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Social factors and recovery from mental health difficulties: a review of the evidence
- Authors:
- TEW Jerry, et al
- Journal article citation:
- British Journal of Social Work, 42(3), 2012, pp.443-460.
- Publisher:
- Oxford University Press
This paper reviews the international literature on the role of social factors on the onset of mental health difficulties, with specific regard to the United Kingdom. Findings are explored in detail in relation to three areas that had been identified by the wider review as central to recovery: empowerment and control over one's life; inter-personal relationships and social inclusion; and rebuilding positive identities within the context of stigma and discrimination. The authors concluded that a clearer picture of the importance of particular social factors emerge, which defines a broad-based and proactive agenda for mental health social work, with an emphasis not just on working with individuals, but also on engaging with families and communities. However, there is a need for further research in order to determine how to apply interventions most effectively.
Mental health and art
- Author:
- SECKER Jenny
- Journal article citation:
- Mental Health Today, May 2011, pp.21-22.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Drawing on the findings from research conducted at Anglia Ruskin University and the University of Central Lancashire 2007, the author discusses how art and artistic expression can help to improve mental health. As part of the study case studies were carried out with six diverse projects. Eight processes that were found to benefit participants in the six projects were identified. These were: getting motivated; focusing on art; connecting with others; rebuilding identities; expanding horizons; self-expression; connecting with abilities; and having time out.
Mental health, social inclusion and the development of vocational services in the NHS: what can be learnt?
- Author:
- BERTRAM Mark
- Journal article citation:
- Mental Health Review Journal, 24(2), 2019, pp.133-143.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the learning from a historical NHS vocational service development that focused on: mental health, employment and social inclusion – in an inner city area – involving service users, staff and commissioners. Design/methodology/approach: It is a descriptive case study. A range of historical documents was content analysed and described through a first-person narrative: service user consultations, service specifications, audit records, outcome frameworks, internal service evaluations and published literature. Findings: When vocational NHS service developments are grounded in what service users say helps them (person-centred, networked and co-ordinated approaches) the evidence indicates people can achieve their vocational goals. Research limitations/implications: The range of documents described is factual, although the learning insights from some of the service developments are based on personal judgements. The author was the responsible manager – personal bias is high. There is not enough robust evidence to warrant generalisation. Practical implications: When employment and social inclusion are prioritised, as core business in NHS, outcomes and health impact can increase. Greater detail is needed from healthcare policy makers – focusing on who exactly should undertake this work and what the key commissioning social inclusion performance indicators are. Originality/value: The bulk of literature on employment support focuses on promoting evidence from one model: individual placement and support. Evidence here indicates a broader range of activity (education, training and volunteering) can have value and health impact. (Publisher abstract)
Conceptualising recovery in mental health rehabilitation
- Authors:
- LLOYD Chris, WAGHORN Geoff, WILLIAMS Philip Lee
- Journal article citation:
- British Journal of Occupational Therapy, 71(8), August 2008, pp.321-328.
- Publisher:
- Sage
Recovery as a concept has gained increased attention in the field of mental health. There is an expectation that service providers use a recovery framework in their work. This raises the question of what recovery means, and how it is conceptualised and operationalised. It is proposed that service providers approach the application of recovery principles by considering systematically individual recovery goals in multiple domains, encompassing clinical recovery, personal recovery, social recovery and functional recovery. This approach enables practitioners to focus on service users' personal recovery goals while considering parallel goals in the clinical, social, and role-functioning domains. Practitioners can reconceptualise recovery as involving more than symptom remission, and interventions can be tailored to aspects of recovery of importance to service users. In order to accomplish this shift, practitioners will require effective assessments, access to optimal treatment and care, and the capacity to conduct recovery planning in collaboration with service users and their families and carers. Mental health managers can help by fostering an organisational culture of service provision that supports a broader focus than that on clinical recovery alone, extending to client-centred recovery planning in multiple recovery domains.
Empowerment and arts participation for people with mental health needs
- Authors:
- SECKER Jenny, et al
- Journal article citation:
- Journal of Public Mental Health, 6(4), December 2007, pp.14-23.
- Publisher:
- Emerald
This article describes an evaluation of arts participation for people with mental health needs that both measured empowerment outcomes and explored the processes by which positive outcomes were achieved, through six qualitative case studies. For the outcomes study, 62 arts and mental health project participants returned a questionnaire soon after joining the project, and six months later. Six diverse arts and mental health projects took part in case studies. Results from the outcomes study showed significant improvements in empowerment and were suggestive of a strong causal link with arts participation. Analysis of the case study interviews revealed five processes through which benefits relating to empowerment were brought about. It is argued that psychological empowerment is in itself important for people with mental health needs. In addition, the case studies indicate that some arts and mental health projects do empower participants at a social as well as individual level.
Community development approaches to working with groups of people with mental health problems to promote race equality in mental health
- Author:
- SEEBOHM Patience
- Journal article citation:
- Diversity in Health and Care, 7(4), November 2010, pp.249-260.
- Publisher:
- Radcliffe Publishing
Many black and minority ethnic people report experiencing fear or alienation in UK mental health services. Community development involves people coming together to address shared concerns and community development workers (CDWs) support these processes, promoting justice and equality. In 2005 they were introduced within mental health services. This study explores the role of CDWs working with peer-led groups. It begins with a survey to find out which CDWs worked in the area of mental health, what this involved and how they felt about the work. A total of 46 CDWs responded to the survey; about 11% of the workforce. Most worked with people with mental health problems to promote inclusion, well-being and engagement, and four sought to help groups to pursue their own goals. Nine CDWs were interviewed in depth. Three distinct approaches were identified. The first supported service user-led groups to address the power imbalance in services, the second supported community-led groups to promote social inclusion, and the third focused on policy implementation and outputs. Differences were associated with CDWs' previous experiences of mental health and their workplace. The authors caution against other then tentative conclusions because of the small sample size, but suggest that CDWs can promote race equality in mental health services, using diverse approaches to community development. However it was noted that few appear to help service user-led groups pursue radical change.
Mental health and personalisation: themes and issues in recovery-based mental health care and support
- Author:
- BOGG Daisy
- Publisher:
- Pavilion
- Publication year:
- 2010
- Pagination:
- 174p., bibliog.
- Place of publication:
- Brighton
This workbook aims to help service users, carers and professionals work through the issues relating to recover-based mental health care and support. It draws on the capabilities from the 'The 10 Shared Capabilities: a framework for the whole of the mental health workforce' (Hope, 2004). It is divided into 10 sections based on these capabilities. Sections cover: working in partnership; respecting diversity; practising ethically; challenging inequality; promoting recovery; identifying people's needs and strengths; providing service user-centred care; making a difference; promoting safety and positive risk taking; and personal development and learning. Each section is subdivided into the individual competencies required for each capability. Activities and exercises are included to help the reader develop their understanding of the framework.
CoolTan Arts: enhancing well-being through the power of creativity
- Author:
- KIRRMANN Kathryn
- Journal article citation:
- Mental Health and Social Inclusion, 14(2), May 2010, pp.12-16.
- Publisher:
- Emerald
CoolTan Arts, is a South London, user-led, charitable, arts and mental health organisation established in 1990, which enhances adult mental health, by using inherent creativity to produce art work, and integrates those with mental health problems with those who work or volunteer at CoolTan Arts, or who come to the art gallery or attend public events such as fashion shows and poetry readings. Daily workshops in visual arts, drawing, batik, fashion, video editing, filming, playwriting, poetry, web design, podcasting, ICT, photography and sculpture, allow patients to start being productive and valued by friends, family and society as artists. Sections entitled ‘promoting recovery’, ‘social inclusion’, ‘challenging stigma’, ‘the Largactyl shuffle’, and ‘new projects and future challenges’, are punctuated with artist’s quotes and illustrations of their work. Empowered to become advocates helping to reduce mental health stigma, participants often go on to teach workshops or gain employment in the community, says the author, CEO of CoolTan Arts, whose own life has been transformed by the organisation. ‘The Largactyl Shuffle’ is a monthly, cultural walk from Maudsley Hospital to Tate Modern, named after the antipsychotic drug, whose side effects can cause a shuffling gait, which purposely draws attention to the link between exercise, environment and good mental health and has a planned role in the 2012 Olympics and Paralympics.