Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 12
Adolescent mental health case management: provider perspectives
- Author:
- GRUBE Whitney
- Journal article citation:
- Social Work in Mental Health, 14(5), 2016, pp.583-605.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Due to the inconsistent definitions and varying models of implementation of adolescent mental health case management, the perceptions and experiences of the professionals providing services are invaluable to improving case management and mental health outcomes for adolescents. This qualitative article examines case management as a service for adolescents with mental illness within the context of one Midwestern state. The primary research question was: what are the current experiences of professionals providing case management services to adolescents with mental illness? Through collaboration with community mental health centers, researchers conducted five focus groups with adolescent mental health providers. Focus group participants discussed the challenges they currently experience while providing services to adolescents, and described current case management practices. Participants also provided suggestions for service delivery improvement. Researchers present focus group results and discuss the implications of the results at both a local and national level. (Publisher abstract)
Managing life, motherhood and mental health after discharge from a mother–baby unit: an interpretive phenomenological analysis
- Authors:
- CONNERTY Tracy Jayne, ROBERTS Rachel, WILLIAMS Anne Sved
- Journal article citation:
- Community Mental Health Journal, 52(8), 2016, pp.1009-1014.
- Publisher:
- Springer
Women who are admitted to a mother–baby psychiatric unit during the postnatal period often experience ongoing difficulties after discharge and require support in the community. This study explored the experiences of women following discharge from a mother–baby unit and their use of services and supports in the community. Semi-structured interviews were conducted with eight women who had been discharged from a mother–baby unit. To gain a comprehensive understanding of the lived experiences of these women, Interpretive Phenomenological Analysis was used to examine the transcripts. The themes identified focused on the transition home from the mother–baby unit as a significant event, the experience of life in the community, and the complex decision-making process involved in community service use. This study provides greater insight into women’s experiences of managing life, motherhood, and mental health in the community and their use of recommended services. Results can inform future post-discharge and transition planning within mother–baby units and inpatient psychiatric facilities. (Publisher abstract)
Mothering from the Inside Out: results of a pilot study testing a mentalization-based therapy for mothers enrolled in mental health services
- Authors:
- SUCHMAN Nancy E., et al
- Journal article citation:
- Attachment and Human Development, 18(6), 2016, pp.596-617.
- Publisher:
- Taylor and Francis
Mothers who are involved with mental health services (for themselves or their children) rarely receive adequate support for their role as parents. Mental illness in a parent or child often exacerbates the challenges of managing psychological distress that is germane to the parenting roll. Mentalization-based approaches to psychotherapy for parents have the potential to address challenges of emotional regulation in parents by supporting their capacity to recognise and modulate negative affect during stressful parenting situations. This study piloted Mothering from the Inside Out (MIO) with 17 mothers receiving services at a community-based mental health clinic. MIO is a 12-week, mentalization-based parenting intervention that demonstrated efficacy in two previous randomized controlled trials with substance using mothers. The authors were interested in: determining whether community-based clinicians could deliver MIO with sustained fidelity; examining the preliminary feasibility, acceptability and efficacy of MIO when delivered by clinicians in a community mental health centre; and replicating prior tests of the proposed treatment mechanisms. Treatment outcomes included maternal reflective functioning, psychiatric and parenting stress, and mother–child interaction quality. The findings indicated that MIO was feasible and acceptable when delivered in the community-based setting and that all maternal indices improved. However, no improvement in mother–child interaction quality was found, possibly because of insufficient time for these changes to consolidate. (Edited publisher abstract)
A survey of consultant psychiatrists in intellectual disability based in England
- Authors:
- GUINN Ashley, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 10(4), 2016, pp.258-270.
- Publisher:
- Emerald
Purpose: Community mental health services are of increasing importance for people with an intellectual disability (ID), as the government aims to reduce the number of people treated within inpatient services. However, due to limited evidence base, it is unclear which service models are most effective for treating people with both ID and a mental health condition. Therefore, the purpose of this paper is to carry out a survey in order to gain a better understanding of the current state of ID community services. Design/methodology/approach The survey was e-mailed to 310 consultant psychiatrists based in England and whose main specialism was in ID. In total, 65 consultants responded to the survey with 53 complete data sets. Findings: In total, 84 per cent of consultants identified themselves as working in a generic community ID team. The majority of services were not integrated with social care (71 per cent). Regional differences were found. In contrast to the rest of England, the majority of services in London were integrated with social care. The Health of the Nation Outcome Scale for people with Learning Disabilities (HoNOS-LD) was found to be the most common outcome measure used by services. A range of interventions are widely available across services including psychological therapies and specialist memory assessments. The survey also provides evidence for increased decommissioning of specialist inpatient units and a need for more robust community services. Research limitations/implications: Findings limited by low return rate (21 per cent) and because responses could not be matched to specific services. The implications of this survey are that there is still a variable level of integration with social care and that lack of integration could affect the quality of service. While HoNOS-LD is used consistently across services, there may be a need to supplement it with other outcome measures. There is a need for larger scale and higher quality studies in this area to strengthen the evidence base and therefore demonstrate the benefits of integration and specialisation more convincingly to health professionals and commissioners. Originality/value: This survey presents an overview of the current state of community services for adults with ID in England. This information can be harnessed to add to revised approaches to mental health service models for people with ID. (Publisher abstract)
Job satisfaction of peer providers employed in mental health centers: a systematic review
- Authors:
- DECKERT Jennifer Chappell, STATZ-HILL Melisande
- Journal article citation:
- Social Work in Mental Health, 14(5), 2016, pp.564-582.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Peer providers are individuals who have lived experience with mental illness and recovery who are employed in mental health settings. Service delivery by peer providers employed in community mental health settings is increasing, with positive outcomes for consumers, organizations, and peer providers themselves. Strengths and weaknesses of this model have been identified in the literature, but little empirical research has been conducted to evaluate specific work-related outcomes for peer providers. The purpose of this systematic review was to identify research that evaluates job satisfaction outcomes for peer providers employed in mental health settings. Results indicate that peer providers are generally satisfied in their work settings and that several factors were significant predictors of job satisfaction. Findings indicate that peer providers are satisfied in their work environment and employers, employment factors, and collaborative approaches can impact job satisfaction. The role of social work in collaborative partnerships, advocacy, and supervision is discussed. (Publisher abstract)
Are recovery and quality of life different outcome measures for community-based psychosocial program?
- Authors:
- YOUNG Daniel, et al
- Journal article citation:
- Social Work in Mental Health, 14(4), 2016, pp.360-378.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This research study aims to explore the relationship between quality of life (QoL) and recovery in mental illness in a community-based psychosocial programme. By adopting a prospective, naturalistic, longitudinal follow-up research design, a cohort of 87 consumers who were discharged from mental hospitals and participated in a community-based psychosocial programme were followed for one year. QoL and recovery of these individuals were assessed at baseline, 6-month and 12-month follow up assessments. At the 12-month follow up, this cohort of participants showed improvement in QoL and achieved a recovery rate of 8%. ANOVA analysis indicated that overall QoL was not related to recovery. Moreover, multiple linear regression analysis showed that overall QoL was predicted significantly by self-efficacy at baseline, improvement in self-efficacy and improvement in functioning (adjusted R2 = 22.8; F(3,81) = 9.272, p < .001). Multivariate logistic regression analysis showed that recovery was significantly predicted by baseline functioning level and improvement in open employment (Nagelkerke R2: 36.7, Model χ2 = 13.214, p < .001). Therefore, overall QoL and recovery were predicted by different factors. These results indicate that recovery and QoL should be conceptualised as two different outcome measures. Community-based psychosocial programmes should include both recovery and QoL as outcome measures and adopt different strategies to facilitate recovery and QoL for consumers. (Edited publisher abstract)
Return-to-work support for employees with mental health problems: Identifying and responding to key challenges of sick leave
- Authors:
- CAMERON Josh, et al
- Journal article citation:
- British Journal of Occupational Therapy, 79(5), 2016, pp.275-283.
- Publisher:
- Sage
Introduction This research explored return-to-work and sick leave experiences of workers with mental health issues in contact with acute or community mental health services. Method Using a critical realist methodology with a comparative case study and collaborative design, 21 employed participants recovering from mental health problems participated in semi-structured interviews. Data were analysed using inductive and deductive thematic and constant comparative analysis. Findings While on sick leave, despite a range of challenges, participants treasured their work identities. They were sustained by positive and troubled by negative memories of work. People missed the routine of work and felt isolated. To varying degrees of success, they searched for alternative activities to fill this gap and promote recovery. Conclusion The need for sick leave was not disputed, but an important discovery was its iatrogenic (‘side-’) effects, whereby isolation and reduced activity levels could exacerbate mental health problems. Negative impacts of sick leave need to be mitigated by support to maintain worker identity and orientation and by opportunities and encouragement to sustain routine, activities and social contacts. A new concept of ‘occupational capital’ emerged, comprising accessible external opportunities and supports for occupational participation, and internal capacities and skills required to access these. (Publisher abstract)
Implementation of choice from participants' perspectives: a study of community mental healthcare reform in Sweden
- Authors:
- FJELLFELDT Maria, et al
- Journal article citation:
- Journal of Social Work in Disability and Rehabilitation, 15(2), 2016, pp.116-133.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The aim of this study was to explore participants’ experiences and opinions about a free-choice system in relation to policy objectives articulated by the national government and local authorities in Sweden. A case study was conducted. Thirty-five informants participated. Qualitative interviews were undertaken. The following themes were identified in the material: dimensions of choice, aspects of quality from a participant perspective, worries, and a sense of powerlessness. Results are discussed on how to address different dimensions of choice, not only where, but also what, by whom, how much, and when. They also concern how to design systems that in some ways ensure predictability and continuity to avoid unwanted harm caused by the unpredictability embedded in competitive choice systems. Finally, different aspects of quality need to be addressed. (Edited publisher abstract)
Is integrated care associated with service costs and admission rates to institutional settings? An observational study of community mental health teams for older people in England
- Authors:
- WILBERFORCE Mark, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 31(11), 2016, pp.1208-1216.
- Publisher:
- Wiley
Objectives: To evaluate the association between the degree of integration in community mental health teams (CMHTs) and: (i) the service costs of community mental health and social care provision; (ii) rates of mental health inpatient and care home admission. Methods: An observational study of service use and admissions to institutional care was undertaken for a prospectively-sampled cohort of patients from eight CMHTs in England. Teams were chosen to represent ‘high’ or ‘low’ levels of integrated working practice and patients were followed-up for seven months. General linear models were used to estimate service costs and the likelihood of institutional admission. Results: Patients supported by high integration teams received services costing an estimated 44% more than comparable patients in low integration teams. However, after controlling for case mix, no significant differences were found in the likelihood of admission to mental health inpatient wards or care homes between team types. Conclusions: Integrated mental health and social care teams appeared to facilitate greater access to community care services, but no consequent association was found with community tenure. Further research is required to identify the necessary and sufficient components of integrated community mental health care, and its effect on a wider range of outcomes using patient-reported measures (Edited publisher abstract)
Psychological interventions for housebound people with psychosis: service user and therapist perspectives in South East London
- Authors:
- IREDALE Catherine, FORNELLS-AMBROJO Miriam, JOLLEY Suzanne
- Journal article citation:
- Journal of Mental Health, 25(3), 2016, pp.204-211.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: People with psychosis often have difficulty leaving their homes to perform tasks of daily living, which also limits their access to clinic-based interventions to support recovery. Home-based psychological therapy may offer a solution. Aim: To examine service user and therapist perspectives on (i) houseboundness in psychosis and (ii) the value of home-based psychological interventions, as a first step towards a systematic evaluation. Method: Semistructured interviews with 10 service users and 12 therapists from a large inner city mental health NHS Foundation Trust were thematically analysed. Results: Houseboundness most commonly resulted from anxiety, paranoia and amotivation, indicating the potential usefulness of targeted psychological therapies. Home-based therapy was offered unsystematically, with variable goals. Although beneficial for engagement and assessment, little gain was reported from undertaking a full course of therapy at home. Conclusion: Home visits could be offered by psychological therapists to engage and assess housebound service users, but home-based therapy may be best offered on a short-term basis, targeting paranoia, anxiety and amotivation to increase access to other resources. Given the increased cost associated with home-based psychological interventions, a systematic evaluation of their impact is warranted. (Original abstract)