Factors that influence Asian communities' access to mental health care
2005; Wiley; Volume: 14; Issue: 2 Linguagem: Inglês
10.1111/j.1440-0979.2005.00364.x
ISSN1447-0349
AutoresDianne Wynaden, Rose Chapman, Angélica Orb, Sunita McGowan, Zenith Zeeman, Siewho Yeak,
Tópico(s)Family Caregiving in Mental Illness
ResumoInternational Journal of Mental Health NursingVolume 14, Issue 2 p. 88-95 Factors that influence Asian communities' access to mental health care Dianne Wynaden, Corresponding Author Dianne Wynaden School of Nursing and Midwifery, Curtin University of Technology, Perth Fremantle Hospital, Fremantle Dianne Wynaden, RN, RMHN, MSc (HSc), PhD.Dianne Wynaden, School of Nursing and Midwifery, Curtin University of Technology, GPO Box U1987, Perth, WA 6845, Australia. Email: [email protected]Search for more papers by this authorRose Chapman, Rose Chapman School of Nursing and Midwifery, Curtin University of Technology, Perth Emergency Department, Joondalup Health Service, Joondalup, Australia Rose Chapman, RN, MSc (Nursing).Search for more papers by this authorAngelica Orb, Angelica Orb School of Nursing and Midwifery, Curtin University of Technology, Perth Angelica Orb, RN, PhD.Search for more papers by this authorSunita McGowan, Sunita McGowan School of Nursing and Midwifery, Curtin University of Technology, Perth Fremantle Hospital, Fremantle Sunita McGowan, RN, MSc (Nursing).Search for more papers by this authorZenith Zeeman, Zenith Zeeman School of Nursing and Midwifery, Curtin University of Technology, Perth Fremantle Hospital, Fremantle Zenith Zeeman, RN, RMHN, BSc (Nursing).Search for more papers by this authorSiewHo Yeak, SiewHo Yeak Fremantle Hospital, Fremantle SiewHo Yeak, RMHN, RN, BSc (Nursing).Search for more papers by this author Dianne Wynaden, Corresponding Author Dianne Wynaden School of Nursing and Midwifery, Curtin University of Technology, Perth Fremantle Hospital, Fremantle Dianne Wynaden, RN, RMHN, MSc (HSc), PhD.Dianne Wynaden, School of Nursing and Midwifery, Curtin University of Technology, GPO Box U1987, Perth, WA 6845, Australia. Email: [email protected]Search for more papers by this authorRose Chapman, Rose Chapman School of Nursing and Midwifery, Curtin University of Technology, Perth Emergency Department, Joondalup Health Service, Joondalup, Australia Rose Chapman, RN, MSc (Nursing).Search for more papers by this authorAngelica Orb, Angelica Orb School of Nursing and Midwifery, Curtin University of Technology, Perth Angelica Orb, RN, PhD.Search for more papers by this authorSunita McGowan, Sunita McGowan School of Nursing and Midwifery, Curtin University of Technology, Perth Fremantle Hospital, Fremantle Sunita McGowan, RN, MSc (Nursing).Search for more papers by this authorZenith Zeeman, Zenith Zeeman School of Nursing and Midwifery, Curtin University of Technology, Perth Fremantle Hospital, Fremantle Zenith Zeeman, RN, RMHN, BSc (Nursing).Search for more papers by this authorSiewHo Yeak, SiewHo Yeak Fremantle Hospital, Fremantle SiewHo Yeak, RMHN, RN, BSc (Nursing).Search for more papers by this author First published: 16 May 2005 https://doi.org/10.1111/j.1440-0979.2005.00364.xCitations: 112 Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract ABSTRACT: This paper presents the findings of a qualitative study to identify factors that influence Asian communities' access to mental health care and how mental health care is delivered to them. Semistructured interviews were completed with Asian community members/leaders and health-care professionals. Content analysis identified major themes. Participants also completed a demographic data sheet. The research aimed to provide health professionals with an increased understanding of the values and beliefs held by people from Asian communities regarding the cause and treatment of mental illness. Data analysis identified six main themes that influenced Asian communities' access to mental health care and how mental health care is delivered to them. They were: shame and stigma; causes of mental illness; family reputation; hiding up; seeking help; and lack of collaboration. The findings highlighted that people from Asian communities are unwilling to access help from mainstream services because of their beliefs, and that stigma and shame are key factors that influence this reluctance. The findings also highlight that the mental health needs of refugee women are significant, and that they comprise a vulnerable group within Australian society. REFERENCES Australian Government (2003). AusStats [Cited 11 Sep 2003]. Available from URL: http://www.abs.gov.au.dbgw.lis.curtin.edu.au/ausstats/abs@nsf/b06660592430724 Australian Health Ministers (1992). National Mental Health Plan: National Mental Health Strategy. Canberra: Commonwealth Department of Health and Family Services. Balarajan, R. & Soni Raleigh, V. (1993). The Health of a Nation: Ethnicity and Health, a Guide for the NHS. London: Department of Health. Bowes, A. & Wilkinson, H. (2003). 'We didn't know it would get this bad': South Asian experiences of dementia and the service response. Health Social Care in the Community, 11, 387–396. Burr, J. & Chapman, T. (1998). Some reflections on cultural and social considerations in mental health nursing. Journal of Psychiatric and Mental Health Nursing, 5, 431–437. Fann, C. (1999). A comparison of attitudes towards mental illness and knowledge of mental health services between Australian and Asian students. Community Mental Health Journal, 35, 47–56. Field, P. & Morse, J. (1994). Nursing Research: The Application of Qualitative Approaches. London: Chapman & Hall. Gorman, D., Brough, M. & Ramirez, E. (2003). How young people from culturally and linguistically diverse backgrounds experience mental health: Some insights for mental health nurses. International Journal of Mental Health Nursing, 12, 194–202. King, M., Sims, A. & Osher, D. (2003). How is cultural competence integrated in education? [Cited 11 Sep 2003]. Available from URL: http://www.cecp.air.org/cultural/Q_integrated.htm Klimidis, S., McKenzie, D., Lewis, J. & Minas, L. (2000). Continuity of contact with psychiatric services: Immigrant and Australian-born patients. Social Psychiatry Psychiatrics Epidemiology, 35, 554–563. Kokanovic, F., Petersen, A., Mitchell, V. & Hansen, S. (2001). Care-Giving and the Social Construction of 'Mental Illness' in Immigrant Communities. Perth, WA: Eastern Perth Public and Community Health Unit and Murdoch University. Kumari, N. (2004). South Asian women in Britain: Their mental health needs and views of services. Journal of Mental Health Promotion, 3, 30–38. Lam, A. & Kavanagh, D. (1996). Help seeking by immigrant Indo-Chinese psychiatric patients in Sydney, Australia. Psychiatric Services, 47 , 993–995. Leong, T. & Lau, A. (2001). Barriers to providing effective mental health care to Asian Americans. Mental Health Services Research, 3 , 201–214. Li, P. L., Logan, S., Yee, L. & Ng, S. (1999). Barriers to meeting the mental health needs of the Chinese community. Journal of Public Health Medicine, 21, 74–80. Manderson, L. (1990). Introduction: Does culture matter? In: J. Reid & P. Tromft (Eds). The Health of Immigrant Australia. A Social Perspective. Sydney: Harcourt Brace Jovanovich, Publishers. Manderson, L. & Mathews, M. (1985). Care and conflict: Vietnamese medical beliefs and the Australian health care system. In: I. Burnley, S. Encel & G. Mccall (Eds). Immigration and Ethnicity in the 1980s, Chapter 14 (pp. 248–268). Melbourne: Longman Cheshire. Mashaba, G. (1995). Culture in French. In P. French (Ed.). The Nurse, Self and Society. An Introduction to Applied Behavioural Sciences for Nurses and Health Care Professionals (pp. 252–261). Hong Kong: Waverly Info, Medical Ltd. Morse, J. (1995). The significance of saturation. Qualitative Health Research, 5 , 147–148. Muhlbauer, S. (2002). Navigating the storm of mental illness: Phases in the family's journey. Qualitative Health Research, 12 , 1076–1092. Orb, A. (2002). Health Care Needs of Elderly Migrants from Cultural and Linguistically Diverse Backgrounds (CALD). A Review of the Literature. Perth: Centre for Research into Aged Care Services, Curtin University of technology. Orb, A., McGowan, S., Wynaden, D. & Quilty, C. (2001). Evaluation of the First 72 Hours of Nursing Assessment of Elderly Patients Admitted to a Psychogeriatric Unit. A Practice Development Unit Initiative. Fremantle: Directorate of Mental Health Services, Fremantle Hospital and Health Service. Orb, A. & Wynaden, D. (2001). Cross-cultural communication and health care practice. Australian Journal of Holistic Nursing, 8 (2), 31–38. Preston, N., Stirling, M., Perera, K. et al. (2003). Introducing a statewide evaluation system for early psychosis: Early psychosis outcome evaluation system. Australian and New Zealand Journal of Psychiatry, 37 , 421–428. Rose, K. & Webb, C. (1998). Analysing data: Maintaining rigor in a qualitative study. Qualitative Health Research, 8 , 556–562. Sheikh, S. & Furnham, A. (2000). A cross-cultural study of mental health beliefs and attitudes towards seeking professional help. Social Psychiatry/Psychiatric Epidemiology, 35, 326–334. Shin, J. (2002). Help seeking behaviours by Korean immigrants for depression. Issues in Mental Health Nursing, 23, 461–476. Streubert Speziale, H. J. & Carpenter, D. R. (2003). Qualitative Research in Nursing. Advancing the Humanistic Imperative, 3rd edn. Philadelphia: Lippincott Williams & Wilkins. Swanson, J. (1986). The formal qualitative interview for grounded theory. In: W. Chenitz & J. Swanson (Eds). From Practice to Grounded Theory: Qualitative Research in Nursing (pp. 67–77). Menlo Park, CA: Addison-Wesley. United States of America Department of Health and Human Services, OPHS Office of Minority Health (2001). National Standards for Culturally and Linguistically Appropriate Services in Health Care: Executive Summary.[Cited 11 Sep 2003]. Available from URL: http://www.omhrc.gov/clas/ Citing Literature Volume14, Issue2June 2005Pages 88-95 ReferencesRelatedInformation
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