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1. 'It absolutely needs to move out of that structure': Māori with bipolar disorder identify structural barriers and propose solutions to reform the New Zealand mental health system.

Author

Haitana, Tracy, Pitama, Suzanne, Cormack, Donna, Rangimarie Clark, Mau Te, and Lacey, Cameron

Subjects
*MEDICAL quality control, *HEALTH services accessibility, *RESEARCH methodology, *INTERVIEWING, *QUALITATIVE research, *PSYCHOSOCIAL factors, *QUALITY assurance, *QUESTIONNAIRES, *SOUND recordings, *DESCRIPTIVE statistics, *RESEARCH funding, *MAORI (New Zealand people), *JUDGMENT sampling, *DATA analysis software, *THEMATIC analysis, *BIPOLAR disorder, *MENTAL health services, *MEDICAL coding
Abstract

This paper synthesises critique from Māori patients with Bipolar Disorder (BD) and their whānau to identify barriers and propose changes to improve the structure and function of the New Zealand mental health system. A qualitative Kaupapa Māori Research methodology was used. Twenty-four semi-structured interviews were completed with Māori patients with BD and members of their whānau. Structural, descriptive and pattern coding was completed using an adapted cultural competence framework to organise and analyse the data. Three key themes identified the impact of structural features of the New Zealand mental health system on health equity for Māori with BD. Themes involved the accessibility, delivery and scope of the current health system, and described how structural features influenced the quality, utility and availability of BD services for Māori patients and whānau. Structural barriers in the existing design, and potential changes to improve the accessibility, delivery and scope of BD services for Māori, were proposed including a redesign of operational, environmental, staffing, and navigation points (information, transition, fatigue) to better meet the needs of Māori with BD. A commitment to equity when implementing structural change is needed, including ongoing evaluation and refinement. This paper provides specific recommendations that should be considered in health service redesign to ensure the New Zealand mental health system meets the needs of Māori patients with BD and their whānau. [ABSTRACT FROM AUTHOR]

Published
2023
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2. Young bisexual women’s perspectives on the relationship between bisexual stigma, mental health, and sexual health: a qualitative study.

Author

Flanders, Corey E., Dobinson, Cheryl, and Logie, Carmen

Subjects
*LGBTQ+ people, *BISEXUALITY, *FOCUS groups, *GENDER identity, *GROUNDED theory, *SEXUAL health, *INTERPERSONAL relations, *INTERVIEWING, *RESEARCH methodology, *MENTAL health, *QUESTIONNAIRES, *RESEARCH funding, *STATISTICAL sampling, *STEREOTYPES, *SOCIAL stigma, *WOMEN'S health, *REPRODUCTIVE health, *QUALITATIVE research, *JUDGMENT sampling, *DATA analysis, *SIGNIFICANT others, *THEMATIC analysis, *HEALTH equity, *DATA analysis software, *MEDICAL coding, *ATTITUDES toward sex, *DESCRIPTIVE statistics, *SOCIETIES
Abstract

Young bisexual women experience worse mental and sexual health outcomes in comparison to their heterosexual and lesbian peers. These disparities are associated with stigma and devaluation of bisexual identities. The current paper addresses a community-based focus group project in which participants discussed bisexual stigma in regard to bisexual erasure and other stereotypes. Specifically, participants detailed experiences of feeling pressured to provide evidence of their bisexual identity, modifying their relationship or sexual behavior to conform to these expectations, as well as feeling excluded from queer community. Further, participants discussed how these experiences were related to decreased mental and sexual health. Future research should further investigate the relationship between bisexual stigma, pressure to provide evidence of bisexual identity, and negative mental and sexual health outcomes. [ABSTRACT FROM PUBLISHER]

Published
2017
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