Search results for ‘Subject term:"mental health problems"’ Sort:
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Putting recovery into mental health practice
- Authors:
- SHEPHERD Geoff, BOARDMAN Jed, SLADE Mike
- Journal article citation:
- Mental Health Today, May 2008, pp.28-31.
- Publisher:
- Pavilion
- Place of publication:
- Hove
While the concept of recovery requires further development, the author argues that it provides a framework that could bring a radical transformation of mental health services in the UK. This article, based on a longer policy paper produced by the Sainsbury Centre, presents some of the key ideas and their implications for the delivery of mental health services.
Patient-rated mental health needs and quality of life improvement
- Authors:
- SLADE Mike, et al
- Journal article citation:
- British Journal of Psychiatry, 187(3), September 2005, pp.256-261.
- Publisher:
- Cambridge University Press
Patient-rated unmet need is cross-sectionally associated with quality of life. This study aims to test the hypotheses that: (a) higher patient-rated unmet need is associated with lower individual quality of life assessments by a patient over time; and (b) reduction in patient-rated unmet need precedes improvement in quality of life. One hundred and one individuals using adult mental health services in Croydon, London were asked to complete 6-monthly questionnaires, comprising quality of life (Manchester Short Assessment of Quality of Life, MANSA) and unmet need (Camberwell Assessment of Need Short Appraisal Schedule, CANSAS) assessments. Seventy-three participants provided 240 separate pairs of consecutive assessments. Random effects regression models indicated an impact on current quality of life for both average level of unmet need and change in unmet need over the past month. The authors conclude that changes in patient-rated unmet needs may cause changes in quality of life.
Needs assessment: involvement of staff and users will help to meet needs
- Author:
- SLADE Mike
- Journal article citation:
- British Journal of Psychiatry, 165, September 1994, pp.293-296.
- Publisher:
- Cambridge University Press
Argues that there are no assessment instruments which fully meet the requirements of the NHS and Community Care Act 1990, and those that do exist can be categorised as measuring: lack of health; lack of access to service or institutions; and lack of action by lay or professional mental health workers. These schedules are reviewed, and recommendations are made for the development of more appropriate tools, which are both practical to use and meet statutory requirements.
Development of the REFOCUS intervention to increase mental health team support for personal recovery
- Authors:
- SLADE Mike, et al
- Journal article citation:
- British Journal of Psychiatry, 207(6), 2015, pp.544-550.
- Publisher:
- Cambridge University Press
Background: There is an emerging evidence base about best practice in supporting recovery. This is usually framed in relation to general principles, and specific pro-recovery interventions are lacking. Aims: To develop a theoretically based and empirically defensible new pro-recovery manualised intervention, called the REFOCUS intervention. Method: Seven systematic and two narrative reviews were undertaken. Identified evidence gaps were addressed in three qualitative studies. The findings were synthesised to produce the REFOCUS intervention, manual and model. Results: The REFOCUS intervention comprises two components: recovery-promoting relationships and working practices. Approaches to supporting relationships comprise coaching skills training for staff, developing a shared team understanding of recovery, exploring staff values, a Partnership Project with people who use the service and raising patient expectations. Working practices comprise the following: understanding values and treatment preferences; assessing strengths; and supporting goal-striving. The REFOCUS model describes the causal pathway from the REFOCUS intervention to improved recovery. Conclusions: The REFOCUS intervention is an empirically supported pro-recovery intervention for use in mental health services. It will be evaluated in a multisite cluster randomised controlled trial (Publisher abstract)
Recovery in psychiatry
- Authors:
- SCHRANK Beate, SLADE Mike
- Journal article citation:
- Psychiatric Bulletin, 31(9), September 2007, pp.321-325.
- Publisher:
- Royal College of Psychiatrists
In recent years, the concept of recovery from severe mental illness has increasingly gained relevance in the mental health field. Countries all over the world have been introducing recovery policy into mental health services However, there is still debate about the concept, such as whether symptom reduction is central or not. This article proposes a conceptual framework for recovery and identifies emergent practical issues. The term, two meanings, two classes of definitions which emerged from two different influences, can be identified for the term recovery in mental health. In psychiatry the idea of recovery is based on longitudinal studies demonstrating a widely heterogeneous course for severe mental illnesses. In this context, remission is defined as an improvement in symptoms and other deficits to a degree that they would be considered within a normal range. Recovery can be seen as a long-term goal of remission This is named service-based definition of recovery. A second definition of the term recovery came from the self-help and consumer/user/survivor movement. Here, recovery may include, but does not require, symptom remission or a return to normal functioning. However, recovery is seen as a process of personal growth and development, and involves overcoming the effects of being a mental health patient, with all its implications, to regain control and establish a personally fulfilling, meaningful life This is named the user-based definition of recovery. This is exemplified by the National Institute for Mental Health in England definition of recovery as the ‘achievement of a personally acceptable quality of life’.
Use of standardised outcome measures in adult mental health services: randomised controlled trial
- Authors:
- SLADE Mike, et al
- Journal article citation:
- British Journal of Psychiatry, 189(4), October 2006, pp.330-336.
- Publisher:
- Cambridge University Press
A randomised controlled trial, involving 160 representative adult mental health patients and paired staff (ISRCTN16971059). The intervention group (n=101) (a) completed monthly postal questionnaires assessing needs, quality of life, mental health problem severity and therapeutic alliance, and (b) received 3-monthly feedback. The control group (n=59) received treatment as usual. The intervention did not improve primary outcomes of patient-rated unmet need and of quality of life. Other subjective secondary outcome measures were also not improved. The intervention reduced psychiatric inpatient days (3.5 v.16.4 mean days, bootstrapped 95% CI1.6–25.7), and hence service use costs were £2586 (95% CI 102–5391) less for intervention-group patients. Net benefit analysis indicated that the intervention was cost-effective. Routine use of outcome measures as implemented in this study did not improve subjective outcomes, but was associated with reduced psychiatric inpatient admissions.
Risk factors for tenancy breakdown for mentally ill people
- Authors:
- SLADE Mike, et al
- Journal article citation:
- Journal of Mental Health, 8(4), August 1999, pp.361-371.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
People with mental health problems are at risk of tenancy breakdown. This study investigates the risk factors associated with a loss of tenancy. Four risk factors were identified: lack of support following a crisis; regular contact with services; lapses of housing benefit following hospital admission; and having no support other than the specialist resettlement team. The implications of these risk factors are discussed.
The art of recovery: outcomes from participatory arts activities for people using mental health services
- Authors:
- STICKLEY Theodore, WRIGHT Nicola, SLADE Mike
- Journal article citation:
- Journal of Mental Health, 27(4), 2018, pp.367-373.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: There is a growing evidence base for the use of participatory arts for the purposes of health promotion. In recent years, recovery approaches in mental healthcare have become commonplace in English speaking countries amongst others. There are few studies that bring together these two fields of practice. Aims: The two aims of this study were (a) to investigate the validity of the CHIME framework for characterising the experience of Participatory Arts and (b) to use the CHIME framework to investigate the relationship between participatory arts and mental health recovery. Method: The study employed a two-phase methodology: a rapid review of relevant literature followed by secondary analysis of qualitative data collected from 38 people who use mental health service who took part in participatory arts activities designed to improve mental health. Results: Each of the recovery processes identified by CHIME are present in the qualitative research literature as well as in the data of the secondary analysis. Conclusions: Participatory arts activities produce outcomes which support recovery, specifically including enhancing connectedness and improving hope. They can be recommended to people living with mental health problems. (Publisher abstract)
100 ways to support recovery
- Author:
- SLADE Mike
- Journal article citation:
- Addiction Today, 20(123), March 2010, pp.20-21.
- Publisher:
- Addiction Recovery Foundation
This brief summary guide provides ideas for working with service users, both those with mental health problems and those with addiction or dependency, in a recovery orientated fashion. The guide is based on two beliefs; first, that recovery is something worked towards and experienced by the person with the problem, it is not something a service can do to the person; and secondly every journey of recovery is individual. The role of the staff is to provide support. The guide looks at recovery tasks, the personal recovery framework and the central importance of relationships and peer involvement. Traditional and recovery-orientated services are compared. A link is provided to the full 32 page guide published by Rethink which identifies 100 action points for staff in supporting recovery.
Routine use of mental health outcome assessments: choosing the measure
- Authors:
- SALVI Giovanni, LESSE Morven, SLADE Mike
- Journal article citation:
- British Journal of Psychiatry, 186(2), February 2005, pp.146-152.
- Publisher:
- Cambridge University Press
The aim was to investigate the relationship between the items in four staff-rated measures recommended for routine use. Correlation analysis of total scores and factor analysis using combined data from the Health of the Nation Outcome Scales (HoNOS). The Camberwell Assessment of Need Short Appraisal Schedule (CANSAS), the Threshold Assessment Grid (TAG) and the Global Assessment of Functioning (GAF) were performed. Procrustes analysis on factors and scales, and Ward's cluster analysis to group the items, were applied. The total scores of the measures were moderately correlated. The Procrustes analysis, factor analysis and cluster analysis all agreed on better coverage of the patients' problems by HoNOS and CANSAS. A global severity factor accounts for 16% of the variance, and is best measured with TAG or GAF. The CANSAS and HoNOS each provide a detailed characterisation of the patient; only CANSAS provides information about met needs.