Health Counseling Research Articles

We-Care-Well: exploring the personal recovery of mental health caregivers through Participatory Action Research.

Family caregivers play a critical role in supporting the recovery journeys of their loved ones, yet the recovery journeys of family caregivers have not been well-explored. Using a Participatory Action Research approach, we explore the personal recovery journeys of family caregivers for individuals with mental illness. This case study involved piloting and exploring the impact of a novel online workshop series offered to mental health caregivers at Ontario Shores Center for Mental Health Sciences. Recovery courses and workshops conventionally engage patients living with mental health conditions. In the current case, the recovery model is adapted to the needs and experiences of their family caregivers, resulting in a pilot workshop series called "We Care Well". Through participant-led discussions, interactive and take-home activities, and experiential learning, caregivers co-created workshop content and engaged in peer-learning on seven personal recovery-oriented topics. This included: self-care, resilience-building, non-violent communication, storytelling, and mental health advocacy. Throughout the sessions, participants implemented their learnings into their caregiving roles, and shared their experiences with the group to progress through their own recovery journeys. The We Care Well series was found to be an effective intervention to adapt and apply the personal recovery framework to mental health caregivers. PAR, and co-design are viable approaches to engage caregivers in mental health research, and can facilitate knowledge exchange, as well as relationship building with peers and program facilitators.

Sexual and reproductive health screening and counseling in adolescent and young adult transplant recipients.

Adolescents and young adults with and without chronic illnesses partake in risk-taking behavior. Clinicians in transplant clinics should be aware of the prevalence of risk-taking behavior in their adolescent and young adult solid organ transplant patients in order to provide complete care. Creating an environment where teens and young adults feel comfortable discussing risky behavior is important and includes creating a privacy policy and increasing comfort of the healthcare provider in asking sensitive questions. This review is intended to help the providers in the transplant clinic screen for and counsel about risk-taking behaviors with their adolescent and young adult patients, specifically around sexual and reproductive health.

PENGARUH PENDIDIKAN KESEHATAN TERHADAP TINGKAT PENGETAHUAN TENTANG PENCEGAHAN KOMPLIKASI PENYAKIT HIPERTENSI DI DESA GAREN PANDEYAN NGEMPLAK BOYOLALI

Introduction: Hypertension is a condition of systolic blood pressure of more than 140 mmHg or diastolic blood pressure of more than 90 mmHg, which is measured twice with an interval of five minutes and in a condition of adequate rest and calm. Blood pressure is a description of a person's hemodynamic situation at a certain time, hemodynamics is a condition in which pressure and blood flow can maintain the exchange or perfusion of substances in tissues. The purpose of health education is to increase the knowledge of respondents. With the increase in respondents' knowledge, there is a change in attitude towards adaptive in accordance with the information obtained through health counseling. Objective: This study is to determine the effect of health education on the level of knowledge about the prevention of complications of hypertension in Garen Pandeyan Ngemplak Boyolali Village. Method: the research used is quantitative research with analytical correlation with Quasi-Experimental method with pre-test and post-test approaches one group control only. Data from this study was obtained from filling out questionnaires that had been tested for validity and reliability and analyzed using the Wilcoxon Signed Ranks Level Test before health education was carried out knowledge about preventing complications of hypertension, the average level of knowledge of 73 respondents was 5.94 with a minimum of 3 points and a maximum of 9 points. The level of knowledge after the implementation of health education, retrieval of knowledge data on the prevention of complications of hypertension was carried out. Results: The results of the study obtained an average level of knowledge from 73 respondents with post-test result criteria 7 with a minimum score of 6 points and a maximum of 10 points. Conclusion: Based on the results of the study, there is a significant difference between the level of . Keywords: health education, leve of knowledge, complications of hypertension

Acquaintance of Cervical Cancer Screening and Prevention Practices among Women’s Self-help Groups in Puducherry – A Community-based Cross-sectional Study

Abstract Context: Cervical cancer is a global public health problem with particularly high burden in many low- and middle-income countries. Aims: This study aimed to assess the knowledge regarding cervical cancer screening and adherence to preventive practices among self-help group women in Puducherry. Settings and Design: This was a community-based cross-sectional study among women belonging to self-help groups in the field practice areas of our tertiary care hospital. Subjects and Methods: The study was conducted for a period of 3 months from July to September 2023. The study population consists of women belonging to various self-help groups in the field practice areas of our tertiary care hospital based on the inclusion and exclusion criteria. A multistage random sampling method was used with an estimated sample size of 245. Statistical Analysis Used: Continuous variables were presented in the form of frequency and proportion. The Chi-square test was used for determining the association. Results: Out of 245, 39.6% had good knowledge regarding cervical cancer and 60.4% had poor knowledge. Majority of the rural women (140) had poor knowledge compared to urban areas. A significant association between employment and awareness (P = 0.000) regarding cervical cancer screening and prevention was observed. Conclusions: Health promotion and counseling services should be increased, and an efficient tracking of screening and assessment system should be intensified as part of the National Programme for Prevention and Control of Noncommunicable Diseases to accelerate its elimination.

Implementation and effectiveness outcomes of Community Health Advocacy Teams to improve long-lasting insecticide net distribution and use in six districts in Ghana: A one-group pre-post-test study.

Malaria remains a leading cause of illness and death especially among children and pregnant women in Ghana. Despite the efforts made by the National Malaria Elimination Programme (NMEP), including distribution of Long-Lasting Insecticide Nets (LLINs) to households through periodic Point Mass Distribution (PMD) campaigns and continuous channels (antenatal, schools and postnatal), there is a gap between access and use of LLINs in Ghana. An effective and functional community-based group that would seek to improve the effectiveness of LLIN distribution before, during, after PMD Campaigns and continuous distribution at the community level could help address this gap. This paper assesses the implementation outcomes and short-term effectiveness of the pilot implementation of co-created community health advocacy teams (CHAT) intervention in Ghanaian communities to plan and implement campaigns to increase LLIN use. The study employed a one-group pre-post study design and measured implementation outcomes (acceptability, appropriateness, and feasibility) and effectiveness outcomes (LLIN awareness, LLIN access, willingness to purchase LLIN, and LLIN use) among 800 community households. The CHAT intervention was implemented for four months across six districts in the Eastern and Volta regions of Ghana. The data were downloaded directly from REDCap and analyzed statistically (descriptive and McNemar test of association) using SPSS 22 software. After the implementation period, the majority of respondents in all six districts indicated that the CHAT intervention was acceptable (89.8%), appropriate (89.5%), and feasible (90%). Also, there was a significant association between baseline and end-line assessment on all four effectiveness outcome measures. Household members' awareness of, access to, willingness to purchase, and use of LLINs increased significantly over the four-month period that the CHAT intervention was implemented. The study concludes that CHAT is an acceptable, appropriate, and feasible intervention for supporting the National Malaria Programme in LLIN PMD and for engaging in Social and Behaviour Change Communication activities through the continuous channels of distribution. Additionally, the CHAT demonstrates short-term effectiveness outcomes in terms of creating LLIN awareness, providing access to LLIN, and encouraging Ghanaian community members to be willing to purchase and use LLINs. Although the activities of CHAT members were largely voluntary, integration into the existing primary health care system will make it sustainable.

Medicare inclusion of licensed mental health counselors and marriage and family therapists.

Medicare inclusion of licensed mental health counselors and marriage and family therapists.

Inner Wealth: Predicting Lower Levels of Depression and Anxiety Severity

Anxiety and depression are the two most prevalent mental health issues among adults living in the United States. Consistent with the wellness, prevention, and development pillars of the counseling field, inner wealth (IW) is a strengths-based construct centered on empowering clients to realize their inherent value and potential as people. We investigated the capacity of IW for predicting lower levels of depression and anxiety severity with a national sample (N = 793) of adults in the United States. We also examined demographic differences in IW among U.S. adults. Results revealed support for the capacity of IW for predicting substantially lower anxiety and depression scores. In addition, significant demographic differences in IW emerged by gender and help-seeking history. Results are discussed in terms of the potential utility of IW for edifying the practice of mental health counselors, particularly when working with adults in the United States who are living with anxiety and/or depression.

Cultural Diversity and Mental Health Care: A Case Study

IntroductionIn today’s world of global migration and cultural diversity, mental health care grapples with persistent challenges. Despite efforts to promote cultural competency and person-centred approaches, it’s vital to delve into the issues surrounding cultural differences and linguistic diversity in mental health care. This exploration highlights the complexities where culture, language, and healthcare intersect (Brisset et al., 2014; Desai et al., 2021).ObjectivesOur aim is to analyse cultural and linguistic barriers in mental health care for migrants and assess their impact on access and quality of care.MethodsLiterature review, drawing from sources such as PubMed, ResearchGate, and Google Scholar. This review will be framed around the case of a 34-year-old man from Bangladesh, who has been residing in Lisbon for a year. His clinical presentation includes depressive symptoms, disorganized behaviour, and psychotic manifestations, such as persecutory delusions. He does not speak Portuguese or English, thereby limiting his access to essential mental health treatment services. Through this review, we intend to elucidate the intricate dynamics surrounding cultural and linguistic barriers in mental health care.ResultsMigrants from diverse backgrounds face many challenges, including the loss of homes, livelihoods, and family, often leading to mental health issues like depression, anxiety, and post-traumatic stress disorder. Two primary challenges include adapting to a new life and experiencing discrimination and marginalization (Amri et al., 2013; Satinsky et al., 2019). Social stigma and mistrust hinder access to mental health services. Limited culturally competent services widen the gap between mental health needs and help-seeking attitudes. Language barriers significantly contribute to disparities in access to services (Amri et al., 2013). Additionally, mental health care providers’ organizational culture often prioritizes ‘ideal’ patients who are native speakers, favouring individual-oriented treatment over community-focused care (Desai et al., 2021).To address these barriers effectively, it is crucial to employ specific strategies. The Multi-Phase Model of Psychotherapy, Social Justice, and Human Rights (MPM) equips mental health counsellors to better serve immigrant communities while addressing social stigma. This comprehensive framework comprises five phases of intervention: psychoeducation, culturally responsive service delivery, cultural orientation, collaboration with local healers, and connecting patients to essential resources (Amri et al., 2013). Additionally, practitioners should receive training in effective collaboration with interpreters to provide multilingual healthcare (Brisset et al., 2014).ConclusionsAddressing cultural and linguistic barriers in mental health care is vital. The Multi-Phase Model of Psychotherapy offers a promising approach, while collaboration with interpreters remains essential.Disclosure of InterestNone Declared

Current Status of Integrated Palliative Care Among Parkinson Foundation Centers of Excellence in the United States.

To assess the current structures, knowledge, and readiness to integrate palliative care (PC) into Parkinson disease (PD) care at Parkinson's Foundation Centers of Excellence (COE) in the United States. Three unique surveys were administered to health care professionals/staff at COEs to assess PC (1) resources, (2) knowledge and comfort, (3) clinical experience and processes, (4) barriers, and (5) readiness for implementation. Response rates for the 3 surveys were 97%, 98%, and 56%. In total, 41% of COEs have access to outpatient PC specialists, 71% have mental health counseling, 82% have support groups, and 9% had very limited PC resources. Overall, 74% of providers believed persons with advanced PD should receive PC, and knowledge of PC fundamentals was good across providers. For high-needs persons with PD (PWP), only 16% of physicians and 24% of advanced practice providers made referrals to PC specialists ≥75% of the time, while 9% and 16% never made such referrals. Limited time, space, financing, and staffing were seen as major barriers to PC implementation. In total, 37% of providers were satisfied with their COE's ability to provide PC services. Most COEs report a culture open to change and appear well-positioned to implement PC in a more comprehensive fashion. These results demonstrate the emergence of structures and processes to provide PC to persons with PD at COEs. They also identify concrete opportunities to strengthen integration of PC through educational, quality improvement, and advocacy efforts.

Prevalence and predictors of Anxiety and Depression among Adolescents and Young Adults: Findings from the MoreGoodDays Support Program in Alberta, Canada

IntroductionThe COVID-19 pandemic has led to a rise in psychological disorders among adolescents and young adults. There is an increase in the prevalence of likely anxiety and likely depression among the subscribers of MoreGoodDays supportive text message program, reflecting the impact of the COVID-19 pandemic on this cohort.ObjectivesTo assess the prevalence, severity, and correlates of likely generalized anxiety disorder (GAD) and likely major depressive disorder (MDD) among subscribers of MoreGoodDays program.MethodsThis study used a cross-sectional design. An online survey questionnaire was used to collect sociodemographic and clinical information from subscribers of MoreGoodDays program, a daily supportive text message program co-designed with adolescents and young adults for their peers in Alberta. Validated instruments, the Generalized Anxiety Disorder GAD-7 and Patient Health Questionnaire-9 PHQ-9 were used to collect information on likely GAD and likely major depressive disorder (MDD), respectively. Data was analyzed with SPSS version 25 using chi-squared tests and binary logistic regression analysis.Results343 subscribers of MoreGoodDays participated in the survey. Overall, 117 (56.0%) respondents had a likely MDD and 97 (46.6%) had a likely GAD. Participants who would like to receive mental health counselling were 27 times more likely to experience GAD (OR = 27; 95% CI: 3.09–250.00) and 40 times more likely to experience MDD (OR = 40.03; 95% CI: 4.43–361.51) than those who did not. Respondents who had received mental health counselling in the past were 18.5 times more likely to experience MDD compared with those who had not (OR = 18.52; 95% CI: 1.55–200.00). Demographic variables, including age, education, employment, and relationship status, and clinical variables, such as history of anxiety, depression, obsessive-compulsive disorder, ADHD, and adverse childhood experience, did not independently the predict presence of likely GAD or MDD in subscribers of MoreGoodDays.ConclusionsThe prevalence of anxiety and depression was relatively high among subscribers of MoreGoodDays, indicating the long-term effect of the COVID-19 pandemic. This finding has significant implications in the broader context of mental health research and emphasizes the need for more research into innovative mental health support for this cohort. The desire to receive counselling was predictive of both anxiety and depression and is a positive sign of the openness of this cohort to receive psychological intervention. Since this group is mostly adapted to mobile text technology, government agencies and policymakers should prioritize and implement readily accessible interventions such as supportive text messages to support their psychological well-being.Disclosure of InterestNone Declared

130. Use of Digital Flashcards for Reproductive Health Counseling among Adolescents

130. Use of Digital Flashcards for Reproductive Health Counseling among Adolescents

Prevalence and predictors of PTSD and resilience among Adolescents and Young Adults: Findings from the MoreGoodDays Support Program in Alberta, Canada

IntroductionAdolescents and young adults have particularly been impacted by the COVID-19 pandemic, leading to a rise in the incidence of mental health issues. Increased exposure to traumatic events may lead to decreased resilience and subsequently increased likely PTSD.ObjectivesThis study sets out to examine the predictors and prevalence of likely PTSD and determine the level of resilience among adolescents and young adults.MethodsA cross-sectional study using an online survey questionnaire was adopted to collect sociodemographic and clinical information from the subscribers of MoreGoodDays. The PTSD Checklist Civilian (PCL-C) and the Brief Resilience Scale (BRS was respectively used to assess likely PTSD and resilience Data was analyzed with SPSS version 25 using chi-squared tests and multivariate logistic regression analysis.Results343 of MoreGoodDays subscribers who participated in the survey were about 343. Most were female (79.0%), and 13.7% were male. Overall, 95 (45.7%) of respondents had likely PTSD and 109 (51.7%) had likely low resilience. Approximately 176 (51.3%) respondents had received mental health counselling, and 64 (35.4%) expressed the desire to receive mental health counselling. When all other variables are controlled in the regression model, respondents who have received mental health counselling in the past year were 13.7 times more likely to experience likely PTSD (OR = 13.70; 95% CI: 1.23- 142.86) and 15.15 times more likely to experience low resilience than those who did not (OR = 15.15; 95% CI: 1.46- 166.67). Again, those who would like to receive mental health counselling were 20.8 times more likely to experience PTSD than those who did not (OR = 20.76; 95% CI: 2.61- 165.401) and 29.4 times more likely to experience low resilience than those who did not (OR = 29.42; 95% CI: 3.31- 261.445). Finally, those with four or more ACE scores were 6.2 times more likely to experience likely PTSD than those who had zero scores (OR = 6.24; 95% CI: 1.46- 26.67).ConclusionsMoreGoodDays subscribers were disproportionally affected by likely PTSD and low resilience, reflecting the devastating effect of the COVID-19 pandemic. Increased ACE has been linked to low resilience, which may also lead to a rise in mental health issues. Strategies to promote resilience may reduce the incidence of likely PTSD. Educational institutions may adopt innovative mental health interventions, including psychological interventions such as mobile text technology, to support the mental health of this cohort. Policymakers and government agencies are encouraged to give the mental health of young adults and youth more prominence on their agenda.Disclosure of InterestNone Declared

Factors Associated with Compliance to Treatment Adherence of HIV/AIDS Patients in Kendari City

Introduction: HIV/AIDS remains a serious problem both in Indonesia as a whole and specifically in Southeast Sulawesi. The primary way to address HIV/AIDS is through treatment. Numerous factors make it challenging to predict the causes of compliance and non-compliance among HIV/AIDS patients in seeking treatment. Therefore, research is needed to develop interventions aimed at improving treatment compliance among HIV/AIDS patients. This study aims to analyze factors related to the behavior of treatment compliance among HIV/AIDS patients in the city of Kendari, Southeast Sulawesi Province.
 Method: This research is a quantitative study with an analytical research design. The method used is a Cross-Sectional Study. The sample size of 88 individuals. Data collection was conducted through a questionnaire technique. Descriptive analysis was performed using frequency distribution tables, while inferential analysis utilized the Chi-square test and/or Fisher's Exact Test.
 Results: The research findings indicate that only 2 factors (perception of disease severity and health worker attitudes) are related to treatment compliance, while the other 6 factors (perceived benefits of treatment, perceived barriers to treatment, family support, health counselor support, drug availability, and health education) show no association and have no detected connection. The most dominance factor is the healthcare worker attitude.
 Conclusion : The conclusion of this research is that perception of diseases severity and healthcare worker attitude is the 2 variabel that have connection with treatment adherence and need improvement to keep the patient and improve their treatment.

잠복결핵에 관한 온라인 건강 상담 현황

The study’s objective is to explore the health information needs of latent tuberculosis patients and their communities by analyzing data from the online health counselling platform, Naver Jisik-iN. Initially, 3,261 questions related to ‘latent tuberculosis’ were collected. Following the removal of duplicates and irrelevant image information, the final dataset for analysis comprised 2,198 questions. Text pre-processing, Latent Dirichlet Allocation (LDA) topic modelling, and Long Short-Term Memory (LSTM)-based text summarization model were used. Manual categorization was added to supplement the unsupervised learning process. Seven topics were identified using LDA, from which five specific topics (‘side effects’, ‘treatment’, ‘army’, ‘interaction’, and ‘infectiousness’) were derived. Subsequently, manual classification was conducted based on these five topics. Manual summary and LSTM-based text summarization results were consistent. Numerous individuals sought information about the potential for curing latent tuberculosis and the risk of tuberculosis development. Moreover, questions related to the interpretation of test results and interactions with other substances were widespread. Concerning side effects, issues predominantly revolved around drug discontinuation due to skin problems and elevated liver function tests. The findings reveal the prevalent concerns and inquiries of society regarding latent tuberculosis. The identified topics offer valuable insights into the key aspects of interest related to this condition.

Perceptions of prospective brides about reproductive health in Pauh District on 2023

The concern of prospective brides for reproductive health is still low.This research aims to explore prospective brides and grooms' perceptions of reproductive health. This study was a qualitative study with a phenomenological approach. The study was conducted at the Community Health Centers and Religious Affairs Office in Pauh District from February to December 2023. The selection of informants was done by purposive sampling and snowball sampling techniques, with prospective brides serving as the main informants. Supporting informants included midwives involved in the prospective brides' program and immunization program, nutritionists, several Religious Affairs officials, and speakers from reproductive health counseling. The researcher himself was the instrument of the study, employing data collection methods such as in-depth interviews, observations, and document reviews.The analysis results found that prospective brides had a variety of understandings about reproductive health. Some prospective brides had good perceptions and some were less good. These differences were influenced by several factors such as: knowledge, attention, experience, culture owned by the brides.The conclusion of this study is that prospective brides have diverse perceptions in interpreting reproductive health. Unfortunately, this topic have yet to become a significant concern for them. The study hopes to encourage cross-sectoral cooperation from the government, health, and religious sectors to increase the awareness of prospective brides about the importance of these services.

MENSTRUAL CYCLE AND THE INCIDENT OF ANEMIA IN TEENAGE WOMEN

The prevalence of anaemia in Indonesia is still high, especially in adolescent girls. This is due to nutritional status, stress levels, knowledge and menstrual disorders. Menstrual disorders are related to the cycle or duration of menstruation or the amount of blood that comes out. The impact that occurs adolescents will feel weak, tired, lethargic, difficult to concentrate and for the long term related to fertility, and there is a possibility to deliver baby with weight and premature birth. The purpose of the study was to determine the relationship between the menstrual cycle and the incidence of anaemia in adolescent girls. Correlational descriptive research method with cross sectional approach. The sample was 68 respondents with total sampling. Data were collected through questionnaires in the form of fill-in sheets for menstrual cycles and anemia using easy touch to determine Hb levels. The results showed that respondents who experienced a normal cycle as many as 41 respondents (60.3%), 16 respondents (23.5%) experienced a long cycle and as many as 11 respondents (16.2%) experienced a short cycle. Respondents who experienced anemia as many as 36 respondents (52.9%) and did not have anemia as many as 32 respondents (47.1%). The results of the statistical test obtained a ρ value of 0.000. The conclusion of this study is that there is a relationship between the menstrual cycle and the incidence of anemia in adolescent girls. It is recommended for the nursing profession to provide information through health counseling in collaboration with the community and schools about anemia and its causative factors to improve the health status of adolescent girls

Associated Factors of Early Breastfeeding Initiation and Exclusive Breastfeeding in South Africa: Evidence From the South African Demographic and Health Survey

Background and aims: Breastfeeding is the most desirable nutritional source for 0‒6 month-old infants. The initiation of early and exclusive breastfeeding is essential as a robust primary health prevention strategy for many children. This study aimed to examine the prediction of factors associated with early breastfeeding initiation and exclusive breastfeeding in South Africa. Methods: The required data were extracted from the South African Demographic and Health Survey 2016. A total of 3548 respondents were included in the analysis. A multivariable logistic model was applied in the analysis to examine factors associated with breastfeeding practices. Results: About 63.3% of the respondents imitated breastfeeding within 1 hour of birth, and 31.2% were exclusively breastfed during the first 6 months. The results demonstrated that maternal age (Odds ratio [OR]=2.49, 95% CI=1.61‒3.86, P<0 .001), antenatal care (OR=0.80, 95% CI=0.67‒0.95, P=0.009), postnatal care (AOR=0.82, 95% CI=0.68‒0.99, P=0.036), and a child’s health check before leaving the hospital (AOR=0.69, 95% CI=0.56‒0.86, P<0.001) were significantly associated with low initiation of breastfeeding. Maternal age (AOR=0.44, 0.28‒0.69, P=0.001), birth order (AOR=1.71, 95% CI=1.37‒2.14, P=0.001), and child’s health check (AOR=0.63, 0.41‒0.96, P=0.033) were significantly associated with non-exclusive breastfeeding. Conclusion: A low proportion of women practice delayed breastfeeding initiation. Hence, the findings revealed that exclusive health education and counselling should be provided for mothers before, during, and after pregnancy for greater changes in the direction of the relationship between mothers’ breastfeeding initiation and performance.

Mental Health Stigma in Minority Communities: Understanding Cultural Perceptions and Access to Care

Purpose: The general purpose of this study was to understand how cultural perceptions and beliefs about mental health in minority communities influence their access to mental health care services. Methodology: The study adopted a desktop research methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library. Findings: The findings reveal that there exists a contextual and methodological gap relating to mental health stigma in minority communities. Preliminary empirical review revealed that cultural perceptions heavily influenced access to care. It emphasized the necessity of cultural competence in mental health advocacy and intervention, stressing the importance of engaging community leaders. The research identified significant barriers to care, including language barriers and distrust of mainstream healthcare systems. Recommendations included increasing diversity among mental health professionals and implementing policies to address disparities. Overall, the study highlighted the need for comprehensive, culturally sensitive approaches to destigmatize mental health and improve access to care in minority communities. Unique Contribution to Theory, Practice and Policy: The Social Cognitive theory, Intersectionality theory and Cultural Adaptation theory may be used to anchor future studies on mental health stigma in minority communities. The study on "Mental Health Stigma in Minority Communities" offered recommendations that contributed significantly to theory, practice, and policy. It emphasized the importance of culturally sensitive interventions, community engagement, education, policy changes, research, and intersectionality in addressing mental health stigma. By advocating for tailored approaches, collaborative efforts, awareness-raising campaigns, systemic reforms, and inclusive strategies, the study aimed to reduce barriers to mental health care access and promote a more supportive environment for individuals within minority communities.

The Relationship between Nutritional Knowledge with Nutrient Intake and Adherence to the Consumption of Blood-Added Tablets in Adolescent Girls at SMA Islam SHAFTA Surabaya

ABSTRACT Anemia is a nutritional problem of adolescents in Indonesia that occurs due to iron deficiency. The purpose of the study was to analyze the relationship of nutritional knowledge with nutrient intake and adherence to the consumption of blood-added tablets in adolescent girls at SMA Islam SHAFTA Surabaya. This type of research is analytical descriptive research with a cross sectional design. Large sample of 45 respondents. Data collection with interviews and SQ-FFQ. Furthermore, it was analyzed with the spearman correlation test. The results of the analysis indicate that the majority of respondents' characteristics are aged 16-18 years (68.9%). Good nutrition knowledge 35 respondents (77.8%). Protein intake 32 respondents (71.1%) severe deficit, iron intake 36 respondents (80%) deficient and 41 respondents (91.1%) non-compliant. There was no relationship between nutritional knowledge with protein intake (p value = 0.428), nutritional knowledge with iron intake (p value = 0.685), and nutritional knowledge with adherence to blood added tablet consumption (p value = 0.231). There is no relationship between variables and it is necessary to collaborate on independent blood added tablets and health counseling at school.

Discipline, caregiving, and identity work of frontline professionals: Talking about the acts of compliance and resistance in the everyday practices of social workers

Abstract This article investigates how the identities of frontline professionals are (re)constructed in their talk about their everyday work activities. Based on a study of a mental health and addiction counselling service organization in Ontario, we illustrate that when talking about acting in accordance with their organizational policies, the social workers’ identities are disciplined by and appropriated from addressing the practices of documentation and regular meetings with their supervisors that constitute the routine processes of organizing. However, when discussing instances where they override the organizationally sanctioned rules, their identities are disciplined by the aspiration of fabricating a client-centred caregiver identity adopted from the dominant discourse in their profession. We, therefore, counterbalance the understanding that professionals’ identity work related to their deliberate micro-emancipation acts are merely an expression of agency and argue that their preferred resistant identities pertaining to their self-declared apparent deviation from the organizational order are also made within frameworks of disciplinary power. By delineating that both discursive conformity and resistance cut across the boundaries between acting in alignment with and against organizational guidelines, we unveil an underexplored complexity of conducting professional identity work associated with the interrelationships between practices of talk and action that has largely been overlooked in prior scholarship. We, therefore, offer an action-related analysis of discursive identity work that extends beyond the context of this study and informs future research.