261 research outputs found
PhD open access documents - Roxanne Keynejad
No full textPhD research adapting and piloting brief problem-solving therapy for the perinatal emotional difficulties of women experiencing intimate partner violence in rural Ethiopia
WHO Mental Health Gap Action Programme (mhGAP) Intervention Guide: a systematic review of evidence from low and middle-income countries
Full text linkQUESTION: Despite mental, neurological and substance use (MNS) disorders being highly prevalent, there is a worldwide gap between service need and provision. WHO launched its Mental Health Gap Action Programme (mhGAP) in 2008, and the Intervention Guide (mhGAP-IG) in 2010. mhGAP-IG provides evidence-based guidance and tools for assessment and integrated management of priority MNS disorders in low and middle-income countries (LMICs), using clinical decision-making protocols. It targets a non-specialised primary healthcare audience, but has also been used by ministries, non-governmental organisations and academics, for mental health service scale-up in 90 countries. This review aimed to identify evidence to date for mhGAP-IG implementation in LMICs. STUDY SELECTION AND ANALYSIS: We searched MEDLINE, Embase, PsycINFO, Web of Knowledge/Web of Science, Scopus, CINAHL, LILACS, SciELO/Web of Science, Cochrane, Pubmed databases and Google Scholar for studies reporting evidence, experience or evaluation of mhGAP-IG in LMICs, in any language. Data were extracted from included papers, but heterogeneity prevented meta-analysis. FINDINGS: We conducted a systematic review of evidence to date, of mhGAP-IG implementation and evaluation in LMICs. Thirty-three included studies reported 15 training courses, 9 clinical implementations, 3 country contextualisations, 3 economic models, 2 uses as control interventions and 1 use to develop a rating scale. Our review identified the importance of detailed reports of contextual challenges in the field, alongside detailed protocols, qualitative studies and randomised controlled trials. CONCLUSIONS: The mhGAP-IG literature is substantial, relative to other published evaluations of clinical practice guidelines: an important contribution to a neglected field
Between Fidelity and Invention: The Performer as Transcriber (Roxanne Dykstra)
No full textDissertation Audiovisual Materials. Author: Roxanne Dykstra. Institute: Universität für Musik und darstellende Kunst Gra
Between Fidelity and Invention: The Performer as Transcriber (Roxanne Dykstra)
No full textDissertation Audiovisual Materials. Author: Roxanne Dykstra. Institute: Universität für Musik und darstellende Kunst Gra
Oral history interview with Roxanne Dunbar-Ortiz
No full textRoxanne Dunbar-Ortiz, an author and a retired professor of Native American history, talks about her youth spent in Oklahoma and her educational path resulting in doctorate degree in history. She shares how she became involved in activism after hearing Malcolm X speak and discusses how her interest in Latin American history and Native American history grew. She also describes some of her activism activities from writing many published memoirs to creating councils for the United Nations to sitting in on court cases as an expert witness.The Spotlighting Oklahoma Oral History Collection is a series of thematic oral history projects as well as individual-specific interviews with the common goal of documenting the cultural and intellectual history of Oklahoma
Mental health service coverage and gaps among adults in Europe:a systematic review
Full text linkEnsuring the right to the highest attainable standard of mental healthcare requires a clear understanding of the current state of service coverage and gaps across Europe. Given the wide heterogeneity of health systems and resources, systematically assessing these gaps is crucial in order to identify inequities, inform policy and guide efforts to strengthen care at regional and national levels. In this Series paper, we systematically reviewed 45 studies reporting 198 national or sub-national estimates of adult mental health service coverage and treatment gaps in the World Health Organization (WHO) European Region. Data were scarce for many countries and conditions, heterogeneous in definitions, and rarely longitudinal, limiting comparability and trend analysis. Coverage for psychotic disorders was generally higher, often exceeding 90% in some countries but varied widely. For major depressive disorder, minimally adequate treatment ranged from below 10% in Bulgaria, Tajikistan and Turkmenistan to over 35% in Germany and Czechia. Anxiety disorder coverage ranged from 7% in Bulgaria to 47% in Sweden; most substance use disorder estimates were under 15%, and adult ADHD coverage was typically below 10%, based on outdated data. Trend analyses indicated minimal increases in depression coverage over two decades and mixed patterns for psychosis. Marginalised groups, including refugees, homeless populations and sexual minorities, faced the largest gaps, sometimes exceeding 80%. The lack of standardised, repeated measures hampers tracking of progress toward WHO's 2030 goal of a 50% increase in coverage. We advocate that harmonised monitoring systems, with attention to treatment adequacy and equity, are urgently needed to close persistent mental health care gaps across Europe
The canary in the post-racial coal mine: the 21st century mulatto in American fiction
No full textThe American mulatto has been employed by writers over time to provide commentary on American race relations. We can look to antebellum writers like Lydia Marie Child or William Wells Brown as an example of the state of the black-white dynamic prior to or just following the Civil War. Examining Nella Larsen’s Passing can give insight into the status of race relations during the Harlem Renaissance. But as America has evolved into a so-called post-racial society, does the mulatto still serve as a vehicle for commentary on American race relations? Through a brief examination of earlier examples of literature with these biracial characters coupled with an in depth analysis of two contemporary novels, Danzy Senna’s Caucasia and Heidi Durrow’s The Girl Who Fell from the Sky, this paper will show several of the ways in which the mulatto does provide a model in which to gauge American race relations, for better or for worse.M.A.L.S.Includes bibliographical referencesby Roxanne Huerta
Global health partnership for student peer-to-peer psychiatry e-learning: Lessons learned
Full text linkBACKGROUND: Global 'twinning' relationships between healthcare organizations and institutions in low and high-resource settings have created growing opportunities for e-health partnerships which capitalize upon expanding information technology resources worldwide. E-learning approaches to medical education are increasingly popular but remain under-investigated, whilst a new emphasis on global health teaching has coincided with university budget cuts in many high income countries.RESULTS: King's Somaliland Partnership (KSP) is a paired institutional partnership health link, supported by Tropical Health and Education Trust (THET), which works to strengthen the healthcare system and improve access to care through mutual exchange of skills, knowledge and experience between Somaliland and King's Health Partners, UK. Aqoon, meaning knowledge in Somali, is a peer-to-peer global mental health e-learning partnership between medical students at King's College London (KCL) and Hargeisa and Amoud Universities, Somaliland. It aims to extend the benefits of KSP's cross-cultural and global mental health education work to medical students and has reported positive results, including improved attitudes towards psychiatry in Somaliland students.CONCLUSIONS: The process of devising, piloting, evaluating, refining, implementing, re-evaluating and again refining the Aqoon model has identified important barriers to successful partnership. This article describes lessons learned during this process, sharing principles and recommendations for readers wishing to expand their own global health link beyond qualified clinicians, to the healthcare professionals of the future.</p
Adapting a brief psychological intervention for pregnant women experiencing depressive symptoms and intimate partnerviolence in rural Ethiopia
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