Anyalysing The History Of Mental Health Social Work Essay

Mental unwellness is a shorthand term for a spectrum of unwellnesss that consequence the operation of the head or ideas Donnellan 2004. Harmonizing to Al-Issa ( 1980 ) many head-shrinkers and psychologists in history believed in and stressed the low position of females. In add-on they supported the thought that there was favoritism against adult females in most societies. In the past the mental wellness profession ( male dominated ) defined females ‘sanity ‘ and ‘madness ‘ in footings of a adult females ‘s endocrines could be imbalanced, which caused major psychiatric jobs. Two psychiatric labels were used to degrade adult females to the position of sexual objects and possible mental patients were nymphomaniac ( 0versexed ) or cold ( undersexed ) .

At the start of the sixteenth Century, cited by Chelsar ( 2005 ) hubbies who were affluent, if they got tired of their married womans, might hold such adult females locked up in Bedlams or imprisoned for ‘psychiatric ‘ , grounds so they could get married once more. By the seventeenth Century, in France the first mental refuge, the Salpetriere, particular wards existed where cocottes, pregnant adult females, hapless and immature adult females were kept. Douglas ( 1970 ) cited in Al-Issa ( 1980 ) suggests that many adult females

2.2 Mental wellness amongst South Asiatic adult females

Harmonizing to Kumari ( 2004 ) consequences of a study carried out by a South Asiatic adult females ‘s administration, confirmed other findings indicating to a big per centum of South Asiatic adult females enduring from psychological jobs, normally related to anxiousness and depression. A big figure had experienced racial favoritism, whilst several had experienced sexual favoritism. Eating upsets, soldierly jobs and domestic force was reported by participants. The bulk of participants did non cognize where to happen the aid for mental issues. They wanted services ran by South Asiatic staff in their ain national linguistic communications and confidential therapies to be provided. Reported in other surveies by Kumari ( 2004 ) that about 57 % adult females experienced achings and strivings for no ground, some coped by seeing the physician, 32 % said they cried and others tried to loosen up. 62 % thought the symptoms were caused by emphasis and unhappiness whilst 32 % did non cognize the causes.

Anand and Cochrane ( 2005 ) depict how the mental wellness of South Asiatic adult females in Britain has been researched over the past 30 old ages. Much involvement has been stimulated from early surveies that found some groups of South Asiatic adult females had an increased hazard of psychological prblems because of their exposure. The UK Government research, such as Department of Health ( 2003 ) study ‘Delivering Race Equality: A Model for Action ‘ took an involvement, emphasizing the importance of mental wellness demands of Black and cultural minority grouos in Britain. Certain demands were highlighted and made a priotiy in the proviso of mental health care within the National Health Service.

The 2001 Census informations cited in Anand et Al ( 2005 ) shows that 7.9 % ( 4.6 million ) of people populating in Britain are from colored cultural minority backgrounds. Over 2.3 million of these ( 4 % of the entire population ) identified as holding beginnings in the Indian Sub-continent. South Asiatic group, 1 million

2.3 History of Domestic Violence

Harmonizing to Frost et Al ( 1999 ) domestic force is non something new, there has ever been the maltreatment of adult females by ther spouses. Harmonizing to Foreman and Dallos ( 1993 ) cited in Frost et Al ( 1999 ) , a hubby ‘s right to command both his married woman and belongings in the private household place was stated in English commn jurisprudence until nineteenth Century. By jurisprudence hubbies and married womans were seen as one individual, so there was barely any protection for adult females who experienced any sort of maltreatment from their spouses.

2.4 Defining Domestic Violence

Chapter 3

Methodology – Survey Aim

The purpose of the survey was to place possible links amongst South Asiatic adult females that might hold led to short or long term break down in their ‘mental wellness ‘ . These triggers may include domestic force, fiscal concerns, soldierly differences, pre bing physical wellness jobs etc. It was intended that the research attempted to detect if there was a nexus between domestic force and the development of mental wellness jobs amongst South Asiatic adult females. If such nexus could be discovered there might be the possibility for early intercession to cut down the incidence and badness of such mental wellness jobs. In order to analyze these purposes, the survey will:

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Examine causes associating to mental wellness jobs which are relevant to the ethnic/gender group of the survey: these might help to cut down the incidence of mental wellness jobs in this specific group.

Find the statistical grounds ( secondary informations ) from research antecedently done by assorted administrations, in order to compare and measure primary findings

From replies of participants in the focal point group conducted, highlight countries of concern and challenges in service proviso to South Asiatic adult females and possible ways frontward for service suppliers.

With respects to the research worker ‘s placement administration:

Discover if the needed support was in topographic point at the scene

Was thee any other support required at the scene

Were the service users happy with the support in their scene

I do recognize that this research and the methods that have been employed have been to a great extent influenced by these beginnings. I acknowledge that a diagnosing of mental wellness can be subsequent due to domestic force.

3.1 Sample

All members of the Zinda Dil Project were given the chance to take portion in this research. All members fulfilled the standards and were good known to the research worker.

3.2 Participants

Eight participants from the Zinda Dil Project, aged 16-25 were recruited to take portion. They were from a assortment of socio- economic backgrounds and were all South Asian. All participants were victims of domestic force and suffered from mental wellness. Although some research workers would reason that acquaintance between participants can be damaging to the procedure of deriving research ( restricting honestness, self-generated and broad ranging responses ) Kitzinger ( 1994 ) advocates the usage of pre-existing groups, as participants can associate to each others remarks more readily, challenge each other and already have the trust component that is so important to a successful treatment.

3.4 Criteria for exclusion

There was no exclusion standards identified for this survey. Although participants were members of the Project, all patients from the Undertaking were given the chance to fall in the group.

3.5 Focus Groups as a method of Qualitative Research

Qualitative techniques are considered to be used when carry oning research into wellness and societal issues, peculiarly when the subject under survey is of a sensitive nature. Surveies researching societal support can be considered to be affectional and hence utilizing qualitative methods is a valuable manner of look intoing this subject ( Jacobson, 1990 ) .

Woodgate ( 2006 ) employed qualitative research methods in order to carry on her survey into societal support for immature striplings with mental wellness. Using this method allows a research worker to get at meaningful readings of a immature individual ‘s position, it supports the position that striplings are competent newsmans of their societal universes, makes the immature individual ‘s position of their experiences the Centre of the analysis and ensures the survey does n’t merely research immature people, it works for them in a positive manner in footings of unwraping their experiences.

Focus groups are progressively being used in qualitative research. The 1990s saw a revival of this method, and many societal research workers now consider it to be a valuable tool, peculiarly when researching people ‘s experiences and sentiments. It seems sensible hence to utilize this method when carry oning the present survey.

The advantages of focal point groups are apparent: a big sum of informations can be collected from a figure of people in a short period of clip and can be recorded for in depth analysis. A friendly, encouraging environment is of course created for participant, alongside others who are of similar age, who are like minded and have similar experiences. The environment is conductive to rapport edifice, eases uncomfortableness with the survey subject, allow participants to lucubrate, respond to others part and expand on the responses of others. This allows a research worker to be confident that the feelings and experiences that are disclosed are genuinely representative of participant ‘s worlds.

Indeed the informations collected can be considered to be of quality as the attack is more ‘naturalistic ‘ and closer to mundane conversations i.e. the groups will hopefully include a figure of communicating procedures including tease, joking and reasoning etc. These procedures should ensue in in-depth group treatments and bring forth consequences that are conclusive via arguments, duologues and dissensions.

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Focus groups besides provide a wealth of chances to detect and enter the linguistic communication of the group under survey, both covertly and overtly and this for a research worker is priceless. The control of the focal point group is given to the participants, which allows the research worker non merely to analyze but besides allows the participants to make their ain treatments, with minimum motivating from the facilitator. Therefore the penetrations in this method may non be apparent in another method of research.

Indeed, Zellar ( 1993 ) province that it is imperative two aims are achieved when carry oning societal focal point groups:

The participants should transport the conversation

Excessive force per unit area should non be placed on those who are diffident about lending. The moderator must guarantee all participants have the chance to talk and should seek elucidation and investigation for interpretational contexts if required.

If this is accomplished, a successful focal point group will be the consequence hence the information informations produced will be of wealth.

3.6 Young people as participants

To understand the alone features and demands of immature people, it is educational to derive the experiences of the service users themselves. Indeed Zebrack et Al ( 2006 ) province ‘the position of the patient/survivor is perceptibly absent from the literature, yet their alone position as wellness attention consumers is critical in the procedure of bettering attention ‘ .

However, there are a scope of troubles in utilizing immature people as participants. Their significance systems are really different from an grownup ‘s ( Miller and Glassner ( 2004 ) and authorising immature people to show their positions and portion their experiences so non being appropriate with their sentiments can supply ethical hazards. It is important therefore that an grownup research worker does non presume that they have a clear apprehension of a immature individual ‘s world. Opinions and experiences must be acknowledged, non verbal communications recognised and elucidation sought where necessary.

A immature individual may take into history the gender, race, and category etc of the research worker and react consequently. However, the obvious differences between the research worker and the immature interviewee may, and likely will experience empowered as they can recognize themselves as being an expert on a subject of involvement to person they perceive to be in a more powerful place.

All factors are really hard to command but as the research worker and holding the advantage of already cognizing the participants, will hopefully relieve many of these troubles.

3.7 Procedure

8 possible participants were verbally asked by the director of the Undertaking if they would wish to take portion in the research at one of the renters meetings.

The immature people were advised why the survey was being undertaken, what would be under treatment and what the consequences would be used for. They were made cognizant that engagement was non mandatory and the refusal to take portion would non impact their occupancy at the Undertaking and besides they could retreat at anytime and that all the consequences would be confidential and anonymised.

Members were so asked to take away a transcript of the participant information sheet ( Appendix 2b ) and see if they wanted to take portion. Had they wanted to take portion they would allow the research worker of the director of the undertaking. Potential participants were given one hebdomad for this procedure.

Of the 15 possible participants approached to take portion in the survey, 8 responded positively. Negative responses were due to illness, college limitations

The following renter meeting, possible participants were told of the confirmed locale ( communal sofa ) , clip and day of the month of the focal point group. And given a transcript of the subject usher ( Appendix 2c )

The focal point group was so carried out.

3.8 Topic ushers and survey information

‘If the participants in a focal point group have spent some clip believing about the subject to be discussed before the focal point group, the conversation will be more enlightening and lively. ‘ Morgan ( 1993 )

Participants information detailing the exact process, possible participants could anticipate to travel through, topic ushers were used to alarm participants to the types of treatments that would be taking topographic point. The ushers allowed participants the chance to garner their ideas and feelings and practically fix themselves for the session.

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Topic ushers were formulated by the research worker after maintaining an anon. contemplation journal of any treatment and cardinal work taken topographic point with anon. service user in day-to-day pattern. The subject usher was merely used as a idea arousing tool for participants and non as a rigorous guideline for the focal point group session.

3.9 Ethical Considerations -3.9a Approval

Oldham Family Crisis Group ethical blessing was gained through the research worker transporting a arrangement at the administration.

There were a figure of ethical considerations:

Guaranting all participants had sufficient information and clip to do an informed determination about taking portion in the research

Guaranting participants were cognizant that the session would be recorded and were consented to that procedure

Guaranting participants agreed to take portion in the research before the Sessionss took topographic point to avoid irresistible impulse from the research worker or other group members

Guaranting suffient support was put in topographic point during and post focal point group and guaranting the participants were cognizant of this so it can be utilised as when required ( societal workers, support workers, CPN were briefed and on manus ) .

All issues were addressed in the information sheet ( Appendix 2b )

3.9b Consent

Participants, who are all over the age of 16 were asked to describe to the research worker or the Manger of the Undertaking if they wish to take portion which so was recorded in the twenty-four hours book ( Appendix 2b )

3.9c Confidentiality

Participants were assured they would be anonymised in the written texts and that any quotation marks used would be anoymised in the consequences and treatment. The participants were reminded of the land regulations that were established for the preexistent group, these include esteeming each others sentiment, non speaking over each other and maintain confidentiality.

3.10 Qualitative Framework Analysis

Once the focal point group had been conducted, the audio recordings were transcribed ( Appendix 1 ) . Qualitative model analysis was used to analyze the informations received from the focal point group. This method is comparatively consistently and comprehensive, and looks within the research for recurrent subjects. This allowed sub headers to be recognised and cardinal subjects to be established.

3.11 Group Dynamics, entering observations and sum-ups of focal point group

It would impossible to successfully analyse focal point group informations without admiting the group kineticss. This is of import for Focus Group research workers in two respects:

‘it can assist place the conditions that promote interaction and unfastened treatment of participants position and experiences ‘ and

It can assist help in the analysis of the informations through an apprehension of what was go oning in the group every bit good as why it might hold been go oning ‘ ( Catterall and Maclaren, 1997 ) .

Group kineticss can positively advance treatment, or can negatively impede it and can besides pollute a participant ‘s true response ( Morgan, 1995 ) . This ‘group consequence ‘ can hold inauspicious impact on the genuineness the focal point group informations. I the instance of this instance study the group kineticss are already established and hence minimum impact on the consequences will hopefully be achieved.

Any interactions of note within the focal point group, were recorded manually during the Sessionss. This allowed the research worker to bring forth a drumhead instantly at the terminal of the session ( full experimental diary Appendix 3 ) .

Chapter 4

Presentation and sum-up of primary research

This independent survey was conducted to find a nexus between domestic force and the development of mental wellness jobs amongst South Asiatic adult females. A focal point group was conducted with 8 South Asiatic adult females, over the age of 16, who have all been victims of domestic force which has resulted in enduring from mental wellness issues. The intent of this subdivision is to place experiences of the service users suffer from mental wellness issues in a supported proviso.

4.1 Qualitative Analysis and procedure

David.L.Morgan ( 1993 ) Successful focal point groups: progressing the sate of the art

Sage Focus edition