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A sign that something is wrong?: young people talking about self-harm
- Author:
- CHANDLER Amy
- Publisher:
- University of Edinburgh. Centre for Research on Families and Relationships
- Publication year:
- 2014
- Pagination:
- 4
- Place of publication:
- Edinburgh
Research briefing which summarises the results of research into how self-harm was understood by a group of 122 young people, mostly aged 13-16 years. In the study 33 young people participated in 6 focus groups and a further 88 young people completed a qualitative online survey. The results look methods of self-harm reported; why people self-harm; and young people's views on self-harm as 'attention-seeking'; . The most common reasons for self harm were as a way of dealing with emotions and a way of communicating to others. There was some disagreement about the extent to which self-harm was related to mental illness and also about whether publicising self harm on the internet was for 'attention-seeking'. The research indicated that self-harm could have some positive meanings for some young people and so focusing on cessation can be counter productive. (Edited publisher abstract)
My evolving understanding of recovery
- Author:
- LEES Robyn Lorna
- Journal article citation:
- Mental Health and Social Inclusion, 18(3), 2014, pp.125-132.
- Publisher:
- Emerald
Purpose: The purpose of this viewpoint is to discuss a personal account of the author's personal journey of recovery and evolving understanding of recovery. Design/methodology/approach: A personal narrative describing the ways in which the author's understanding of recovery has been challenged and has evolved. Reference to theories of learning is made to understand this process. Findings: That reflection and re-evaluation of long held beliefs is a painful process. It involves not simply adding to existing knowledge but “supplantive learning” – learning as loss: changing how the author sees things having processed new “threshold concepts” (Atherton, 2013b). Originality/value: A personal account of the painful process of change that has relevance for both people rebuilding their lives with mental health conditions and those who are working with them. (Publisher abstract)
Hope and recovery: a scoping review
- Authors:
- SAELOR Knut Tore, et al
- Journal article citation:
- Advances in Dual Diagnosis, 7(2), 2014, pp.63-72.
- Publisher:
- Emerald
Purpose: Hope is regarded as central to recovery processes. The phenomenon along with its implications for research and practice has, however, gained limited attention within the fields of mental health and substance use. The purpose of this paper is to explore how hope, and what may inspire it, is described within the literature by persons experiencing co-occurring mental health and substance use problems. Design/methodology/approach: The method chosen when conducting this literature review was a scoping study. This allows for a broad approach, aiming to examine research activity and identifying potential gaps within existing literature. Searches were conducted in EMBASE Ovid, PsychINFO Ovid, MEDLINE Ovid, CINAHL Ebsco, SveMed+ and Brithish Nursing Index. Findings: The authors included five articles and one book. None of these presented first-hand experiences of hope and there appears to be a gap in the literature. All included material underlined the importance of the phenomenon to those experiencing co-occurring mental health and substance use problems. Originality/value: Hope seems as important to people experiencing co-occurring problems as to anyone else. There appears to be a need for further research on how persons experiencing co-occurring problems perceive hope and what may inspire it. Hope and what people hope for take many forms and can arise unexpectedly. Practitioners need to take in account the diversity of the phenomenon and find ways of inspiring hope in collaboration with those in need of support.
Student filmmakers' attitudes towards mental illness and its cinematic representation - an evaluation of a training intervention for film students
- Authors:
- DALE Jenny, et al
- Journal article citation:
- Journal of Mental Health, 23(1), 2014, pp.4-8.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Government strategy for mental health places tackling stigma as a main priority. National initiatives have attempted to tackle stigma by challenging negative media reporting and the use of stereotyped representations of mental illness, with mixed results. Educational interventions have attempted to address stigmatising attitudes in young people but no studies have explored the value of such interventions for film students. Aims: The study aimed to assess the value of a lecture-based training intervention designed to improve the knowledge and attitudes of student filmmakers towards mental illness and its cinematic representation. Method: A self-report questionnaire was administered before and after the intervention, which measured the knowledge and attitudes of the subjects. Results: 32 out of 54 students (59.3%) showed statistically significant improvement in attitudes and knowledge overall, although this was less marked in responses to the attitudinal subset questions compared with knowledge-based questions. Feedback was positive. Conclusions: The training session was successful in its aims for most but not all students. The intervention is reproducible but further work needs to be done to clarify how best to influence attitudes and behaviour as well as knowledge. (Publisher abstract)
Attitudes to mental health in Scotland: Scottish Social Attitudes Survey 2013
- Authors:
- REID Susan, HINCHLIFFE Stephen, WATERTON Jennifer
- Publisher:
- Scottish Centre for Social Research
- Publication year:
- 2014
- Pagination:
- 5
- Place of publication:
- Edinburgh
This report analysed data from a module of questions in the 2013 Scottish Social Attitudes Survey and compared the results with data from four previous surveys between 2002 and 2008 to explore whether there were trends in attitudes over time. The analysis shows that attitudes towards those with mental health problems have been fairly stable in Scotland over the last decade, with no clear trends towards either an overall reduction or increase in stigmatising attitudes, although there were notable changes in relation to a few questions. Analysis showed that across a range of attitudes, those who have experienced a mental health problem or know someone with a mental health problem were less likely to hold stigmatising attitudes. Consistently, women and those aged under 55 reported more personal experience of mental health problems and held less stigmatising attitudes. Differences in attitudes by gender and age may be partly explained by the differential extent to which demographic subgroups have personal experience of a mental health problem. Continued work to break down the barriers which prevent people with mental health problems being open about their condition should decrease stigma and prejudice in the longer term. (Edited publisher abstract)
Attitudes to mental illness 2013: research report
- Author:
- TNS-BMRB
- Publisher:
- TNS-BMRB
- Publication year:
- 2014
- Pagination:
- 59
- Place of publication:
- London
This report presents the findings of a survey of attitudes towards mental illness among adults in England. The data show public attitudes towards mental illness have improved significantly with the biggest annual improvement in the last decade taking place in 2013. The report shows that more people than ever before are acknowledging that they know someone with a mental health problem. However, despite these improvements attitudes around employment are lagging behind and nearly half of respondents said they would feel uncomfortable talking to an employer about their own mental health. Other major improvements include 79 per of people now acknowledging that people with a mental illness have for too long been the subject of ridicule, compared with 75 per cent in 2008 and 83 per cent agreed that no one has the right to exclude people with a mental illness from their neighbourhood compared with 74 per cent in 2008. The overall the picture is one of a general shift to more tolerant attitudes and greater recognition that people should not be discriminated against on the grounds of their mental health. (Edited publisher abstract)
The 10 most important debates surrounding dual diagnosis
- Author:
- HAMILTON Ian
- Journal article citation:
- Advances in Dual Diagnosis, 7(3), 2014, pp.118-128.
- Publisher:
- Emerald
This paper reflects on the progress made to date in advancing knowledge and understanding of the relationship between substance use and mental health. The author draws on the available literature, identifying key contributions from a variety of fields which have helped to shape the understanding of the issues in relation to dual diagnosis. The ten key themes are identified: the definition of the term dual diagnosis; prevelence and incidence; assessment; cognitive functioning; the reasons behind the relationship between substance misuse and mental health; contrasting perspectives; integrated care; identity and stigma; staff attitudes; and philosophy of treatment. (Edited publisher abstract)
Associations among the number of mental health problems, stigma, and seeking help from psychological services: a path analysis model among Chinese adolescents
- Authors:
- CHEN Haide, et al
- Journal article citation:
- Children and Youth Services Review, 44, 2014, pp.356-362.
- Publisher:
- Elsevier
Adolescents with mental health problems are likely to refuse to seek help from psychological services. This study aimed to examine whether a greater number of mental health problems were associated with a lower level of willingness to seek help from psychological services among adolescents; and whether the relationship between the number of problems and the willingness to seek help was mediated by self-stigma, public stigma, and attitudes toward help-seeking. A sample of 251 middle and high school students who have had at least one mental health problem was used for the analyses involved in this study. The bivariate correlation analyses showed that adolescents with more mental health problems were likely to report more negative attitudes toward help-seeking and to demonstrate less willingness to seek help. Path analyses showed that the number of problems did not directly influence the willingness to seek help; however, the relationship between these two variables was mediated by self-stigma and attitudes toward help-seeking. Furthermore, willingness to seek help was not directly influenced by the number of internalising and externalising problems. However, the relationship between the number of internalising problems and willingness to seek help was mediated by public stigma, self-stigma and attitudes toward help-seeking; additionally, the relationship between the number of externalising problems and willingness to seek help was mediated by self-stigma and attitudes toward help-seeking, except for public stigma. These findings emphasise the importance of stigma, particularly self-stigma, for adolescents in seeking help from psychological services. (Edited publisher abstract)
General self-efficacy and its relationship to self-reported mental illness and barrier to care: a general population study
- Authors:
- ANDERSSON Lena M.C., et al
- Journal article citation:
- Community Mental Health Journal, 50(6), 2014, pp.721-728.
- Publisher:
- Springer
This study investigates whether general self-efficacy (GSE) was associated with self-reported mental illness and help-seeking behaviour and barriers to care in a randomized population. The study used a mailed questionnaire completed by 3,981 persons aged 19-64 years who resided in Western Sweden. GSE was measured and logistic regression models calculated, controlling for various sociodemographic variables. Results showed that 25 % of men and 43 % of women reported a lifetime prevalence of mental illness that they felt could have benefitted from treatment. Of those, 37 % of the men and 27 % of the women reported barriers to care. Men and women with low GSE were more likely to suffer from mental illness compared with persons high in GSE, but GSE did not enhance help-seeking behaviour or perceived barriers to care. The most prevalent barriers to care for both sexes were beliefs that the illness will pass by itself, doubt whether treatment works, lack of knowledge of where to go and feelings of shame. Overall, GSE scores did not differ among those who experienced various barriers to care with the exception of two barriers only among women. (Edited publisher abstract)
Women's experiences of being in an acute psychiatric unit: an occupational perspective
- Authors:
- KENNEDY Jennifer, FORTUNE Tracy
- Journal article citation:
- British Journal of Occupational Therapy, 77(6), 2014, pp.296-303.
- Publisher:
- Sage
Introduction: The need to address gender sensitivity and implement strategies to improve the treatment of women within inpatient mental health facilities has gained international recognition. Ascertaining service users' perspectives is a critical prerequisite to ensure that potential strategies are appropriate. This study aimed to identify factors influencing the occupational engagement of women service users in an acute inpatient mental health unit in Melbourne, Australia. Method: In this phenomenological study, five women were interviewed about their experiences of occupational engagement. Data were analysed according to Colaizzi's (1978) procedure, to generate an 'essence statement'. Fieldnotes were kept and an audit trail of the analysis process was recorded. Findings: Three main themes emerged: (1) Living in hospital is difficult; (2) What we need from staff; and (3) More meaningful things to do, please. Conclusion: Study findings highlight a need for more empathetic communication with staff, more effective use of the physical environment to enable improved perceptions of safety, and more meaningful occupational opportunities. (Publisher abstract)