Aim: The purpose of this study is to describe the intervention process at a psychiatric clinic in Vietnam, from evaluation to goal setting, and how the staff choose occupation-based intervention for their patients. Method: This study is a qualitative study with inductive approach where the data collection is based on a semi-structured interview with the health care staff at a psychiatric clinic in Vietnam. The respondents consisted of a total of ten participants and were required by a purposive sample. Content analysis according to Kristensson (2014) was used to examine the data. Result: The findings from the result revealed that the clinic work without a standard procedure where the staff evaluates and assess their patient from their own experience. They also interview and observe the patients without an aim. The result also showed that the clinic offers different occupation-based interventions where the doctor decides occupation-training but not in consultation with the patient. It was revealed that the purpose of the occupation is to make the patients independent. The last finding was that the staff has a lack of individual goal setting and the general goal is for patients to get healthy. To see if the patients achieve improvement, observations are made without aim. Conclusion: The study concludes that the health care staff at the clinic has found their strategies using their own experience, for evaluating and assessing their patients.

Healthcare resources are especially limited in rural regions of the US. The lack of Primary Care Providers (PCPs) and mental/behavioral health services is problematic, as there are high rates of behavioral and medical concerns within rural populations. Special populations, such as rural persons with Serious Mental Illness (SMI), are medically complex and represent a vulnerable and underserved population. Healthcare outcomes for persons with SMI are poor compared to the general population and commonly lead to premature death. Various barriers prevent this population from accessing optimal healthcare, especially in rural areas, due to negative perceptions/stigma, a lack of understanding from PCPs, and a shortage of resources in general. The current study aimed to determine the extent of mental health training that rural PCPs receive regarding patients with SMI, as well as to evaluate their perceptions, knowledge, and experiences with these patients and understand providers’ perceptions regarding rates of patients with SMI who present to primary care clinics in rural settings. The current study used a sample of rural primary care providers (N = 90) , surveyed via USPS mail. Results indicated significant differences in reported mental health training among providers from different disciplines. Greater reported mental health training significantly predicted lower levels of stigma, more correctly identified medical conditions comorbid with SMI, and greater reported comfort and confidence in treating patients with SMI. Providers reported differences in the number of patients with and without SMI seen in rural clinics. Implications for these findings are discussed.

Studiens syfte har varit att undersöka hur ungdomar mellan 13 och 18 år med psykisk ohälsa påverkas av sociala medier utifrån samtalsbehandlande personals perspektiv, samt hur dessa kunskaper kan användas i behandlingsarbetet. Fyra behandlare har deltagit i kvalitativa intervjuer. Resultatet visade att fördelarna med ungdomars användande av sociala medier handlar om sociala kontakter och stöttande nätverk. Nackdelarna berörde ungdomarnas ständiga tillgänglighet, jämförelse med andra och en utsatthet i form av exempelvis mobbning samt en förenklad kommunikation via de sociala medierna. Ytterligare en nackdel var att ungdomar med psykisk ohälsa kan vara extra sårbara. Gällande behandlingsarbetet beskrevs inledande kartläggningsfrågor, samtal om gränssättning samt personalutbildning om sociala medier som viktigt. Studiens resultat korrelerar huvudsakligen väl med tidigare forskning och sammantaget kan man konstatera att det är viktigt att ta dessa kunskaper i beaktande vid behandling av ungdomar med psykisk ohälsa, då de sociala medierna fyller en stor funktion i deras liv. / The purpose of the study was to investigate how adolescents, aged between 13 and 18, with mental illness was affected by social media from the perspective of counsellors and how this knowledge can be used in treatment. Four counsellors participated in qualitative interviews. The results showed that the adolescents use of social media favoured their social contacts and supportive networks. Disadvantages were the adolescents’ constant accessibility, that they compare themselves with others and exposure to, for example bullying. Furthermore, adolescents with mental illness can be extra vulnerable. Regarding treatment it was reported that initial mapping questions and conversations about setting boundaries were described as important. A need for education for the counsellors about social media was also highlighted. The results correlate in the most part with previous research and, overall, it is important to take this knowledge into account when treating adolescents with mental illness.

More celebrities have been opening up about the mental illness (MI) journey, despite its stigmatized status in society. This shift has become popular with some rap artists, including Kanye West, Logic, and NF. However, little research exists on mental health rhetoric in the rap industry. In this project, I contributed to filling this gap by looking at the lyrics of American rapper, NF. Because his music is rising popularity and heavily focused on MI experience, NF was a worthy rhetor to study. I used Fantasy Theme Analysis to discover the fantasy themes present in NF’s album The Search. These fantasy themes present bind together to create a rhetorical vision of how NF experiences an internal war because of his MI. NF’s experiences may be shared by his listeners that also deal with the complexities of MI and its associated stigma. By talking about his MI experiences openly and honestly, NF and other celebrities can use their public platform to increase feelings of belongingness and reduce feelings of self-stigma.

I den här kvalitativa intervjustudien undersöker jag med diskurspsykologiska metoder deattityder som bildlärare och bildterapeuter har kring tanken på eventuella införande avbildterapeutiska metoder i skolan och bildundervisningen. Syftet med studien är att utforskatvå olika diskurser, det bildpedagogiska och det bildterapeutiska och dess eventuella plats iskolan. I studien uttrycker yrkeskunniga människor i bildterapi och dels bildpedagogik sinaföreställningar av att använda bildterapeutiska metoder i bildämnet och skolan, samt sinametoder för att främja elevers hälsa i sin undervisning.Utifrån de diskurser som kan utläsas i några bildterapeuters och bildlärares tal om möjlighetenatt tillämpa bildterapeutiska metoder i bildundervisningen och skolan kom jag fram till attsamtliga informanter tar ställning för det bildpedagogiska perspektivet istället för detbildterapeutiska. Vilket innebär att informanterna bygger på det bildpedagogiska perspektivetatt bildterapeutiska metoder inte hör hemma i bildundervisningen utan hos elevhälsansskolkurator. Några bildlärarinformanter presenterar en utopiskola som har en öppenverkstad/ateljérum som påminner om bildterapeutens. Det här rummet tillskrivs som en platsdär eleverna kan skapa kravlöst utan betyg och fritt skapande där en vuxen medmaterialkännedom arbetar. I mitt gestaltande arbete har jag bjudit in människor till ettliknande rum där jag upplevde att en god stämning och avslappnande samtal fick fortgåmedan deltagarna målade, en del behöll tankarna kring sin bildvärld för sig själv medan andravar mer öppna.

Bakgrund: Psykisk ohälsa är idag ett växande samhällsproblem. I samhället såväl som i hälso- och sjukvården upplever denna patientgrupp stigmatisering. Det leder till försämrad tillgång till vård och kan skapa barriärer för vårdsökande. Detta går emot såväl hälso- och sjukvårdslagen som International Council of nurses [ICN] etiska kod och medför en utmaning för sjukvårdspersonal. Syfte: Syftet med denna litteraturstudie var att undersöka hur patienter med psykisk ohälsa upplever bemötandet inom den somatiska vården. Metod: Litteraturöversikt bestående av 10 vetenskapliga artiklar med kvalitativa- och mixad metod ansats. Sökningen utfördes i CINAHL och PubMeds databaser. Analysen gjordes med hjälp av Braun och Clarkes analys för studier med kvalitativ ansats. Resultat: Analysen resulterade i två teman 1) Positiva upplevelser. 2) Negativa upplevelser med subteman: Avfärdande, Upplevd stigmatisering och Bristande kunskaper. Slutsats: Patienter med psykisk ohälsa uppger upplevelser av goda bemötanden i mötet med den somatiska vården. Dock vittnar vissa patienter om fördomar, stigmatisering och diskriminering. Fördomar tycktes härstamma från kunskapsbrist från personalens sida och ledde till konsekvenser för patienterna. / Background: Mental illness is an increasing societal problem. In society likewise in healthcare this group of patients experience stigma This leads to a more inaccessible healthcare and may lead to a barrier to people seeking care. This goes against the law of health and care likewise the ethical code of International Council of nurses [ICN] and creates a challenge for healthcare personnel. Aim: The aim of this literature study was to research how patients with mental illness experience treatment in a somatic care setting. Method: Literature review consisting of 10 scientific articles with qualitative and mixed methods approach. The searches were made in CINAHL and PubMeds databases. The analysis was conducted with the help of Braun and Clarke’s analysis for studies with a qualitative approach. Results: The analysis resulted in two themes 1) Positive experiences. 2) Negative experiences with the subthemes: Rejection, Experienced stigmatization and Lack of knowledge. Conclusion: Patients with mental illness speak of good experiences when in contact with somatic healthcare. Although some attest to experiencing preconceptions, stigmatization and discrimination. Bias seemed to be rooted in a lack of knowledge from the caregiver and led to consequences for the patients.

The purpose of this qualitative study is to examine barriers and facilitators to collaboration within compulsory care for substance abusers according to LVM. Furthermore, the aim is to examine how these factors affect the care provided to clients with comorbidity of substance abuse and mental health disorders. The empirical data are based on experiences of professionals who work at the social services, at LVM-institutions and at operations that accept clients according to 27 § LVM. The result is divided into three periods, which are before the institution, during the institution and after the institution. The barriers and facilitators are divided into three theoretical themes in each period. These themes are regulations, organisation and point of view. Different forms of vertical and horizontal integration are used to supplement the analysis and examine what significance each form of integration has on the care provided to clients with comorbidity. The result shows that the barriers and facilitators are relatively similar in each period of the LVM-care. Overall, it seems that it is set up for the collaboration to fail at some point because of the unpredictable barriers, which is why it is important that a high degree of both vertical and horizontal integration exist, since one of them is not enough to bring overall satisfactory care for the clients with comorbidity. A closeness to each other and an organisation that is more coordinated can lead to a high degree of integration on both levels.

The purpose of this study was to examine the mental health among young elite athletes aged16-19 years old at Växjö municipality sports high schools. The focus area was anxiety anddepression disorders, which were measured using the General Health Questionnaire. Theprimary issues was to examine how common these disorders are and whether it differsbetween individual and team athletes. By actualizing the subject, there are also hopes that thesubject will be less stigmatized.A quantitative method has been used to reach out to as many people as possible. Thequestionnaire included for example questions about injury background and amount oftraining, to have a material for an analysis. Some of the conclusions are that anxiety anddepression disorders are common among students at Växjö municipality sports high schoolsand that many students consider that they don’t receive sufficient support for mental illness.

Bakgrund: Den psykiska ohälsan i samhället ökar. Omkring 10-15 % av alla kvinnor blir deprimerade i samband med graviditeten. Det finns idag en bristande kunskap kring förlossningsdepression både hos vårdpersonal och samhället i stort. För att kunna bemöta dessa kvinnor på bästa sätt är det därför viktigt att ha kunskap om deras upplevelser av hur det är att drabbas av en förlossningsdepression. Syfte: Att belysa kvinnors upplevelser av att drabbas av en förlossningsdepression. Metod: Kvalitativ innehållsanalys med induktiv ansats. Elva bloggar har valts ut och analyserats. Resultat: Analysen resulterade i tre kategorier: Utmaningar i samband med graviditeten och det inledande moderskapet, Upplevelser av misslyckande och Stödets betydelse på vägen mot tillfrisknande. Dessa beskrivs i nio underkategorier. Konklusion: Kvinnor upplever känslor som misslyckande och skam relaterat till okunskap och stigma som finns kring förlossningsdepression. Professionellt stöd och stöd från närstående har visat sig vara en central del i tillfrisknandet. Utbildning och kunskap om förlossningsdepression är viktigt för att kunna arbeta personcentrerat och individanpassat utifrån kvinnans behov. / Background: Mental illness in society is increasing. About 10-15 % of all women become depressed during pregnancy. There is a lack of knowledge about postpartum depression among healthcare professionals and in society. In order to be able to treat these women in the best way, it is important to have knowledge of women's experiences of what it’s like to suffer from postpartum depression. Purpose: To illuminate women's experiences of suffering from postpartum depression. Method: Qualitative content analysis with an inductive approach. Eleven blogs have been selected and analyzed. Results: The analysis resulted in three main categories: Challenges during pregnancy and the initial maternity, The experiences of failure and The importance of support on the way to recovery. These are described in nine subcategories. Conclusion: Women experienced feelings of failure and shame related to ignorance and stigma that exists around postpartum depression. Professional support and support from relatives has proven to be a central part of recovery. Education and knowledge about postpartum depression are important to be able to work personcentered and individualized based on the women's needs.

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