Hybrid journal * Containing 1 Open Access article(s) in this issue * ISSN (Print) 1746-5729 - ISSN (Online) 2042-8731 Published by Emerald[362 journals]
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Authors:Krushika Uday Patankar, Khutso Ranato-Dunbar, Maya Ljubojevic, Whitney Wortham Abstract: The purpose of this paper is to highlight the complexities of positionality and power in academic production across intersecting identities amongst a cohort of four early career scholars across the UK and the USA. Four early career researchers engage in autoethnography, examining their perspectives and identities in conversation with approaches to positionality in academia and research in the social sciences. Drawing from their own unique intersectionalities, each author traces the limits, boundaries and risks afforded to them in the pursuit of academic life and research in the social sciences, especially in pertinence to their relationship to politics in context and sensitivity of their research areas. This original research constitutes uniquely specific viewpoints on the relationship of four specifically positioned early career scholars to their personal identities and their transposition into professional and academic life and work. Citation: Journal of Public Mental Health PubDate: 2025-03-20 DOI: 10.1108/JPMH-02-2025-0021 Issue No:Vol. ahead-of-print, No. ahead-of-print (2025)
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Authors:Victoria Stanhope, Mimi Choy-Brown, Meredith Doherty, Julian Cohen-Serrins, Daniel Baslock, Ramesh Raghavan Abstract: Mental health inequalities based on race and ethnicity in the USA and globally persist despite efforts to address them. The COVID-19 epidemic accentuated these inequalities and demonstrated the extent to which they are linked to social determinants. However, the organizations that are best placed to ameliorate mental health inequalities are often underfunded and under-resourced. Investment strategies that restrict funding for programmatic costs rather than general operating costs often disproportionately impact small organizations that serve communities of color. This study aims to argue that effectively addressing mental health inequalities requires investing in these organizations by applying the lessons learned from implementation science. This study demonstrates how organizational factors such as leadership, supervision and organizational culture and climate are key to programmatic success and how implementation strategies can target these factors. As promoting health equity is increasingly recognized as a priority outcome for implementation science research, these organizational approaches can inform funders on how to support small organizations that serve marginalized communities, giving them the capacity and flexibility to address mental health inequalities. This paper applies the findings from implementation science to consider how best to support mental health organizations, particularly those well suited to serving the mental health needs of diverse communities. Citation: Journal of Public Mental Health PubDate: 2025-03-04 DOI: 10.1108/JPMH-09-2024-0113 Issue No:Vol. ahead-of-print, No. ahead-of-print (2025)
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Authors:Naveed Mansoori, Mahad Ansarie, Syed Muhammad Mubeen, Uzma Kanwal Abstract: Transgender individuals are more susceptible to psychological distress and mental health issues. The purpose of this study is to determine the prevalence and associated factors of depression, anxiety and stress among individuals from the transgender community. This cross-sectional study was conducted from March to December 2022 among the transgender community in Karachi and Hyderabad. A standardized, self-administered DASS-42 questionnaire was used, and a non-probability convenient sampling technique was used. The frequency and percentages of variables were calculated. The Cronbach’s alpha coefficient was used to evaluate the internal consistency of the items within the subscale. The impact of socio-demographic factors on depression, anxiety and stress levels was assessed using multivariate ordinal logistic regression. Out of total 352 transgender individuals, the majority of them were experiencing extremely severe depression with 187 (53.1) affected. Additionally, 267 (75.9) individuals were dealing with extremely severe anxiety and 167 (47.4) facing severe stress. The mean depression score was 26.3 ± 8.6, with stress following closely at 26.2 ± 7.9 and anxiety at 23.5 ± 8.3. The scale had excellent internal consistency, as shown by a Cronbach’s alpha of 0.93. Male sex had a 3.48 (95% C.I: 1.34–9.05) fold higher likelihood of experiencing anxiety compared to females. One of the limitations of this study is the use of a non-probability convenient sampling technique and the collection of data exclusively from two cities of Pakistan (Karachi and Hyderabad). The study identified specific mental health challenges faced by transgender individuals in Sindh, enabling mental health professionals and policymakers to develop targeted interventions and counseling services. This includes advocating for mental health programs and anti-discrimination laws that address the unique stressors experienced by transgender individuals. Community awareness and support programs aimed at educating the public, reducing stigma and fostering acceptance of transgender individuals should be implemented to achieve better outcomes. he research can help raise awareness about the challenges faced by transgender individuals, fostering greater empathy and understanding among the general public. This may contribute to reducing societal stigma, prejudice and discrimination against the transgender community. The study can encourage efforts to create a more inclusive society where transgender individuals feel valued and accepted in family, educational and workplace settings. Thich research can also serve as a tool for advocacy, empowering transgender individuals to voice their concerns and demand their rights, which could lead to greater self-confidence and a stronger sense of community among transgender people. This study revealed a significant prevalence of depression, anxiety and stress among transgender individuals. Regular assessment and implementation of appropriate measures should be conducted to promote their mental well-being. By actively engaging with transgender individuals, we can develop more effective strategies to meet their mental health needs and foster social integration and acceptance. Citation: Journal of Public Mental Health PubDate: 2025-02-19 DOI: 10.1108/JPMH-07-2024-0086 Issue No:Vol. ahead-of-print, No. ahead-of-print (2025)
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Authors:Linda Irvine Fitzpatrick, Donald Maciver Abstract: This paper aims to present a case study of the early “formulation” activities that laid the foundation for the Edinburgh Wellbeing Pact, developed during and after the COVID-19 pandemic. The Pact aimed to foster partnership between service providers and citizens to prevent crises, empower individuals to manage their health and independence at home and strengthen the health and social care network in Edinburgh. The study involved a retrospective review of documentary data, including reports, meeting notes, reflections and strategy documents. The analysis was led by the programme lead, who played a central role in the design and implementation of the Pact. The formulation phase focused on building the Pact’s foundation through dialogues with citizens, staff, communities and stakeholders. It emphasised the development of the Pact’s vision and the establishment of key partnerships. This process was crucial for ensuring collaboration and guiding the transition from ideas to implementation. It led to the creation of key messages for staff, citizens and community partners. The formulation phase also facilitated the transfer of power and resources to citizens and enabled the creation of new funded initiatives, which introduced new service delivery models and strengthened collaboration between public and third sectors. This case study contributes to understanding innovation in intersectoral practices, co-creation and co-production as strategies for addressing complex health and social care challenges. It provides insights for others engaged in similar initiatives. Citation: Journal of Public Mental Health PubDate: 2025-02-11 DOI: 10.1108/JPMH-10-2024-0121 Issue No:Vol. ahead-of-print, No. ahead-of-print (2025)
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Authors:Lijia Guo, Tine Van Bortel, Chiara Lombardo, Steven Martin, David Crepaz-Keay, Shari McDaid, Oliver Chantler, Lucy Thorpe, Susan Solomon, Alec Morton, Antonis Kousoulis, Gavin Davidson Abstract: The COVID-19 pandemic and associated restrictions created a range of potential additional stressors for families, particularly for parents living with children. This study aims to explore whether there were any differences in the mental health and emotional experiences of those living with children, and those who were not, during the pandemic and related lockdowns; and whether there were any specific risk factors associated with these mental health outcomes and emotional experiences. Regression analyses of ten-wave repeated cross-sectional surveys between May 2020 and November 2021 on a total sample of 42,529 UK adults, which measured mental health with a range of pleasant and unpleasant emotional experiences. The interaction effects of living with children and age as well as marital status were tested. During the pandemic, individuals who were living with children were more likely to feel hopeful (OR: 1.1) and grateful (OR: 1.163), less likely to feel hopeless (OR: 0.918) and lonely (OR: 0.799), while more likely to feel guilty (OR: 1.185), unprepared (OR: 1.195) and pressurised (OR: 1.14), than those not living with children. More nuanced findings and diverse emotional experiences were also found in people of different age groups and marital statuses. This study has highlighted that being parents and living with children could be important factors of emotional distress, especially during the special circumstances of the pandemic and lockdowns, drawing on the large-scale national data. Citation: Journal of Public Mental Health PubDate: 2025-01-27 DOI: 10.1108/JPMH-06-2024-0082 Issue No:Vol. ahead-of-print, No. ahead-of-print (2025)
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Authors:Andrea Reupert Abstract: The purpose of this study is to illustrate the impact of poverty on mental health inequalities. This is a conceptual paper on Boots Theory. Boots Theory can help us to understand mental health inequalities. Applying Boots Theory to mental health inequalities is valuable because it highlights how resource deprivation leads to short-term decisions that worsen long-term psychological and societal costs. It is original, as Boots Theory uses a relatable metaphor to connect individual experiences of deprivation with structural barriers, making it both accessible and impactful. Citation: Journal of Public Mental Health PubDate: 2025-01-24 DOI: 10.1108/JPMH-11-2024-0138 Issue No:Vol. ahead-of-print, No. ahead-of-print (2025)
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Authors:Tânia Alves, Luís Madeira Abstract: This paper aims to assess the presence of mental health stigma among public safety personnel (PSP) in Portugal. An online self-administered form was applied, including the Attribution Questionnaire (AQ-9), the Attitudes Towards Mental Health Problems scale (ATMHP) and the socio-demographic characterisation: age, gender, marital status, children, education and geographical location. The sample included police officers, workers of the General Directorate of Reintegration and Prison Services (DGRSP) and workers of the National Institute of Medical Emergency (INEM), as well as a control group (general population). In total, 1,441 people participated, of whom 85% were police officers, 3.3% were INEM staff, 2.6% were DGRSP staff and 9.1% were from general population. The most common socio-demographic characteristics were male, married/common-law marriage, two children, 12 years of education and living in Lisbon and Tagus Valley. On AQ-9, all groups showed higher scores on the stigmatizing constructs help, pity and coercion and lower scores on blame, anger, segregation and avoidance. For the total score, the authors found significant differences only in comparison with INEM, who scored lower. The ATMHP showed that INEM and police officers generally had lower total scores than DGRSP and the general population, with the general population having the highest score. There were no significant gender differences for most of the results in both questionnaires. To the best of the authors’ knowledge, this is the first study assessing mental health stigma among PSP in Portugal. The authors found stigma among PSP, with INEM showing a lower score in stigmatizing attributions, and INEM and police officers showing better attitudes and less shame towards mental illness. Citation: Journal of Public Mental Health PubDate: 2025-01-16 DOI: 10.1108/JPMH-09-2024-0119 Issue No:Vol. ahead-of-print, No. ahead-of-print (2025)
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Authors:Maya Ljubojevic Abstract: The purpose of this paper is to explore the Thriving City Initiative (TCI) model in relation to Public Mental Health and Well-being. The initiative does not have an obvious coherence across the cities which implement it. Is there a consistent model as seen in other city-led public health initiatives' Can the TCI model continue to be adopted by urban areas worldwide without clear conceptualisation' This paper explores the discourse of what it means to be a TCI and whether or not there are key ingredients which tie them all together, justifying the common name-branding. This exploratory paper uses existing literature on public health and discussions with public health leaders. Despite the proliferation of TCIs across countries, there lacks a consistent model or identity across the different implementations. There are, however, some key ingredients across them: partnerships, a focus on prevention and promotion and changing perceptions of mental health and well-being. This paper paves the way for future research on TCIs and creates a foundation for future exploration or evaluation of the initiatives and their impacts or effectiveness. There is very little academic literature on individual TCIs and even less on the public health model itself. As of now, there is no outline, guidance or framework that identifies what a TCI is. To the best of the author’s knowledge, this paper is the first of its kind, exploring the concepts and defining features of a TCI. Citation: Journal of Public Mental Health PubDate: 2025-01-14 DOI: 10.1108/JPMH-05-2024-0061 Issue No:Vol. ahead-of-print, No. ahead-of-print (2025)
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Authors:Emily Clark, Sarah Hanson, Nicholas Steel, Helen M. Parretti, Anna Sweeting Abstract: The literature highlights that health care in the UK is not always well adapted to meet the needs of individuals from different cultural backgrounds and within the context of the asylum system. This study aims to explore culturally adapted health support in the context of wider social and community support, to enable post-migration growth and ameliorate the impact of migratory grief. A community based participatory approach was used. The research team, and community organisation supporting this group, collaborated as equals to foster trust and reciprocity in research. Two focus groups were run in Arabic with a professional interpreter with 14 male participants from six different countries, all with lived experience of the asylum process. The findings are reported under three major themes: pre-migration experiences (home, journeys and disaster), post-migration stress (suffering and meaning) and post-migration growth (hope, kinship and healing). The findings suggest that group interventions and peer support are beneficial and acceptable across diverse backgrounds and immigration statuses, though further research is needed to assess the effectiveness of different group based well-being interventions across cultures. Our study confirmed the priority of social determinants of health such as housing, food insecurity and social inclusion, which therefore require joined up approaches in policy between health, voluntary and local government sectors. At a policy level, further emphasis should be placed on creating structures to support these elements to prevent longer term impacts of migratory grief on emerging mental health conditions and enable coping with stress. This study confirmed the key role of meaningful activities (such as physical activity, volunteering and cooking), daily routine, culturally acceptable food, access to places of worship, purpose and activities which offer distraction and fulfilment in shaping grief reactions following loss. This study confirms that migratory grief is a distinct process that requires careful detection by culturally adapted conversations and language. It suggests how to adapt well-being interventions to support post-traumatic growth and the unique potential for group based interventions outside of Home Office accommodation to reduce psychopathology due to migratory grief. Citation: Journal of Public Mental Health PubDate: 2024-12-31 DOI: 10.1108/JPMH-08-2024-0103 Issue No:Vol. ahead-of-print, No. ahead-of-print (2024)
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Authors:Tiluka Bhanderi, Misbah Ameen-Khan, Sally Abbott Abstract: The purpose of this study is to synthesize published empirical qualitative evidence which explores the socio-cultural influences on the development of eating disorders from the perspective of South Asian women. A systematic search of the databases CINAHL, MEDLINE, Scopus and APA PsycINFO was conducted to identify relevant journal articles published up to August 2023. The quality of the included studies was appraised using the Critical Appraisal Skills Programme Qualitative Tool. Data was synthesized and analysed using thematic synthesis. Four studies from the UK, USA and Canada were included in the meta-synthesis. Three main themes were found: gratifying others, negative childhood experiences and shame and stigma. South Asian women report many socio-cultural factors that can influence eating disorder development. Findings of this meta-synthesis highlight the importance of cultural awareness, and health-care professionals should be aware of the nuanced socio-cultural factors that can influence a South Asian woman’s relationship with food and body image. South Asian communities are understudied in the context of mental health, including eating disorders. To the best of the authors’ knowledge, this is the first study to synthesize the available qualitative evidence on socio-cultural influences on eating disorder development among South Asian women. These findings have revealed insights that can be harnessed by health-care professionals to better understand factors that contribute to eating disorder development and support cultural awareness. Citation: Journal of Public Mental Health PubDate: 2024-12-19 DOI: 10.1108/JPMH-06-2024-0079 Issue No:Vol. ahead-of-print, No. ahead-of-print (2024)
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Authors:Taiki Matsuura, Anne Klee, Holly Heikkila, James Cooke, Ellen Edens, Robert Rosenheck Abstract: Religion and spirituality (R/S) are recognized components of recovery-oriented mental health services. This study aims to present a clinically focused tool for assessing R/S interest among veterans with serious mental illness (SMI). A questionnaire including 39 items was developed by experienced chaplains and mental health clinicians and administered to modest pilot sample of 110 participants in a recovery-oriented program at a medical center of the US Veterans Health Administration (VHA). Altogether 40 (37%) participants said they would like R/S issues to be a greater part of their treatment (i.e. very or extremely). A screening tool to identify veterans for referral to R/S focused interventions was developed based on the selection of the five items most strongly loading on the strongest factor in a factor analysis. First, the identification of items for the survey was made on the basis of clinical experience with issues discussed by veterans in a VA recovery-oriented program and thus are based on clinician experience and their association with a stated desire for more R/S in their treatment. Since no gold-standard measure of “religion/spirituality” has been universally established and validated, this method, though imperfect, was accepted as practical and as having face validity. Furthermore, the sample size, while substantial, was limited and was not representative of the general population. Again, this was a pilot study of a unique effort to identify R/S issues of greatest relevance in a recovery program for people with SMI. In this SMI sample, 36% of the participants said that they would like more R/S to be incorporated into their treatment. Factor analysis showed the desire for uplifting religious/spiritual community to be the predominant factor and formed the basis for a five-item screening tool that can be used to briefly identify services needs in this area of recovery. This screening tool can help incorporate religious and spiritual issues into mental health treatment, and area of importance that is often neglected. The results could help destigmatize this area of recovery practice for people with SMI. This R/S survey of SMI adults suggests that over one-third of the participants in a pilot sample in a recovery-oriented program would like more R/S emphasis in their treatment. Factor analysis showed the desire for uplifting religious/spiritual community to be the predominant factor. Citation: Journal of Public Mental Health PubDate: 2024-12-03 DOI: 10.1108/JPMH-06-2024-0073 Issue No:Vol. ahead-of-print, No. ahead-of-print (2024)
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Authors:Elise Tosatti, Lana Khamash Abstract: This case study describes pilot implementation of Nalanda Institute’s Compassion-Based Resilience Training (CBRT) with community care providers in New York City (NYC) to protect them from stress and trauma impacts and nurture their capacity to deliver skillful, compassionate care. The Academy for Community Behavioral Health in NYC offered CBRT at no cost to a diverse cohort of 28 nonprofit care providers. This virtual eight-week course met weekly for 2 hours over Zoom, with formal and informal meditation practice between sessions. A mixed methods pre/post survey assessed changes in meditation practice, work-related stress and mindfulness and compassion. A final survey invited participant feedback on course experiences and course outcomes. This case study suggests that a virtual eight-week CBRT course can be both feasible and effective for community care providers, even in their demanding roles. Most participants who started the course completed it (77%). CBRT helped participants establish a regular meditation practice and led to improvements on indicators of work-related stress, mindfulness and compassion. Participants linked these changes to an increased sense of hopefulness, agency and resilience for navigating stress and trauma in their work. They also found valued peer support in the course. This case study offers one model for sharing effective but underused contemplative healing tools with care providers who encounter significant stress and trauma. It can inform efforts by funders, organizational leaders, managers, direct care staff and researchers to better protect these critical helpers. Citation: Journal of Public Mental Health PubDate: 2024-11-28 DOI: 10.1108/JPMH-08-2024-0099 Issue No:Vol. ahead-of-print, No. ahead-of-print (2024)
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Authors:Nia Williams, James B. Kirkbride Abstract: There is growing evidence that several social determinants influence mental health outcomes, but whether or not community-based prevention strategies are effective in intervening on these social determinants to improve mental health is unclear. The purpose of this study was to synthesise the state of knowledge on this topic in the UK context, by conducting an umbrella review of the relevant systematic review literature. The authors searched five electronic databases for systematic reviews of community-based interventions that addressed any social determinant of mental health (SDOMH) in the UK, provided that mental health outcomes were measured. They also reported the results according to PRISMA guidelines and synthesised narratively. The search yielded 1,101 citations, of which 10 systematic reviews met inclusion criteria. These reviews included 285 original studies, of which 147 (51.6%) were from the UK. Two reviews focussed on children and young people, with the remainder based on working-age adult populations. The authors identified five categories of SDMOH, where financial insecurity and welfare advice interventions were addressed by the largest number of reviews (n = 4), followed by reviews of interventions around social isolation and support (n = 3) and housing regeneration initiatives (n = 2). Results across all social determinants and mental health outcomes were highly heterogenous, but evidence most consistently supported the effectiveness of interventions addressing financial and welfare support on mental health outcomes. This review highlights the paucity of high quality, causal evidence from the UK and beyond on the effectiveness of interventions on the social determinants of mental health; severe methodological heterogeneity hampers progress to identify scalable interventions to improve population mental health. Citation: Journal of Public Mental Health PubDate: 2024-11-11 DOI: 10.1108/JPMH-07-2024-0087 Issue No:Vol. ahead-of-print, No. ahead-of-print (2024)
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Authors:Gregory Acevedo, Abigail Miller Ross, Rushaa Hamid, Oisin Sweeney, Helen Daly, Sumaty Hernandez-Farina, Xia Lin, Bethan Mobey Abstract: The purpose of this study is to explore the ways in which the cost-of-living crisis affected emotional support access and availability among multiply-marginalised UK-based youth. This study reports findings from early stages of a multiphase youth participatory action research (YPAR) project. In all, 12 young residents of Tower Hamlets London (ages 16–22 years) employed as peer researchers conducted 14 focus groups with 44 residents of Tower Hamlets over a six-month period. Data were analysed using principles of reflective thematic analysis. Analyses produced salient themes that identified barriers to obtaining emotional support from parents and carers, described the utility of diverse support networks and elucidated the impact of the cost-of-living crisis on emotional support and youth well-being. This study has several limitations pertaining primarily to study design, sample size and sample composition that limit generalizability of findings. The findings indicate that the cost-of-living crisis markedly constrained the participants’ access to and availability of formal and informal support from others. The findings from this research will influence the design and delivery of policy and services to better meet the needs and experiences of UK-based young people and their families. This project has the potential to increase understanding of how families can provide effective emotional support to young people and so improve the lives of Londoners now and in the future. To the best of the authors’ study, this study is the first to use a YPAR approach to exploring the impact of the cost-of-living crisis on UK-based youth. Citation: Journal of Public Mental Health PubDate: 2024-11-08 DOI: 10.1108/JPMH-06-2024-0080 Issue No:Vol. ahead-of-print, No. ahead-of-print (2024)
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Authors:Phil Morgan, Nicola Ann Cogan Abstract: Artificial intelligence (AI) is poised to reshape mental health practices, policies and research in the coming decade. Simultaneously, mental health inequalities persist globally, imposing considerable costs on individuals, communities and economies. This study aims to investigate the impact of AI technologies on future citizenship for individuals with mental health challenges (MHCs). This research used a community-based participatory approach, engaging peer researchers to explore the perspectives of adults with MHCs from a peer-led mental health organisation. This study evaluated potential threats and opportunities presented by AI technologies for future citizenship through a co-created film, depicting a news broadcast set in 2042. Data were gathered via semi-structured interviews and focus groups and were analysed using a reflexive thematic approach. The analysis identified four key themes: Who holds the power' The divide, What it means to be human, and Having a voice. The findings indicate that adults with living experiences of MHCs are eager to influence the development of AI technologies that affect their lives. Participants emphasised the importance of activism and co-production while expressing concerns about further marginalisation. This study provides new insights into the intersection of AI, technology and citizenship, highlighting the critical need for inclusive practices in technological advancement. By incorporating the perspectives of individuals with living experiences, this study advocates for participatory approaches in shaping AI technologies in mental health. This includes the co-creation of machine learning algorithms and fostering citizen engagement to ensure that advancements are equitable and empowering for people with MHCs. Citation: Journal of Public Mental Health PubDate: 2024-11-01 DOI: 10.1108/JPMH-07-2024-0095 Issue No:Vol. ahead-of-print, No. ahead-of-print (2024)
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Authors:Matt Broadway-Horner Abstract: The purpose of this commentary is to appraise and critically evaluate sexual minorities' mental health provision according to individual and systemic barriers to mental health care. It addresses the issue of health inequity by first exploring the background narrative that informs health inequalities and then moving forward in creating a health equity framework. From the focus point of mad studies and queer theory. In this critical commentary, the work alongside others will be viewed and discussed in terms of addressing individual and systemic barriers to mental health care. Furthermore, how this has been significantly influenced by the colonisation of mental health with its polarising language and increased marginalisation will be discussed. Progress world view (PWV) will help sexual minorities receive the care needed. Through the decolonisation of mental health, there will be a new understanding that helps us achieve health equity by using a gay worldview lens called the PWV (Broadway-Horner, 2024). In closing, recommendations for future research alongside policy implications for service restructuring implementation of a decolonising health service. This will include a national training package to increase self-efficacy levels. It brings together a cohesive understanding of the PWV within a larger body of work on sexual minorities and mental health. Citation: Journal of Public Mental Health PubDate: 2024-10-16 DOI: 10.1108/JPMH-04-2024-0052 Issue No:Vol. ahead-of-print, No. ahead-of-print (2024)
Hybrid journal * Containing 1 
Open Access article(s) in this issue *
