Mental health literacy amongst children with common mental health problems and their parents in Java, Indonesia: a qualitative study.

Autor:	Brooks H; Division of Nursing, Midwifery and Social Work, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK., Prawira B; Atma Jaya Catholic University of Indonesia, Jakarta, Republic of Indonesia.; Into the Light, Jakarta, Republic of Indonesia., Windfuhr K; Division of Nursing, Midwifery and Social Work, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.; NHS Benchmarking Network, Manchester, UK., Irmansyah I; National Institute of Health Research and Development, Ministry of Health, Jakarta, Republic of Indonesia., Lovell K; Division of Nursing, Midwifery and Social Work, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.; Greater Manchester Mental Health Foundation Trust, Manchester, UK., Syarif AK; National Institute of Health Research and Development, Ministry of Health, Jakarta, Republic of Indonesia., Dewi SY; Soeharto Heerdjan Mental Hospital, Jakarta, Republic of Indonesia., Pahlevi SW; Soerojo Mental Hospital, Magelang, Republic of Indonesia., Rahayu AP; Marzoeki Mahdi Mental Hospital, Bogor, Indonesia., Syachroni; National Institute of Health Research and Development, Ministry of Health, Jakarta, Republic of Indonesia., Afrilia AR; National Institute of Health Research and Development, Ministry of Health, Jakarta, Republic of Indonesia., Renwick L; Division of Nursing, Midwifery and Social Work, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK., Pedley R; Division of Nursing, Midwifery and Social Work, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK., Salim S; Pulih@the Peak - Women, Youth and Family Empowerment Centre, Jakarta, Republic of Indonesia., Bee P; Division of Nursing, Midwifery and Social Work, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
Jazyk:	angličtina
Zdroj:	Global mental health (Cambridge, England) [Glob Ment Health (Camb)] 2022 Feb 21; Vol. 9, pp. 72-83. Date of Electronic Publication: 2022 Feb 21 (Print Publication: 2022).
DOI:	10.1017/gmh.2022.5
Abstrakt:	Background: Optimising mental health literacy (MHL) at the individual and population level can be an effective mental health improvement and prevention tool. However, concepts of MHL are largely based on evidence from high-income countries. Little is known about the manifestation and role of MHL in countries where collectivist health and social cultures are dominant. Aim: This study aimed to examine the MHL of Indonesian children and young people (CYP) with experience of common mental health problems and their parents. Methods: Semi-structured interviews with 40 participants (19 CYP aged 11-15 with experience of common mental health problems and 21 parents) from three areas of Java, Indonesia. Data were analysed using framework analysis, informed by Jorm's 1997 Mental Health Literacy Framework. Results: Parents and CYP demonstrated relatively low levels of MHL defined from a conventional perspective. Religiosity and spirituality were salient in participants' accounts, particularly parents, as were narratives about personal responsibility. These beliefs appeared to contribute to a high level of self-blame for mental illness, self-reliance for symptom management, the foregrounding of support from spiritual/traditional healers and a reduced propensity to access professional help. CYP were heavily reliant on family support, but parents often felt they were not best placed to communicate with their children about mental health. Providing trusted, technology-based sources of mental health information were advocated by CYP. Conclusion: Robust efforts are needed to improve MHL in low- and middle-income countries drawing on culturally appropriate approaches to reduce stigma and optimise timely, effective help-seeking for CYP. Enhancing parental and family level literacy may be efficacious, especially when combined with mechanisms to facilitate open communication, as may the development of standalone interventions directly developed to reach younger generations. Future research may usefully establish the comparative efficacy and acceptability of these different approaches. (© The Author(s) 2022.)
Databáze:	MEDLINE
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