients with more complex problems primarily received support in budget management and financial skill development. This study highlights a significant prevalence of financial challenges among supported accommodation clients. Recommendations include investing in staff training programs to further develop knowledge and skills. Additionally, the effectiveness of current financial support initiatives requires further investigation.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-06-17
      DOI: 10.1108/MHSI-04-2024-0053
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • The mental health effects of whistleblowing: reflections on working with
           whistleblowers

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      Authors: Nigel MacLennan
      Abstract: This study aims to delve into the complex relationship between whistleblowing and mental health. It explores the various psychological burdens and costs associated with reporting wrongdoing, and the factors that exacerbate these burdens. A collation of experiences and shared observations drawn from working with many whistleblowers across several industries. The damage done, by the wrongdoers who retaliate against heroes of integrity (aka, whistleblowers), in most cases, destroys the lives and mental health of the person who does their civic, moral or legal duty, to address the illegalities they found. The State does not protect those who protect the State from harm done to the State. In the UK, the State, by its lack of support, further damages heroes of integrity, and witnessing that may encourage future potential whistleblowers to stay silent, thus encouraging more wrongdoing, which harms the State. The pattern of attacks on whistleblowers by wrongdoers is highly predictable, as are the mental health consequences that follow. More research is needed to identify the causal chain that directly links the pattern of whistleblower retaliation to the devastating mental health harm that follows. The mental health and reputational harm done to whistleblowers by the retaliation they suffer, in the vast majority of cases, both removes them from making a contribution to the economy and renders them dependent on the State, for life. The harm done to whistleblowers by the wrongdoers, with no viable means of legal redress being available for whistleblowers, sends a chilling signal to anyone who would seek to expose organisational wrongdoing. If a society asks its citizens to comply with the law and imposes a moral, ethical and even legal duty on its citizens to address any wrongdoing they witness and yet does not protect those citizens from retaliation by the wrongdoers, then that society cannot expect citizens to do the right thing. That is evidenced by the fact that most people choose silent complicity when they encounter wrongdoing. Until whistleblowing law protects right-doers from wrongdoers, those who are contemplating protecting society from organisational crimes would be well advised to join the vast ranks of the silently complicit rather than have their lives destroyed.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-06-10
      DOI: 10.1108/MHSI-04-2024-0051
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Childhood adversity and severity of positive symptoms as predictors of
           suicidality controlling for sociodemographics among hospitalized patients
           diagnosed with schizophrenia in Jordan

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      Authors: Mo’tasem M. Aldaieflih, Rabia H. Haddad, Ayman M. Hamdan-Mansour
      Abstract: This study aims to examine the predictive power of childhood adversity and severity of positive symptoms on suicidality, controlling for selected sociodemographics factors, among hospitalized patients diagnosed with schizophrenia in Jordan. This study used a descriptive-explorative design. The study was conducted at two major psychiatric hospitals in Jordan. The targeted sample was 66 patients diagnosed with schizophrenia. Data was collected using a structured format in the period February–April 2024. A two-step multiple hierarchical regression analysis was conducted. In the first model, childhood adversity and the severity of positive symptoms were entered. In the second model, sociodemographic variables were entered. The analysis revealed that the first model (F = 5.35, p = 0.007) was statistically significant. The second model (F = 717, p < 0.001) was statistically significant. Furthermore, the analysis revealed that childhood adversity was not a significant predictor for suicidality. However, positive symptoms and patients’ demographics (age, number of hospitalizations and length of being diagnosed with schizophrenia) were significant predictors of suicidality. The analysis revealed that childhood adversity was not a significant predictor of suicidality. However, positive symptoms and patients’ demographics (age, number of hospitalizations and length of being diagnosed with schizophrenia) were significant predictors of suicidality. One limitation of this study is related to the sample and the setting where there were only 66 patients recruited from governmental hospitals within inpatient wards. Thus, the upcoming studies should include more participants from private hospitals and different hospital settings including outpatient and emergency departments. The research provides empirical insights that positive symptoms, age hospitalization and schizophrenia diagnosis length were significant predictors of suicidality. At the same time, childhood adversity was not a significant predictor of suicidality. The current research contributes to expanding mental health studies. Moreover, this study enlarges the body of knowledge in the academic world and clinical settings. It supports the disciplines of psychology, mental health and social sciences by increasing knowledge of the complicated relationships among childhood adversity, positive symptoms and suicidality. This paper fulfills an identified need to study childhood adversity with comorbid psychiatric disorders such as schizophrenia, as well as psychiatric mental health covariates.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-06-10
      DOI: 10.1108/MHSI-05-2024-0068
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • The effectiveness of using eye movement desensitization and reprocessing
           therapy on reducing the severity of symptoms among individuals diagnosed
           with post-traumatic stress disorder: a systematic review of literature to
           highlight the standardized therapy-based interventional protocol

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      Authors: Rabia H. Haddad, Bushra Kh. Alhusamiah, Razan H. Haddad, Ayman M. Hamdan-Mansour, Younis H. Abuhashish, Jafar A. Alshraideh
      Abstract: This systematic review (SR) aims to evaluate and summarize the effectiveness of using eye movement desensitization and reprocessing (EMDR) intervention among individuals diagnosed with post-traumatic stress disorder (PTSD), as well as to highlight the standardized EMDR-based interventional protocol. This SR is guided according to preferred reporting items for SRs and meta-analyses standards. Several online databases were used in searching for eligible studies in peer-reviewed journals relevant to the study keywords. The included studies were SRs and clinical trials that used EMDR interventions among patients experiencing PTSD symptoms, older than 18 years and were published in English language from 2015 to 2022. Three researchers independently contributed to study selections, data extraction and study evaluations from different aspects, including quality assessment, risk of bias and study synthesis. A total of eight published studies met the inclusion criteria and were included in this SR; four articles were randomized controlled trials and four were SR and meta-analysis studies. In all included studies, the EMDR was used as a primary psychotherapy intervention for PTSD symptoms. The results of this extensive and comprehensive review showed that EMDR is an effective psychotherapeutic intervention to reduce and control the severity of symptoms among individuals with PTSD. It is important to acknowledge several limitations inherent in this study. First and foremost, it is noteworthy to mention that only studies conducted in the English language were included in this review, potentially restricting the overall scope and diversity of the findings. Furthermore, the number of studies incorporated into this review was limited, which may have implications for the comprehensiveness and generalizability of the results. Finally, it is worth noting that certain studies within this review had a relatively small sample size, which could potentially limit the statistical power and precision of the conclusions drawn. This paper, a review of the literature, gives an overview of EMDR effectiveness, provides baseline information and plays a significant role in decreasing the gap in Jordanian literature regarding using EMDR as the strongest evident psychotherapy approach for PTSD treatment to help psychiatrists, psychologists and psychiatric nurses in the health-care sectors to design comprehensive strategies to enhance and improve the quality of health care and patients’ status. EMDR intervention offers significant alternative treatment opportunities for individuals suffering from PTSD, depression and anxiety. The implementation of EMDR for depression, anxiety and PTSD improves patient outcomes as compared to standard therapeutic modalities in PTSD. This SR gives an overview and explains strong supportive evidence for the effectiveness of EMDR interventions among individuals with PTSD. Therefore, EMDR therapy could be assumed as one standard treatment option for PTSD, aiming at reducing treatment duration and cost of treatment and restoring the mental well-being and functionality of those suffering from PTSD.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-06-03
      DOI: 10.1108/MHSI-04-2024-0057
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Mental health, positive psychology and leadership: a positive
           autoethnographic case study of Claude-Hélène Mayer

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      Authors: Claude-Hélène Mayer, Freda Gonot-Schoupinsky
      Abstract: The purpose of this paper is to meet Dr Claude-Hélène Mayer, Professor in Industrial and Organisational Psychology at the University of Johannesburg, Johannesburg, South Africa. This is a qualitative positive autoethnographic case study. Mayer uses positive autoethnography to reflect on mental health, positive psychology and leadership across the life span. The first author also responds to ten questions. Leadership can be developed and appreciated in others. Leadership can be a positive and transformative force that can assist and contribute to mental health and well-being. Positive leadership can be supported by developing wisdom, creativity, critical thinking and conflict and emotional management. Qualitative research cannot be generalised. Positive autoethnography reflects the views and experiences of the author, in this case a transdisciplinary and transcultural researcher and practitioner. Readers will find a range of practical recommendations as to how to develop mental health and leadership and stay positive in challenging times. Academic literature relating to practical recommendations is also shared. Positive leadership has many social implications. It can be a constructive influence that impacts our lives and benefits our personal development, but also one that impacts the lives and benefits the personal development of other people. In this original paper, Dr Claude-Hélène Mayer shares mental health, positive psychology and leadership experiences and recommendations. Leadership skills are of particular value in times of complex change.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-05-31
      DOI: 10.1108/MHSI-04-2024-0054
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Spanning care and comfort: examining Pradhan Mantri Jan Arogya Yojana's
           role in enhancing well-being of individuals in South Gujarat

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      Authors: Gopal Goswami, Himanshu Bagdi
      Abstract: This study aims to delve into the impact of the Pradhan Mantri Jan Arogya Yojana (PMJAY) on the well-being and quality of life of beneficiaries in Surat City of India. Employing correlation and regression analyses, the study uncovers significant correlations between Awareness, Healthcare Utilisation, and Financial Burden Reduction with well-being outcomes. The investigation employs a structured questionnaire to gather data from 250 beneficiaries, exploring the relationships between Awareness, Healthcare Utilisation, Financial Burden Reduction, Well-Being and quality of Life. The data was collected using a structured questionnaire using a survey method. The results highlighted the crucial role of Awareness in empowering beneficiaries to make informed healthcare decisions, positively influencing their well-being. Furthermore, the study underscores how active engagement with PMJAY's healthcare services enhances well-being. The mitigation of financial burdens emerges as a pivotal factor, signifying the program's efficacy in improving beneficiaries' quality of life. The comprehensive model presented in this study reveals that PMJAY's multifaceted approach is pivotal in promoting enhanced well-being and quality of life among beneficiaries. These findings affect public health policies seeking to create holistic interventions that holistically address vulnerable populations' healthcare access, financial burdens, and overall well-being.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-05-28
      DOI: 10.1108/MHSI-03-2024-0040
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Diagnostic overshadowing of mental health conditions in UK health care

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      Authors: Zoe Jane Hale
      Abstract: Diagnostic overshadowing (DO) may be contributing to the worsening physical health outcomes for people diagnosed with mental health (MH) conditions. DO is a phenomenon researched worldwide, but there has been no systematic review of the evidence for its prevalence in UK health care. This paper aims to add to this body of knowledge, expanding the understanding of what factors are contributing to the poor physical well-being of people with diagnosed MH conditions. A systematic search of three databases was conducted and after evaluation, three studies were selected for the review. DO was found to have a high prevalence with structural, staffing and patient issues identified through a thematic analysis. Contemporary evidence shows themes identified are still impacting UK health care. Collaborative working across mental and physical health teams, thorough and lengthy assessments, and improved education for physical health care staff have been cited as mitigating factors to this practice. To the best of the author’s knowledge, this paper is the first review of the evidence for diagnostic overshadowing taking place in UK health care.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-05-24
      DOI: 10.1108/MHSI-04-2024-0060
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Unemployment during the COVID-19 pandemic: mental health, quality of life
           and labour market outcome in Nigeria

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      Authors: Lucyann Chikaodinaka Akunna, Uche Abamba Osakede, Olayinka Omolara Adenikinju
      Abstract: The purpose of this paper is to examine the effect of unemployment during the COVID-19 pandemic on mental health, quality of life and the labour market outcome across North and Southern Nigeria. Data was obtained from staff laid off in selected tertiary institutions in North East and South West Nigeria using a self-administered questionnaire with a total sample size of 185. Findings are shown using the heteroscedastic linear regression and descriptive statistics. The results showed a significant negative effect of unemployment during the pandemic on mental health and quality of life. Less than half of those laid off are reabsorbed into the labour market with the majority in the South than the Northern region and most are in self-employment. The coronavirus pandemic negatively affected the human race, with a huge socio-economic impact linked to health and well-being. This reality calls for attention to the role it played on mental health and the quality of life as well as how it has influenced the labour market. Labour empowerment during a pandemic is key to cushion the effect of pandemics on health and the labour market. This can be in the form of skill empowerment and increased access to funds for business start-ups to enable self-employment that typifies the labour market after a pandemic. This in turn will reduce mental health challenges and low quality of life associated with pandemics. To the best of the authors’ knowledge, this research is the first in the literature that provides empirical evidence of the effect of unemployment during the pandemic on well-being captured using mental health and the quality of life in Nigeria. Findings on labour market outcomes due to the pandemic and across regions in Nigeria are also scarce in the literature.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-05-13
      DOI: 10.1108/MHSI-01-2024-0007
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Dimensions of living with emetophobia

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      Authors: Hannah Jane Kerry, Russelll Gurbutt
      Abstract: This paper aims to present an examination of selected literature about the lived experiences of those with emetophobia. Its intention is to inform further empirical enquiry and subsequent approaches to treatment and care aimed at inclusive support for sufferers. To that end, it is important to bring the sufferers’ narrative into public and professional domains. A systematic search of multiple databases using the search engine Discover@bolton and grey literature was undertaken to obtain evidence about the lived experiences of people with emetophobia. The search terms used were “emetophobia” and combinations of associated topic phrases using Boolean operators (AND / OR): “Emetophobia” OR “fear of vomiting” OR “fear of being sick”, Emetophobia AND “lived experiences” and finally Emetophobia OR “fear of vomiting” OR “fear of being sick” AND “lived experiences”. Eight papers were included in the review and five items of grey literature. Several themes were identified in this literature including fear, escape and avoidance, other influences, consequences and medicalisation. The findings reveal that the experiences of those with emetophobia are subsumed beneath a focus on diagnosis and treatment. When it comes to understanding the actual lived experience of a person with emetophobia, the evidence presents the reader with what treatment may work and how they might respond to it, but largely omits the voice of the individual with emetophobia. This signals a need to undertake enquiry to bring this to the fore and so inform ways of greater inclusive practice for the public and professionals alike. The evidence reviewed in this paper can be noted for the limited discussion about the individual’s lived experience of emetophobia. Gaining insight into this would contribute to raising awareness in a wider public arena and inform carers and healthcare professionals’ understanding. It would also display the importance of an individual context and health journey. Knowing this can inform approaches to helping an individual either to live with the phobia and manage its impact on daily living (positive rather than maladaptive coping mechanisms) or to overcome it with or without adjunct medical treatment (if this is possible). Knowing based on contemporary empirical enquiry will inform policy and guideline development. Whatever course is taken, it must contribute to steps being taken towards achieving a better quality of life for individual sufferers. The findings of this paper likewise inform the need for further study into the individual lived experience of emetophobia. This paper is original in having identified a need to bring empirical evidence of the lived experience of sufferers with emetophobia into the public and professional domain.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-05-13
      DOI: 10.1108/MHSI-04-2024-0055
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • A life through the looking glass: the development of a qualitative method,
           International Digital Collaborative Autoethnographical Psychobiography
           (IDCAP)

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      Authors: Patrick Hopkinson, Mats Niklasson
      Abstract: This paper aims to introduce International Digital Collaborative Autoethnographical Psychobiography (IDCAP). This paper describes how IDCAP was developed to answer research questions about what it takes and what it means to recover from mental illness. During its development, IDCAP combined the diverse and intersectional experiences, knowledge and interests of an Anglo-Swedish research team with what could be found in different publications concerning the experiences and the mental illnesses of the musicians Syd Barrett, Peter Green and Brian Wilson. IDCAP combines features of autoethnography and psychobiography to offer a novel qualitative research method. Whilst IDCAP was created to focus on recovery from mental illness and musicians, it can be applied to other areas of research. It shares the same limitations as autoethnography and psychobiography, although some of the features of IDCAP may go some way to mitigate against these. IDCAP is a novel research method that is offered to other researchers to develop and enhance further through application. IDCAP is a collaborative research method that encourages the involvement of a wide range of researchers from different countries and cultures. It can be used to give voice to marginalised groups and to counter discrimination and prejudice. Recovery from mental illness is a topic of great personal and social value. IDCAP is a novel research method that, to the best of the authors’ knowledge, has not been explicitly used before.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-05-02
      DOI: 10.1108/MHSI-04-2024-0050
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Investigating mental health and well-being among MBA students during
           campus placement season in India

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      Authors: Mohammed Laeequddin, Kareem Abdul Waheed, Vinita Sahay
      Abstract: This paper aims to identify the factors that influence students' mental health, particularly in the context of MBA students passing through an emotional phase of the placement season. A conceptual model through literature has been proposed. To test the proposed model of this study, a survey was conducted among the students of three MBA institutes of national reputation in India. The study's hypotheses were investigated using partial least squares-structural equations modeling and analysis of variance. To corroborate the findings of the survey data, a qualitative study in the form of open-ended interviews with five students was conducted. The study revealed that female students, non-engineering graduates and students from non-family business backgrounds undergo stress, anxiety and depression higher than their classmates. Cumulative grade point average and bank loans do not significantly affect students' stress, anxiety and depression during the placement season. It was found that the increase in the levels of mindfulness scores led to a significant negative impact on stress, anxiety and depression among the students. There is a gap in the literature that addresses the mental health of MBA students during campus job placements and the role of mindfulness in mitigating stress, anxiety and depression in these students. This research attempts to fill these research gaps.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-05-01
      DOI: 10.1108/MHSI-12-2023-0136
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • A validation study of the Bolton Forgiveness Scale (BFS-15) in India

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      Authors: Palav Mehta, Mahimna Vyas, Nirja Shah
      Abstract: This study aims to validate the Bolton Forgiveness Scale (BFS) created by Amanze and Carson (2019) for the Indian population. The data for the validation of the BFS was collected (Total N = 813) in two phases (Phase-I, N1 = 613 and Phase-II, N2 = 200) through online surveys. SPSS 26 and AMOS were used to establish the psychometric properties of the scale through internal consistency and confirmatory factor analysis. The results indicated the validation of the BFS in the Indian context, with a high internal consistency (a = 0.847). Confirmatory factor analysis validated the factor structure and items, along with face validity. This study offers comprehensive suggestions on the approaches to forgiveness, addresses biases, advocates for qualitative exploration and emphasizes rigour for the future research on forgiveness. The present study validates the BFS for future use for the Indian population. The authors offer comprehensive suggestions on the approaches to forgiveness, address biases, advocate for qualitative exploration and emphasize rigour for future research on forgiveness.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-04-30
      DOI: 10.1108/MHSI-02-2024-0029
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Necessity the mother of (Re) invention – a scoping review

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      Authors: Matt Broadway-Horner
      Abstract: The purpose of this scoping review is to find studies testing out psychological interventions to help victims of conversion therapy. Life after conversion therapy can be devastating; nonetheless, what treatment modalities are available for this population' This study adopts scoping review process using JBI protocol. There are minimal results to conclude upon. The paper presents discussion on future research and inquiry. The author introduces a positive autoethnography, adapting the model created by Tedeschi and Calhoun (2004) to create the post-conversion recovery process to aid recovery. Eye movement desensitization and reprocessing and positive autoethnography offer valuable insights, but further research is needed to help survivors. To reduce the current death-by-suicide trends, more education and training are needed to help this specialised group. The suicide rates for sexual minority conversion therapy victims are eight times higher than those of other sexual minority groups and isolation levels. A single point of entry pathway for conversion therapy survivors is needed. To the best of the authors’ knowledge, this is the first review addressing gay conversion therapy and disfellowship. It requires further attention, and there are gaps in the knowledge that need to be filled.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-04-30
      DOI: 10.1108/MHSI-04-2024-0052
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Initial psychological assistance for military servants with symptoms of
           acute stress disorder

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      Authors: Оleksandra Kohut, Nataliia Tokareva, Olha Poliakovska
      Abstract: The purpose of this study is to determine the psychological features of providing initial psychotherapeutic assistance to victims, in particular to military servants. Theoretical analysis of scientific works; observation of servicemen in hospital conditions; conversations with servicemen and doctors; and interviews with foreign colleagues. As a result of theoretical and empirical research, it was found that initial psychological assistance is more effective if it is provided in a timely and comprehensive manner in cooperation with medical assistance, if the recommended exercises are performed systematically by the victim and if a certain algorithm for providing initial psychotherapeutic assistance is used. The authors present their own algorithm for providing initial psychological assistance to military servants: psychophysiological stabilization; adjustment of emotional balance; restoration of cognitive processes and acquisition of constructive coping strategies; and formation of life meanings that provide an opportunity to survive the crisis period of life. In this paper, the authors also note the importance of providing psychological first aid to victims of extreme situations in a timely manner, which helps reduce the intensity of symptoms of acute stress disorder and reduces the likelihood of post-traumatic stress disorder.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-04-30
      DOI: 10.1108/MHSI-11-2023-0128
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Where are services regarding sexual minorities and psychological therapies
           post-COVID in 2024' A mixed-method systematised review

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      Authors: Matt Broadway-Horner
      Abstract: Since COVID-19, many services have burgeoned within the UK, but what about sexual minorities' Since the last review, there are appropriate therapies, but there is often inadequate research. The purpose of this mixed-method review synthesis looking into the efficacy of psychological therapies for sexual minorities. Seven studies were found in total. A mixed-method review synthesis, three studies looking into the efficacy of psychological therapies for sexual minorities and four studies addressing the experiences of sexual minorities partaking in psychological therapies were identified. These included three quantitative and four qualitative studies. The minority stress hypothesis is used to formulate problems, but challenges remain to confidentiality and privacy in this context. Therapists still operate within the heteronormative framework, discounting intersectionality in therapy conversations. Most studies have had low retention rates since 2021. It shows that minority stress needs to be accounted for at the ethics committee and research delivery levels. Applying a heteronormative framework to sexual minorities is not working. An alternative progress world view is needed. Health-care clinicians strive for equitable care. Unfortunately, using an equitable health service scale adapted from Levesque et al. (2013), the rating is 3 out of 6. More work is needed to improve services. Some services are reporting much improvement post-pandemic. Sadly, this is not the case for sexual minorities. Individual and systemic barriers remain.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-04-29
      DOI: 10.1108/MHSI-03-2024-0039
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • The effectiveness of using cognitive behavioral therapy and internet-based
           cognitive behavioral therapy interventions on relapse prevention and
           severity of symptoms among patients diagnosed with major depressive
           disorder: a systematic review of randomized controlled trials

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      Authors: Rabia H. Haddad, Bushra Kh. Alhusamiah, Razan H. Haddad, Mo’tasem M. Aldaieflih, Khalid Yaseen, Younis H. Abuhashish, Ayman M. Hamdan-Mansour, Jafar A. Alshraideh
      Abstract: This study aims to evaluate and summarize the effectiveness of cognitive behavioral therapy (CBT) and internet-based CBT (ICBT) interventions on relapse prevention and severity of symptoms among individuals with major depressive disorder (MDD). CBT is one of the most used and suggested interventions to manage MDD, whereas ICBT is a novel effective proposed approach. The review was conducted following the preferred reporting items for systematic review and meta-analysis protocol. A comprehensive and extensive search was performed to identify and evaluate the relevant studies about the effectiveness of CBT and ICBT on relapse prevention and severity of symptoms among patients with MDD. A total of eight research studies met the inclusion criteria and were included in this systematic review. RCT studies were conducted to assess and evaluate the effectiveness of CBT and ICBT on relapse prevention and severity of symptoms among patients with MDD. It has been found that CBT is a well-supported and evidently based effective psychotherapy for managing depressive symptoms and reducing the relapse and readmission rate among patients diagnosed with MDD. The ICBT demonstrated greater improvements in depressive symptoms during major depressive episodes among patients with MDDS. The ICBT program had good acceptability and satisfaction among participants in different countries. Despite the significant findings from this systematic review, certain limitations should be acknowledged. First, it is important to note that all the studies included in this review were exclusively conducted in the English language, potentially limiting the generalizability of the findings to non-English speaking populations. Second, the number of research studies incorporated in this systematic review was relatively limited, which may have resulted in a narrower scope of analysis. Finally, a few studies within the selected research had small sample sizes, which could potentially impact the precision and reliability of the overall conclusions drawn from this review. The authors recommend that nurses working in psychiatric units should use CBT interventions with patients with MDD. This paper, a review of the literature gives an overview of CBT and ICBT interventions to reduce the severity of depressive symptoms and prevent patients’ relapse and rehospitalization and shows that CBT interventions are effective on relapse prevention among patients with MDD. In addition, there is still no standardized protocol to apply the CBT intervention in the scope of reducing the severity of depressive symptoms and preventing depression relapse among patients with major depressive disorder. Further research is needed to confirm the findings of this review. Future research is also needed to find out the most effective form and contents of CBT and ICBT interventions for MDD. CBT is a psychological intervention that has been recommended by the literature for the treatment of major depressive disorder (MDD). It is a widely recognized and accepted approach that combines cognitive and behavioral techniques to assist individuals overcome their depressive symptoms and improve their overall mental well-being. This would speculate that effectiveness associated with several aspects and combinations of different approaches in CBT interventions and the impact of different delivery models are essential for clinical practice and appropriate selection of the interventional combinations. This systematic review focuses on the various studies that explore the effectiveness of face-to-face CBT and ICBT in reducing depressive symptoms among patients with major depressive disorder. These studies were conducted in different countries such as Iran, Australia, Pennsylvania and the USA.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-04-24
      DOI: 10.1108/MHSI-03-2024-0045
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Prevalence of postpartum depression and its predictors among nursing
           mothers in selected hospitals in Nsukka, Nigeria: a cross-sectional survey
           

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      Authors: Chibueze Anosike, Rita Chinenye Osefo, Nnanyelugo Ogechukwu Isiogugu, Emmanuel Chijiekwu Nwachukwu, Ugonna Kyrian Agu, Jonathan Chimaobi Nwaji, Mario-Ephraim Afam Ogbu
      Abstract: This study aims to determine the prevalence and predictors of postpartum depression (PPD) among nursing mothers in Nsukka, Nigeria. This study was a descriptive cross-sectional survey among nursing mothers in three hospitals in Nsukka, Nigeria. Data was collected using a self-administered Edinburgh Postpartum Depression Scale (EPDS) and sociodemographic form. The data obtained were analyzed using descriptive statistics, chi-square test and binary logistic regression. A total of 270 nursing mothers participated in this survey, giving a response rate of 94.4%. The prevalence of PPD among the study group was 20.0%. However, women who did not have complications during childbirth were about two times (AOR = 0.417, 95% CI = 0.204, 0.852, P = 0.016) less likely to develop symptoms of PPD than women who experienced birth complications. In addition, women who had poor relationships with their partners have approximately seven times (AOR = 6.994, 95% CI = 1.110, 44.059, P = 0.038) higher odds of developing PPD compared with those women who had excellent relationships with their partners. The sample size was small, hence, might limit the generalizability of its findings beyond the study group. Health-care practitioners should provide appropriate interventions to women at a higher risk of developing PPD on the need to maintain a healthy and supportive relationship with their partners. This study provides unique insight into PPD among nursing mothers and its determinants from a different regional, socioeconomic, societal expectations, social support system, access to health care and cultural context.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-04-23
      DOI: 10.1108/MHSI-12-2023-0138
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Navigating the labyrinth of social exclusion: a bibliometric review

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      Authors: Farsha Farahana Ahmad Izhan, Aidi Ahmi, Nor Azairiah Fatimah Othman, Muhammad Majid
      Abstract: This study aims to provide a comprehensive bibliometric analysis of social exclusion research, examining its evolution and identifying emerging trends and influential contributions in the field. Using bibliometric and thematic analysis of 3,041 Scopus database documents, the study uses tools like VOSviewer for network analysis and Biblioshiny for trend analysis, focusing on publication patterns, author contributions and thematic clusters. The findings reveal significant growth in social exclusion research since 1979, highlighting key contributions from diverse academic fields. Notable trends include the rise of digital exclusion and environmental justice themes. The study identifies leading authors, institutions and countries contributing to this field, along with highly cited documents that have shaped the discourse on social exclusion. The study acknowledges its reliance on Scopus data and suggests incorporating other databases for future research. It highlights the need to explore emerging topics and address literature gaps. This paper presents a unique bibliometric perspective on social exclusion research, underscoring its interdisciplinary nature and evolving focus. The study’s comprehensive approach offers valuable insights into the field’s trajectory, contributing to a deeper understanding of social exclusion phenomena.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-04-17
      DOI: 10.1108/MHSI-02-2024-0025
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Necessity the mother of (RE) invention: using positive autoethnography for
           trauma and loss

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      Authors: Matt Broadway-Horner
      Abstract: The purpose of this study is to investigate the use of positive autoethnography for the consequences of conversion therapy. Life after conversion therapy is, for many, a life-changing episode, especially when combined with disfellowship. In recent years, positive autoethnography has grown substantially. The work of Tedeschi and Calhoun (2004), from the school of positive psychology, focuses on posttraumatic growth following a traumatic event or series of events. Qualitative approach of positive autoethnography. This innovative case study highlights personal struggles with grief, depression and suicidal ideation. In addition, the time elapsed has enabled a process to juggle with alternative ideas moving forward in salvaging a form of identity. Treatment as usual psychological therapies (TAUPT) provide many unhelpful triggers due to the same jargon used in both conversion therapy and TAUPT. Away from TAUPT, this writing exercise may help as a stand-alone post-conversion recovery process. The post-conversion recovery process will offer much-needed help with only a few face-to-face meetings to aid the posttraumatic growth writing exercise. The suicide rates for sexual minority conversion therapy victims are eight times higher than those of other sexual minority groups and isolation levels. A single point of entry pathway for conversion therapy survivors is needed. To the best of the author’s knowledge, the first of its kind to apply positive autoethnography using the model as a framework to understand the post-conversion therapy experience, looks for growth in five areas: relating to others, new possibilities, personal strength, spiritual change and appreciation of life.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-04-16
      DOI: 10.1108/MHSI-02-2024-0031
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Providing peer support on a men’s mental health ward: a service user
           narrative

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      Authors: Benjamin Thomas Gray, Matthew Sisto
      Abstract: The purpose of this study is to describe peer support work in a men’s mental health unit from a lived experience and service user’s perspective. The intertwining of process (a lived experience perspective) and subject (the therapeutic value of peer support) leads to greater knowledge and insight into peer support for people with mental health problems. This service user narrative draws on the extracts from a reflective journal of interactions and conversations with people with mental health problems as well as feedback from service users and staff about the value of peer support. These methods allow a first-person, service user’s, reflective and narrative account of peer support work. Peer support work, particularly hearing voices sessions, are found to be highly therapeutic and worthwhile. They promote insight and create feelings of safety and hope in what can sometimes be a frightening and hostile ward environment. Peer support provides emotional and practical support. Sharing stories and experiences of mental illness with people leads to trust, feelings of being valued, heard and accepted as well as better experiences of care and being seen as a person first. Due to their shared experiences, peer support workers are able to befriend people with mental health problems on the ward. Peer support work bridges the gap and vacuum of care between people with mental health problems and staff. It compensates for understaffing to provide more holistic and person-centred care and support. Lived experience/ service user perspectives and narratives on peer support are rare, particularly in a hospital setting. This article provides a rich, perhaps overlooked and hidden narrative on the nature of peer support work. People with mental health problems, like Ben, are often excluded from society, health and social care, education, employment and research. This narrative opens up a pathway to understanding peer support from a service user perspective.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-04-11
      DOI: 10.1108/MHSI-03-2024-0036
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Patient-led co-production in community mental health nursing practice:
           part 2

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      Authors: Jo Mullen
      Abstract: The purpose of this paper is to provide an example of patient-led co-production. The New Economics Foundation’s six principles of co-production (nef, 2013) have been used to frame the activities undertaken during the author’s relationship with a community mental health nurse. This paper describes a co-produced project between a patient and a community mental health nurse to create a range of resources and to deliver training, resulting in mutual benefit for both parties. This paper invites policy makers to consider the unique role that community mental health nurses can play in supporting patients with long-term challenges that have developed because of an imbalance and an abuse of power within earlier relationships; by adopting a co-production approach, centred on the patient’s interests and skills, a working partnership can be achieved wherein both parties feel that they matter. Co-production is usually used with groups of stakeholders working together in an equitable way to design or deliver a new service; this paper, however, seeks to demonstrate how the process can be effectively used when the project is patient-led within the context of a therapeutic relationship.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-04-10
      DOI: 10.1108/MHSI-01-2024-0010
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Mental health and positive aging: a positive autoethnographic case study
           of Joyce Shaffer

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      Authors: Joyce Shaffer, Freda Gonot-Schoupinsky
      Abstract: The purpose of this paper is to meet Dr Joyce Shaffer, PhD, ABPP, Clinical Associate Professor at the University of Washington. This case study is presented in two sections: a positive autoethnography written by Joyce Shaffer, followed by her answers to ten questions. In this positive autoethnography, Shaffer shares her life story and reveals numerous mental health and positive aging recommendations and insights for us to reflect on. This is a personal narrative, albeit from someone who has been a clinical psychologist and active in the field of aging for many decades. A pragmatic approach to aging is recommended. According to Shaffer, “those of us who can recognize the beat of the historical drummer can harvest the best of it and learn from the rest of it.” Positive aging has strong social implications. Shaffer considers that it is not only about maximizing our own physical, mental, emotional and social health but also about maximizing that of others, to make our world a better place for everyone. Positive aging can be experienced despite adversity. As Shaffer says, “Adversity used for growth and healed by love is the answer.”
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-04-10
      DOI: 10.1108/MHSI-03-2024-0046
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Exploring the relationship between character strengths and well-being in
           nursing students: an analysis

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      Authors: Anjali Malik, Neeta Sinha
      Abstract: Nursing students encounter a combination of academic rigor, clinical demands and emotional hurdles. Juggling coursework, practical training and patient interaction can be stressful, and exposure to such situations may impact their psychological well-being. This study aims to highlight the top strengths among nursing students and identify the strengths associated with well-being. Convenience sampling was used to select a sample of 150 nursing students studying in first, second and third year from colleges of Gujarat and Rajasthan. Students were administered the Values In Action character strengths inventory, the satisfaction with life scale and scale of positive and negative experience. Data was analyzed using descriptive statistics and correlation. Results show that among nursing students, kindness emerged as the foremost strength with the highest mean, followed by honesty, creativity, spirituality and teamwork, and the strengths of curiosity, gratitude, perseverance, self-regulation, social intelligence, and zest were positively associated with life satisfaction and positive emotions and negatively related to negative emotions. The small sample size was a limitation; however, this study has been conducted at different locations to improve generalizability. This study has profound implications for nursing students, both in their personal development and their future roles as health-care professionals, as fostering these attributes can contribute to the students’ growth, well-being and effectiveness as compassionate and competent caregivers. Working on strengths is associated with well-being; therefore, using strengths identified by this study will have a beneficial effect on the students’ well-being. Curiosity and social intelligence, for instance, can help nurses better understand patient needs and emotions, developing strengths like perseverance and self-regulation can equip nursing students with tools to cope effectively with the challenges inherent in health-care settings. Traits such as gratitude and social intelligence can enhance communication and empathy which are vital skills for establishing rapport with patients and their families. Emphasizing teamwork as a strength aligns with the collaborative nature of health care. By embodying values like kindness and spirituality, nursing students can create a more compassionate and meaningful experience for patients, as well as themselves. The research paper identifies and emphasizes the five character strengths that are most commonly observed in a sample of Indian nursing students. In addition, this study delves deeper into these identified strengths to understand how they relate to the overall well-being of nursing students within this specific population. The existing literature has not explored it exhaustively.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-04-10
      DOI: 10.1108/MHSI-12-2023-0137
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Systematic review of servant leadership and burnout

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      Authors: Daryl Mahon
      Abstract: Employee burnout is increasingly coming under attention due to its negative impact on employee well-being and organisational effectiveness. This study, a systematic review, aims to evaluate the role of servant leadership and its mediators in preventing and mitigating against burnout experiences in organisations. A preferred reporting items for systematic review and meta-analyses (PRISMA) was conducted using three databases, Academic search Complete, Embase and Scopus, in addition to bibliography searches. Articles were included if they reported on primary data, in English from inception to 2023. The mixed methods critical appraisal tool was used to assess the quality of articles, and a narrative synthesis was used to report results. The search strategy yielded 4,045 articles, of which (N = 17), with total sample size of (N = 10,444) are included. Findings suggest that servant leadership is predictive of burnout, and that several mediators impact this relationship. Most studies were conducted in health care (n = 8) and banking (n = 3), and while the quality of the studies was mostly high (64%), the methods used were mainly descriptive and cross-sectional, which limits the extent to which causality can be inferred. A theory of change is provided based on the findings from this review and integrated with the extant literature on servant leadership theory, and can be used by organisations to support the policy, training and practice of servant leadership to reduce burnout. Servant leadership is predictive of burnout; however, further research needs to be undertaken in this important emerging area.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-04-01
      DOI: 10.1108/MHSI-02-2024-0027
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Evaluating co-production in an interactive webinar series concerning
           borderline personality disorder: a discourse and content analysis

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      Authors: Ioanna Xenophontes, Neil Springham
      Abstract: This paper aims to evaluate the quality of co-production between lived experience practitioners (LXPs) and professionals in an interactive National Health Service webinar series aimed at supporting people who were diagnosed or identified with borderline personality disorder. Transcripts from the webinars were subjected to mixed-method examination combining Foucauldian discourse analysis (FDA) and content analysis (CA). FDA identified nine discursive objects: diagnosis beyond its medical context, diagnosis as a total explanation, being the other, universality, compassion, hope, faking it, mentalisation and co-production. CA demonstrated those nine discursive objects each corresponded with equalised airtime appropriated by professionals and lived experience practitioners. The sample was limited and if applied to other mental health settings might reveal different findings. More needs to be understood about the attitudes of professionals and LXPs that support discourse sharing. Although this study has offered evidence of the quality of co-production, it can say very little about whether the co-productive approach offers superior outcomes to other forms of treatment. Further research could employ FDA and CA to further explore how co-production is being enacted in other situations, with different models, where comparable interventions are delivered. Future research could compare outcomes between co-productive and professional-only interventions. This study examined naturalistic practice to build new theory in an under-researched area for a substantial mental health population.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-03-29
      DOI: 10.1108/MHSI-01-2024-0009
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Homelessness: challenges and opportunities in the “new normal”

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      Authors: Angela Woods, Rebecca Lace, Joanne Dickinson, Ben Hughes
      Abstract: This paper – the final paper of a series of three – aims to discuss the implications of the findings from a service user needs assessment of people experiencing homelessness in the Northwest of England. It will expand on the previous paper by offering a more detailed analysis and discussion of the identified key themes and issues. The service user needs assessment was completed as part of a review of local service provision in the Northwest of England against the backdrop of the COVID-19 pandemic. Semi-structured questionnaires were administered and used by health-care professionals to collect data from individuals accessing the Homeless and Vulnerable Adults Service (HVAS) in Bolton. The questionnaires included a section exploring Adverse Childhood Experiences. Data from 100 completed questionnaires were analysed to better understand the needs of those accessing the HVAS. Multiple deprivations including extensive health and social care needs were identified within the cohort. Meeting these complex needs was challenging for both service users and service providers. This paper will explore key themes identified by the needs assessment and draw upon further comments from those who participated in the data-gathering process. The paper discusses the practicalities of responding to the complex needs of those with lived experience of homelessness. It highlights how a coordinated partnership approach, using an integrated service delivery model can be both cost-effective and responsive to the needs of those often on the margins of our society. Data collection during the COVID-19 pandemic presented a number of challenges. The collection period had to be extended whilst patient care was prioritised. Quantitative methods were used, however, this limited the opportunity for service user involvement and feedback. Future research could use qualitative methods to address this balance and use a more inclusive approach. This study illustrates that the needs of the homeless population are broad and varied. Although the population themselves have developed different responses to their situations, their needs can only be fully met by a co-ordinated, multi-agency, partnership response. An integrated service model can help identify, understand, and meet the needs of the whole population and individuals within it to improve healthcare for a vulnerable population. This study highlighted new and important findings around the resilience of the homeless population and the significance of building protective factors to help combat the multiplicity of social isolation with both physical and mental health problems. The discussion provides an opportunity to reflect on established views in relation to the nature and scope of homelessness. The paper describes a contemporary approach to tackling current issues faced by those experiencing homelessness in the current context of the COVID-19 pandemic. Recommendations for service improvements will include highlighting established good practices including embedding a more inclusive/participatory approach.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-03-29
      DOI: 10.1108/MHSI-02-2024-0032
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Brazilian Jiu Jitsu and wellbeing: an inductive thematic analysis
           exploring how BJJ can increase subjective wellbeing

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      Authors: Ben Morris, Andrew Bone
      Abstract: This study aims to assess the sociopsychological impact that Brazilian Jiu-Jitsu’s (BJJ) can have on the subjective wellbeing of practitioners. Data was collected through face-to-face semi-structured interviews (N = 8) and were analysed using thematic analysis by taking an inductive approach. Improvements in the wellbeing of practitioners can be made via focusing on specific known constructs which have previously shown to increase subjective wellbeing. They included the development of mental toughness, progression towards meaningful goals and/or healthy habits and behaviours and the forming and maintaining of positive social relationships. The present work demonstrates the psychological benefits of BJJ practice on several psychological wellbeing targets, albeit in a modest sample size. The heightened emphasis on mental wellbeing in the general population has added increasing pressure on mental health services (Steptoe et al., 2015; Diener et al., 2018; Johnson et al., 2018; Wicking & Dean 2020). Therefore, it is of theoretical and practical advantage to explore novel ways to help individuals with both their mental health and wellbeing. The present study seeks to add to an emerging field of research which proposes that intentional activities such as BJJ can be integrated alongside traditional approaches to therapy in their promise to help those recovering from mental health issues.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-03-22
      DOI: 10.1108/MHSI-11-2023-0116
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Connecting with “everyday life-things” – exploring characteristics
           of recovery-nurturing places

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      Authors: Trude Klevan, Reidun Jonassen, Marit Borg
      Abstract: The aim of this study is to explore the characteristics of what is experienced in mental health recovery-oriented places and how these characteristics can facilitate social connections and participation. This qualitative study has an explorative, interpretive and collaborative design. Dyadic interviews and participatory fieldwork observations were used as methods for data generation. Data were analyzed using a collaborative hermeneutic approach. Characteristics of recovery-nurturing places involved how concrete and tangible features of place may nurture and enable actions and ways of being with oneself and others. Three broad themes explore the characteristics and how they can enable recovery: nurturing senses, nurturing practical skills and nurturing communication. This study demonstrates how materiality and recovery are interconnected and expands the understanding of recovery as “in-the-mind processes.” It explores how places and material objects have a recovery-nurturing potential through enabling actions and participation and thereby supporting people in living, storying and restorying their lives.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-03-19
      DOI: 10.1108/MHSI-01-2024-0014
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Islamic mental health financing schemes for parents with mental disorder
           children

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      Authors: Hanudin Amin
      Abstract: This study aims to examine the receptiveness of Islamic mental health financing schemes among parents with mental disorder children in Malaysia. The innovation diffusion theory (IDT) was used to examine the factors influencing the receptiveness using empirical data from 323 respondents. The IDT’s factors, namely, compatibility, relative advantage and simplicity were instrumental in determining the receptiveness. The usefulness of the results obtained was confined to the theory used as well as the geographical areas chosen. The results obtained serve as a useful reference guide for Islamic banks in offering these schemes to parents with mental disorder children. To the best of the authors’ knowledge, this study is the first to test the effects of financial innovation drivers on the proposed Islamic mental health financing schemes in terms of their receptiveness.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-03-13
      DOI: 10.1108/MHSI-02-2024-0017
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Beyond multicultural competency: a scoping review of multicultural
           orientation in psychotherapy and clinical supervision

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      Authors: Daryl Mahon
      Abstract: Psychotherapy and clinical supervision outcomes are influenced by client and supervisee factors, one of which is cultural identity. Those with diverse racial and ethnic minoritised identities often experience disparities in therapy outcomes. Therapists and supervisors need to be responsive to the identity of those they support. The multicultural orientation (MCO) framework is an emerging concept in psychotherapy and clinical supervision that may offer these practitioners a framework to be responsive. A preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews was conducted. Six databases, PubMed, Scopus, Embase, Academic Search Complete, Web of Science and PsychInfo, were searched for peer-reviewed literature published in English between the years 2000 and 2023. A total of 1,553 sources were identified, of which (n = 42) are included in this review. Findings suggest that MCO is still in its infancy as applied to therapy and clinical supervision. Most of the research has been conducted in America, using quantitative methodologies with white western populations. Cultural humility is the most studied MCO pillar, and variables such as reductions in psychological stress, the working alliance and microaggressions are reported on as outcomes. MCO applied to the group therapy process is an emerging finding of interest. However, more research is needed, especially experiential designs across different and diverse populations and contexts. MCO is an emerging therapy and clinical supervision process that has the potential to improve the outcomes for therapy clients and supervisees. Further research is needed to replicate current studies, and further research with diverse populations, countries and contexts should be undertaken as a priority.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-02-28
      DOI: 10.1108/MHSI-01-2024-0012
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Perceived psychological status among family caregivers of an autistic
           child: the role of coping strategies and self-esteem as predictors

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      Authors: Abd Alhadi Hasan, Amal ALsulami
      Abstract: The purpose of this study is to assess psychological distress among parents of children with autism spectrum disorder (ASD), self-esteem as a predictor of such distress and the effect of coping strategies. A descriptive correlational study design was conducted using a convenient sample of parents of ASD children (N = 93). This study revealed that the parents of an ASD child experienced a high level of anxiety (M = 15.89), a moderate level of depression (M = 15.85) and a mild level of stress (M = 16.86). Parents of ASD children also reported a low self-esteem score (M= 13.27). Mothers of ASD children reported higher levels of psychological distress, lower levels of self-esteem and more frequent utilisation of maladaptive coping strategies than fathers of ASD children. Parents of children with ASD experience a significant level of psychological distress; however, this may be improved by developing programmes and psychological interventions focused on improving parents’ self-esteem and using more active coping strategies. To the best of the authors’ knowledge, this is the first study conducted in Saudi Arabia that predict the psychological status among family caregivers of an autistic child.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-02-13
      DOI: 10.1108/MHSI-08-2023-0081
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Self-concept as related to emotional intelligence: a study of tribal and
           non-tribal students

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      Authors: Aklima Sultana, Nasrin Islam
      Abstract: Emotional intelligence (EI) and self-concept (SC) play a very important role in one’s life. The purpose of this paper is to investigate the SC and EI of tribal and nontribal university students. The research used a quantitative approach, 100 nontribal (50 male and 50 female) and 100 tribal (50 male and 50 female) students were selected by nonprobability sampling method. The Bangla version of the self-concept questionnaire (Beck et al., 2001) and the emotional intelligence questionnaire (Hyde et al., 2002) were used to measure the SC and EI of students. Pearson correlation, t-test and post hoc tests were used for statistical analysis. The findings of this study showed that the tribal and nontribal students differ significantly on the measure of SC and EI (p < 0.01). Although nontribal students showed higher SC than tribal students, tribal students showed a higher level of EI than nontribal students. The results also showed that gender significantly affects SC and EI (p < 0.01). Males have higher SC and EI than females. Furthermore, the study revealed that socioeconomic status differs significantly in the case of SC. Finally, the result also showed a significant positive correlation (r = 0.245, p < 0.01) between SC and EI. The results of the research are only based on the students of one university besides the sample size is limited. This research allowed the authors to determine the practical implications. The findings suggest that there is a significant difference in SC and EI between tribal and nontribal students, with nontribal students showing higher levels of SC. This implies that interventions and programs aimed at enhancing SC may be particularly beneficial for tribal students. The study also reveals that there are significant differences in SC and EI between tribal and nontribal adolescent boys and girls. This highlights the importance of considering gender differences when designing interventions to improve SC and EI among tribal and nontribal students. Moreover, educators, parents and policymakers can use these findings to develop targeted interventions and strategies to enhance SC among tribal students, with the aim of improving their overall well-being, academic achievements and success in life. This paper adds to the literature on the SC and EI of tribal and nontribal university students by describing the difference in levels and a significant correlation. This paper obtains an innovative statistical approach to develop the findings so that information can be used in the future.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-02-01
      DOI: 10.1108/MHSI-11-2023-0120
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Understanding perceived loneliness: a multifaceted approach

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      Authors: Vaishnavi Sharma
      Abstract: This paper aims to understand loneliness with a special focus on perceived loneliness using a multifaceted approach. To the best of the author’s knowledge, this appears to be the first paper dedicated to investigating the perception of loneliness as its primary topic. Unfortunately, not much work is available on this specific focus. However, various facets and dimensions can be integrated to gain a better understanding. Therefore, the author has carefully selected four sections, each focusing on different aspects of loneliness. These sections can contribute to a better understanding of loneliness, keeping in mind its perception. Section one examines the cognitive processes and self-assessment mechanisms that set lonely individuals apart from their non-lonely counterparts. These include heightened awareness, negative social cue interpretation and increased sensitivity to social threats. Section two examines the predictors of loneliness and associated emotional responses. This includes factors such as emotional responses, attributions, duration and situational variables. Section three challenges conventional definitions of loneliness by introducing social asymmetry. Within this framework, personality traits such as extraversion emerge as resilient against loneliness, even in social isolation. Section four discusses the significant influence of cultural diversity on perceptions of loneliness. Collectivist cultures rely on familial and community support to combat loneliness, whereas individualistic cultures require interventions that promote independence. This comprehensive examination contributes insights for informing targeted interventions, reinforcing support systems and enhancing our understanding of human connectivity in an increasingly isolated world.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-01-30
      DOI: 10.1108/MHSI-10-2023-0114
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Passive social network usage and life satisfaction among Vietnamese
           university students: a moderated mediation model of self-esteem and gender
           

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      Authors: Nhan Nguyen, An Dang, Tai Ngo, Hieu Tran, Dung Tran
      Abstract: This study aims to investigate the role of self-esteem in mediating the relationship between passive social networking usage (PSNU) and life satisfaction, as well as whether the relationships between PSNU and self-esteem/life satisfaction as well as self-esteem and life satisfaction vary by gender. This research is conducted in compliance with the ethical standards of the American Psychological Association’s study on a subject of 304 students. Study participants are invited to participate in the survey by completing the anonymous questionnaire regarding passive social network usage, self-esteem and life satisfaction. The findings indicate that self-esteem mediated the relationship between PSNU and life satisfaction. Furthermore, gender moderated the self-esteem and life satisfaction relationship, and such an effect was stronger for females than males. This study, adopting a cross-sectional design and self-report scale, examined the relationship between PSNU and life satisfaction. However, the short study duration hindered establishing a cause-and-effect relationship. Credibility concerns arose from participant-induced noise variables in the self-report scale. Future research should use diverse methods to validate underlying mechanisms. Despite limitations, the study revealed self-esteem as a mediating factor, alleviating the negative impact of PSNU on life satisfaction. Both male and female users are encouraged to engage in self-education, valuing their self-esteem for heightened life satisfaction. These findings contribute to the understanding of how passive social network usage predicts life satisfaction (mediating effect of self-esteem) based on social comparison theory and when self-esteem increases life satisfaction (moderating effect of gender) based on social role theory of gender differences.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-01-25
      DOI: 10.1108/MHSI-11-2023-0117
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Examining the impact of working conditions, lifestyle choices, and
           demographic factors on mental health of industrial workers

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      Authors: Sahar Daghagh Yazd, Mehmet Akif Karaman, Salma Fathi, Areej Alsarraf, Shaikhah Alajmi, Sahab Rutabian, Manya Aladwani
      Abstract: This study aims to explore how factors such as working conditions, lifestyle choices and demographic characteristics may affect the mental health of industrial workers in Kuwait. Within the scope of the study’s objective, the authors reached 400 industrial workers (228 male, 172 female) working in oil and gas organizations in Kuwait. An ordered logistic regression model was conducted to examine the effect of relevant independent variables on workers’ mental health. Result indicated that employees with a lower education level (p-value = 0.015), employees who were smokers (p-value = 0.004) and employees with night shifts (p-value = 0.019), were more likely to experience mental health issues. Furthermore, result strongly highlights a higher chance of experiencing mental health problems among the workers who had longer working times (p-value = 0.000). On the other hand, having children (p-value = 0.042), visiting a mental health professional (p = 0.014) and living in a house with others (flat mate, family members, etc.) (p-value = 0.016) were statistically significant factors to improve employees’ mental health. Surprisingly, the authors’ research did not find a significant relationship between the mental health issues experienced by employees and their yearly income. The paper lies in its exploration of the impact of working conditions, lifestyle choices and demographic factors on mental health of industrial workers using statistical approach. By applying ordered logistic regression, this study uncovers new insights into mental health of industrial workers.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-01-23
      DOI: 10.1108/MHSI-11-2023-0119
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Predictor of depression and anxiety among caregivers of hospitalized
           patients with mental illness

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      Authors: Abd Alhadi Hasan, Amal Alsulami
      Abstract: The study aims to identify the predictors of depression and anxiety among carers of hospitalized patients with mental illness in Eradah Complex for Mental Health Hospital. A descriptive correlational study design was conducted using a convenient sample of family carers of patients with mental illness (N = 216). The study used the Beck Depression Inventory and Anxiety Inventory scales. The results of regression models revealed that the socio-demographic characteristics of the family carers showed that age is a statistically significant predictor of family carers depression and anxiety scores. In addition, the age of the family carers explained 36% of the variance in the family carers depression and anxiety scores, while marital status explained 64% of the total variance in the family carers’ depression and anxiety scores. Furthermore, having received support in caring significantly predicted depression and anxiety scores, and this was the case for occupation status and being diagnosed with any form of chronic illness. Based on the findings of this study, the authors opine that evaluations of carers’ cognitive strategies and social support are needed to determine the risk of depression in carers of mental patients. This study is the one of the limited studies conducted in Saudi Arabia to identify predictor of depression and anxiety among caregivers of hospitalized patients with mental illness. The study has used a validated scales to assess the main study outcomes.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-01-09
      DOI: 10.1108/MHSI-08-2023-0083
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Living with a friend mediates PTSD and CPTSD symptoms among trauma-exposed
           Ukrainians during the second year of 2022 Russian invasion

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      Authors: Mariana Velykodna, Olha Charyieva, Natalia Kvitka, Kateryna Mitchenko, Oksana Shylo, Oksana Tkachenko
      Abstract: This study aims to develop and test multivariable psychosocial prediction models of perceived post-traumatic stress disorder (PTSD) and complex post-traumatic stress disorder (CPTSD) symptoms development among trauma-exposed Ukrainian adults (n = 761) after 1.5 years of the 2022 Russian invasion of Ukraine. This research was designed as a survey in line with the methodology of “Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis” checklist. The survey included a questionnaire on sociodemographic characteristics and specifics of trauma exposure, as well as validated self-reported inventories: The International Trauma Questionnaire, Acceptance and Action Questionnaire – version 2, Connor–Davidson Resilience Scale-10 and the Modified BBC Subjective Well-being Scale. Regression analysis revealed different prediction models for PTSD and CPTSD symptoms, explaining 18.4% and 41.4% of their variance with five and eight predictors, respectively. Four variables were similar in predicting PTSD and CPTSD: war-relatedness of trauma, living with a friend, perceived physical health and regret for the past. War-relatedness of trauma the respondents were exposed to was among the strongest predictors for PTSD and CPTSD severity. However, living with a friend was almost equally strong in mitigating these mental consequences. Regret for past and lowly rated physical health were assessed as relatively weaker but statistically significant predictors in this study. Upon the original theoretical framework, two psychosocial prediction models were developed for PTSD and CPTSD symptoms in a non-clinical sample of trauma-exposed Ukrainian adults.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-01-09
      DOI: 10.1108/MHSI-11-2023-0118
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Comparative analysis of psychological distress between online and
           on-Campus learning among university students

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      Authors: Hajira Batool, Abdur Rashid
      Abstract: The purpose of this study is a comparative analysis of psychological distress between online and on-campus learning among university students. The study was performed to investigate the comparative analysis of psychological distress between online and on-campus learning among university students. This study is a quantitative, comparative study. Data were collected through convenient sampling technique from different university students. The sample size of the study was (n = 200) and the sample was taken from universities. Three scales, students’ readiness learning scale, DASS-21 Scale and on-campus learning scale, were used for data collection and the data were analyzed statistically. The analysis was carried out by the statistical tests correlation test, t-test and linear regression. It was revealed through this study that on-campus learning is more preferred by the students than online learning. The findings were that online learning has more psychological distress among students than on-campus learning. Additionally, it was found that as compared to males, females have more tendency toward depression, anxiety and stress. Findings also revealed that married students have a larger tendency toward depression, anxiety and stress as compared to unmarried students. No socioeconomic significance difference was found. Moreover, it was revealed that working students prefer online learning to on-campus learning. Learning has a significant impact on students’ future settlement, independence and well-being. The findings of this research study can contribute to understanding the educational system and determining which learning system is better for students and for the students’ mental well-being. Learning has a significant impact on students’ future settlement, independence and well-being. This paper contributes by offering practical insights for educators and policymakers.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-01-09
      DOI: 10.1108/MHSI-11-2023-0127
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • The devastating effect of the COVID-19 pandemic on the lives of women and
           children in 2023

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      Authors: Morve Roshan K., Kadri Nashrin A.
      Abstract: Current issues (such as health and economy-related) emerged due to the impact of COVID-19 on women’s and children’s health. The purpose of this opinion paper is to understand the world’s health issues after COVID-19. The authors study the devastating effect of the COVID-19 pandemic on the lives of women and children in 2023. The authors have applied the content analysis method and reviewed the post-COVID-19 impacts on women’s and children’s health. As a result of unemployment or financial instability, the fear of economic insecurity increases cases of women and child violence, child labour and other health issues. According to the study, the authors find that post-COVID-19-related health issues increase at a high level. After COVID-19, across the world, children and women have gone through domestic violence and health issues (i.e. stress, anxiety and so on) and the vulnerable situation of children and women has badly impacted their mental and physical health. Many children were orphaned, and the poor died due to poverty. COVID-19 has had a direct or indirect effect on children and women all over the world till today. This opinion paper focuses on post-COVID-19 issues that we all have forgotten to include in our current discourse.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-01-08
      DOI: 10.1108/MHSI-12-2023-0133
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Analysis and mapping of research on barriers to mental health service
           utilization in minority and underserved groups (1993-2022)

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      Authors: Waleed Sweileh
      Abstract: This paper aims to investigate research activity on barriers for minority and underserved groups to access and use mental health services. Using Scopus, relevant articles published from 1993 to 2022 were collected. The final list included 122 articles. Research hotspots included cultural and ethnic barriers, obstacles encountered by LGBTQ+ individuals, challenges faced by refugees and immigrants, limited access in rural areas and barriers affecting special populations. The top 10 cited articles focused on language barriers, cultural stigma, gender-specific challenges and systemic obstacles. New research avenues included the role of technology in overcoming barriers to access mental health services. Policymakers and practitioners can use this knowledge to develop targeted interventions, enhance cultural competence, reduce stigma, improve rural access and provide LGBTQ+-affirming care, ultimately promoting equitable mental health care. This research underscores the importance of addressing mental health service barriers for equity and social justice. Neglecting these disparities can worsen mental health, increase health-care costs, reduce productivity and lead to higher social welfare expenses, perpetuating disadvantages. This paper's uniqueness lies in its comprehensive analysis of barriers and facilitators to mental health service utilization among minority and underserved groups. It serves as a basis for developing evidence-based strategies to improve service accessibility and enhance the well-being of marginalized communities.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-01-01
      DOI: 10.1108/MHSI-10-2023-0109
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Stigma research in Arab countries: a rapid review

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      Authors: Waleed Sweileh
      Abstract: This paper aims to provide a comprehensive overview of existing research on stigma in Arab countries. A rapid review approach was used, leveraging the Scopus database to identify relevant articles. This streamlined method allows for timely assessments of the current state of knowledge, identifies research gaps and is particularly relevant given the social and cultural dynamics in Arab countries. This study identified a growing interest in stigma-related topics in Arab countries, with a notable increase in the number of publications and citations over the past decade. Research focused on various aspects of stigma, including mental health, HIV, COVID-19 and diverse health conditions, shedding light on the prevalent challenges faced by different populations. Additionally, comparative studies highlighted the influence of culture and gender on the expression of stigma in the region. To combat stigma in Arab countries, this study suggests the need for culturally sensitive interventions, integration of mental health services into health-care systems and the development of public health campaigns. These measures should be designed to protect vulnerable populations and prioritize educational initiatives for both the younger generation and health-care professionals. Reducing stigma in Arab countries is crucial for fostering greater social cohesion, equality and overall well-being. The study underscores the importance of collaborations to adapt successful strategies to the unique Arab context. This paper fills a crucial research gap by investigating stigma in Arab countries, emphasizing the need for culturally sensitive interventions, education integration and international collaboration to combat it effectively.
      Citation: Mental Health and Social Inclusion
      PubDate: 2024-01-01
      DOI: 10.1108/MHSI-10-2023-0111
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
       
  • Editorial: Mental health and social inclusion

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      Editorial: Mental health and social inclusion
      Julie Prescott
      Mental Health and Social Inclusion, Vol. 28, No. 4, pp.281-282Mental Health and Social Inclusion2024-07-09
      DOI: 10.1108/MHSI-06-2024-140
      Issue No: Vol. 28, No. 4 (2024)
       
 
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School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Email: journaltocs@hw.ac.uk
Tel: +00 44 (0)131 4513762
 


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