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1 – 10 of 134The purpose of this paper is to describe Karen refugee women’s experience of resettlement and the factors which structured community capacity to support their mental health and…
Abstract
Purpose
The purpose of this paper is to describe Karen refugee women’s experience of resettlement and the factors which structured community capacity to support their mental health and well-being.
Design/methodology/approach
A postcolonial and feminist standpoint was used to bring Karen women’s voice to the knowledge production process. Data were collected through ethnographic field observation, in-depth semi-structured individual and focus group interviews with Karen women as well as healthcare and social service providers.
Findings
Three interrelated themes emerged from the data: Karen women’s construction of mental health as “stress and worry”; gender, language and health literacy intersected, shaping Karen women’s access to health care and social resources; flexible partnerships between settlement agencies, primary care and public health promoted community capacity but were challenged by neoliberalism.
Research limitations/implications
Karen women and families are a diverse group with a unique historical context. Not all the findings are applicable across refugee women.
Practical implications
This paper highlights the social determinants of mental health for Karen women and community responses for mitigating psychological distress during resettlement.
Social implications
Public health policy requires a contextualized understanding of refugee women’s mental health. Health promotion in resettlement must include culturally safe provision of health care to mitigate sources of psychological distress during resettlement.
Originality/value
This research brings a postcolonial and feminist analysis to community capacity as a public health strategy.
Details
Keywords
Ian F. Walker, Jude Stansfield, Lily Makurah, Helen Garnham, Claire Robson, Cam Lugton, Nancy Hey and Gregor Henderson
Mental health is an emerging health policy priority globally. The emphasis on closing the treatment gap in psychiatric services is now being complemented by an increasing focus on…
Abstract
Purpose
Mental health is an emerging health policy priority globally. The emphasis on closing the treatment gap in psychiatric services is now being complemented by an increasing focus on prevention and health promotion. The purpose of this paper is to describe the programmes and delivery of public mental health in England led by Public Health England (PHE), an arms-length body of the Department of Health and Social Care.
Design/methodology/approach
This technical paper outlines the general approach PHE has taken in delivering national work in public mental health and describes several key areas of work: children and young people, suicide prevention, workplace and workforce, strategic engagement with stakeholders, data and information and evidence synthesis.
Findings
A description of the various programmes and guidance documents that PHE have produced are described and referenced, which form a substantial body of work in public mental health.
Practical implications
The outputs from PHE may assist in informing the approach to public mental health that other government agencies could consider adopting. The resources described and signposted within this technical paper are publicly available for readers.
Originality/value
England is one of a small group of countries that have a track record in delivering public mental health at a national level. This paper gives a unique and detailed insight into this work.
Details