Journal Articles

Permanent URI for this collectionhttps://mro.massey.ac.nz/handle/10179/7915

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    Attitudinal differences towards mental health services between younger and older New Zealand adults
    (New Zealand Psychological Society Inc., 2008) James SA; Buttle H
    This study aimed to explore attitudinal differences between young and older New Zealand adults to seeking professional mental health services, including effects of previous help, and the types of service preferred. A questionnaire which included the Inventory of Attitudes towards Seeking Mental Health Services (IASMHS), together with questions regarding previous help, and preferred services for mental health needs, was administered to 125 participants aged 27-91 residing in the north Auckland area. Older adults were higher in help-seeking propensity (HSP) but less psychologically open (PO) than their younger counterparts. In older adults only, previous help contributed positively towards PO, while increased satisfaction with previous help correlated with increased indifference to stigma (IS). Older adults had a preference for physicians for mental health issues, followed by friends, God, clergy and psychiatrists. Attitudes towards help-seeking were generally favourable in older adults, but their lower PO and preference for service provider may inhibit their use of professional psychological services. General practitioners and clergy need to be provided with resources which enable them to refer older adults appropriately.
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    Towards a comprehensive global approach to prevention and control of NCDs.
    (BIOMED CENTRAL LTD, 28/10/2014) McKee M; Haines A; Ebrahim S; Lamptey P; Barreto ML; Matheson D; Walls HL; Foliaki S; Miranda JJ; Chimeddamba O; Garcia-Marcos L; Vineis P; Pearce N
    BACKGROUND: The "25×25" strategy to tackle the global challenge of non-communicable diseases takes a traditional approach, concentrating on a few diseases and their immediate risk factors. DISCUSSION: We propose elements of a comprehensive strategy to address NCDs that takes account of the evolving social, economic, environmental and health care contexts, while developing mechanisms to respond effectively to local patterns of disease. Principles that underpin the comprehensive strategy include: (a) a balance between measures that address health at the individual and population level; (b) the need to identify evidence-based feasible and effective approaches tailored to low and middle income countries rather than exporting questionable strategies developed in high income countries; (c) developing primary health care as a universal framework to support prevention and treatment; (d) ensuring the ability to respond in real time to the complex adaptive behaviours of the global food, tobacco, alcohol and transport industries; (e) integrating evidence-based, cost-effective, and affordable approaches within the post-2015 sustainable development agenda; (f) determination of a set of priorities based on the NCD burden within each country, taking account of what it can afford, including the level of available development assistance; and (g) change from a universal "one-size fits all" approach of relatively simple prevention oriented approaches to more comprehensive multi-sectoral and development-oriented approaches which address both health systems and the determinants of NCD risk factors. SUMMARY: The 25×25 is approach is absolutely necessary but insufficient to tackle the the NCD disease burden of mortality and morbidity. A more comprehensive approach is recommended.