Economic security economic insecurity adequate

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Economic security Economic insecurity Adequate housing Overcrowding, poor quality housing Satisfactory employment Unemployment or lack of satisfactory job Adequate income to support family and meet church and social obligations Inadequate income to support family and meet church and social obligations Absence of substance use Presence of substance abuse Nil or minimal use of alcohol Excessive use of alcohol Avoidance of illicit drugs Use of illicit drugs
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Primary Health Organisations: 71 Service development toolkit for mental health services in primary health care Traditional beliefs Another issue is that the family’s understanding of mental illness may be different from the medical view. The family perspective may be based on traditional beliefs and values, which can be very different from those of the clinician and health professional. This may result in the two parties talking past each other, making it difficult to build relationships, and is one barrier to access. What does this mean for PHOs? Primary Health Organisations need to be aware of their enrolled Pacific population and their ethnic constituents, and to develop a relationship with the key Pacific groups and leaders. Building a relationship with Pacific consumers and their families is an important factor for effectiveness for primary health care practitioners. Many already engage and support participation from Pacific consumers and their families in care plans and approaches to managing mental illness at home and/or in the community. Factors for effectiveness include encouraging and supporting families to be involved in the care and recovery of their loved ones where appropriate. Factors for effectiveness also include supporting community efforts to promote healthy living, especially the promotion of protective factors and lessening of risk factor activities. Reducing the stigma of mental health Stigma and discrimination play a role in hindering recovery. Pacific service users find that they not only experience stigma within their communities, but are also confronted with lack of understanding within mental/primary health services. Sometimes this is expressed through staff prejudice and stereotypes, where Pacific peoples are assumed to be violent, or certain behaviour is misconstrued as rude or disrespectful (Malo 2000: 21). Some staff misread normal cultural behaviour as signs of illness. In other instances, inappropriate counselling models based on European cultural values and practices are delivered to Pacific clients. What does this mean for PHOs? Primary Health Organisations have an important opportunity to reduce stigma and encourage access to primary mental health services by working with their local communities, consumers and their families to reduce the stigmatisation of mental illness and support recovery. Primary Health Organisations can do this by building stronger relationships with their local Pacific communities through:
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72 Primary Health Organisations:
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  • Fall '19
  • primary health care, Primary Health Organisations

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