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Building mobile apps for underrepresented mental health care consumers: a grounded theory approach
- Authors:
- LEUNG Ricky, et al
- Journal article citation:
- Social Work in Mental Health, 14(6), 2016, pp.625-636.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Cell phone mobile application (“app”) use has risen dramatically within the past several years. Many individuals access apps to address mental health issues. Unlike individuals from privileged backgrounds, individuals from oppressed backgrounds may rely on apps rather than costly mental health treatment. To date, very little research has been published evaluating mental health apps’ effectiveness. This article focuses on three methods through which grounded theory can facilitate app development and evaluation for people underrepresented in mental health care. Recommendations are made to advance mobile app technology that will help clinicians provide effective treatment, and consumers to realize positive treatment outcomes. (Publisher abstract)
Learning from mental health PHBs in Stockport
- Authors:
- DEAN Shirley, ROBERTS Doreen, ROBERTS Ian
- Publisher:
- All Together Positive
- Publication year:
- 2016
- Pagination:
- 35
- Place of publication:
- Stockport
An evaluation of the implementation of mental health personal health budgets in Stockport. Evidence gained by the PHB project confirmed people’s reliance on costly emergency services at times of crisis yet they had a strong reluctance to engage further with traditional services. Reliance on emergency services dramatically reduced once planning began and self-defined, individualised, alternative support solutions were planned to meet outcomes. The cohort were seen as complex and costly prior to receiving a PHB, yet interestingly enough they only required modest budgets to meet their outcomes and reduced reliance on traditional emergency services. The reduction in use of emergency services after the PHB planning process emphasises the importance of people being in control and being encouraged and supported to find more personal, practical and easily managed solutions and alternative coping strategies. Using solution-focused thinking led to people searching for their ‘perfect-fit’ solution to changes they wanted and needed to make in their personal circumstances, once funding was released they were easily implemented. Opting-in to the PHB process, person-centred planning and individualised goal setting enabled the person to be fully involved, having choice and control over their support solutions from the beginning of their involvement. Testimonies show the significance placed on the PHB approach ‘feeling different’ to traditional service responses, by using the values of co-production, personalisation and recovery, focusing on assets and resilience and having motivational conversations developed confidence in the process. (Edited publisher abstract)
Family-based crisis intervention with suicidal adolescents in the emergency room: a pilot study
- Authors:
- WHARFF Elizabeth A., GINNIS Katherine M., ROSS Abigail M.
- Journal article citation:
- Social Work: A journal of the National Association of Social Workers (NASW), 57(2), April 2012, pp.133-143.
- Publisher:
- Oxford University Press
Suicidality in adolescents is the most significant factor in the majority of paediatric emergency room (ER) visits for behaviour health concerns. Current standard practice for psychiatric patients in the ER is evaluation and disposition, with little or no treatment provided. This article describes the results of a pilot study of a family-based crisis intervention (FBCI) for suicidal adolescents and their families in a large, urban paediatric ER. FBCI is designed to sufficiently stabilise patients within a single ER visit so that they can return home safely with their families. A sample of 67 suicidal adolescents and their families who presented at the ER from January 2001-June 2002 participated in the study. Demographic and clinical characteristics and disposition outcomes from the sample were compared with those obtained retrospectively from a matched comparison group. The findings showed that patients in the FBCI group were significantly less likely to be hospitalised than were those in the comparison group (36% versus 55%). Only 2 of the patients in the FBCI cohort were hospitalised immediately after receiving the intervention during their ER visit. The article concludes that FBCI with suicidal adolescents and their families during a single ER visit is feasible and safely limits the need for inpatient psychiatric hospitalisation.
A review of family-based mental health treatments that may be suitable for children in immigrant families involved in the child welfare system
- Author:
- FAWLEY-KING Kya
- Journal article citation:
- Journal of Public Child Welfare, 4(3), July 2010, pp.287-305.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Family-based mental health treatments for immigrants are reviewed and their compatibility for families involved in child welfare system evaluated. Programs reviewed are: Between Two Worlds, Families United, Mental Health for Immigrants Program (MHIP), Strengthening of Intergenerational/Intercultural Ties in Immigrant Chinese American Families (SITICAF). Evidence-based mental health treatments that are effective for maltreated children and their caregivers are then reviewed together with research on the application of these interventions with families in other countries and ethnic minority families living in the United States. Programs reviewed are: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Parent-Child Interaction Therapy (PCIT), Multidimensional Treatment Foster Care (MTFC). Reasons these treatments may or may not be effective for immigrant families are discussed. The last treatment reviewed, The Incredible Years, is an intervention that has been tested with both maltreating and immigrant families. The article concludes with an analysis of how the reviewed treatments could be adapted for different types of immigrant families with child welfare system involvement and suggestions for future research.
Online mental health support of young people
- Author:
- FRITH Emily
- Publisher:
- Education Policy Institute
- Publication year:
- 2017
- Pagination:
- 48
- Place of publication:
- London
This report summarises recent research on online mental health care for young people, including research on efficacy and key issues associated with providing counselling and advice via the Internet. It then focuses on the Kooth online counselling model, developed by XenZone. Using data provided by Kooth, the report examines the demographics of those using online mental health support; the patterns of service usage; and client feedback and initial outcomes monitoring. The research also conducted interviews and analysed local data from three Kooth services in Hertfordshire, Plymouth and Halton. It found that in all three areas young people appreciated the anonymity, confidentiality, accessibility and control offered by online counselling. Local commissioners also valued the data about service use and that the service could reach groups that were not always accessing traditional services. Despite the benefits, the commissioners all acknowledged the need for a blended approach so that face-to-face support was available for those young people who did not want to receive counselling online. The report concludes by outlining what further research could be undertaken to evaluate the impact of blending online support with a traditional face-to-face mental health service. (Edited publisher abstract)
Evaluation of the Belhaven service: research report
- Authors:
- BOXFORD Stephen, et al
- Publisher:
- Great Britain. Department for Education
- Publication year:
- 2017
- Pagination:
- 48
- Place of publication:
- London
An evaluation of the Belhaven residential care project, which provides mental health treatment in a local residential care home to reduce the risk of referral to mental health inpatient services (CAMHS) and breakdown of educational and care arrangements for young people. Referrals to the service come from young people’s social workers at Suffolk County Council. During the evaluation period 5 young people accessed Belhaven services. Due to the small numbers of children accessing the service, the report does not provide conclusions about the effectiveness of the services, but looks at its impact to date and progress concerning its implementation. The evaluation found evidence that the service led to fewer episodes of hospitalisation for 3 young people, and to avoidance of admission to CAMHS inpatient service in at least one case; positive outcomes in relation to education; positive improvements in mental and emotional health and wellbeing; and improved relationships with family and friends for some young people. The report makes recommendations for the future development of the service. (Edited publisher abstract)
Specialist community perinatal screening clinic: service evaluation
- Authors:
- MAGON Rakesh, WHITE Ruth
- Journal article citation:
- Psychiatrist (The), 34(11), November 2010, pp.492-495.
- Publisher:
- Royal College of Psychiatrists
The specialist community perinatal team (SCPT) in Worcestershire Mental Health Trust runs a specialist community perinatal screening clinic in Worcester Royal Hospital for the detection of women who are symptomatic or have identifiable risk factors for mental illness. This study aimed to identify the outcomes of patients in the obstetric screening clinic. In 2 years, 180 women were referred by midwives to the screening clinic, and the ‘ultra-high risk’ patients were identified. There were four outcome measures predicated on level of care: no mental health problems; referred to the community mental health team (CMHT); referred to the SCPT; or treatment in primary care services. Of those referred, 69 women were managed in primary care/generic community mental health teams, 90 by specialist perinatal team and 21 did not attend. Twenty-three women were ultra-high risk, and the majority of these required treatment with specialist teams. The article concludes that specialist community perinatal screening clinics are successful at identifying those at high risk of developing mental health problems. Ultra-high risk women needed a higher level of service. High morbidity in women who fail to attend the services demands more assertive follow-up.
Outcome measurement in mental health: theory and practice
- Editors:
- TRAUER Tom, (ed.)
- Publisher:
- Cambridge University Press
- Publication year:
- 2010
- Pagination:
- 266p.
- Place of publication:
- Cambridge
The book brings together contributions from clinicians and academics to update knowledge in the field of outcome measurement in mental health. The first section covers outcome measurement and how it is being implemented in different countries. It aims to show that the same concept can be implemented in different places, with adjustments according to national policy and culture. The second section describes how outcome measurement has been delivered with different age groups and in different mental health settings. The final section discusses current and unresolved issues in outcome measurement. The publication is aimed at clinicians, managers and academics.
A handbook for the study of mental health: social contexts, theories, and systems
- Editors:
- SCHEID Teresa L., BROWN Tony N., (eds.)
- Publisher:
- Cambridge University Press
- Publication year:
- 2010
- Pagination:
- 714p., bibliog.
- Place of publication:
- Cambridge
- Edition:
- 2nd ed.
The second edition of this textbook appears ten years after it was first published and has been fully updated targeting emerging areas of research. Expert contributions combine to offer comprehensive coverage of conceptual, substantive and policy aspects of mental health and illness. Part I examines social factors that shape psychiatric diagnosis and the measurement of mental health and illness, theories that explain the definition and treatment of mental disorders and cultural variability. Part II investigates effects of social context, considering class, gender, race and age, and the critical role played by stress, marriage, work and social support. Part III focuses on the organisation, delivery and evaluation of mental health services, including the criminalisation of mental illness, the challenges posed by HIV, and the importance of stigma. The book is written for classroom use in the fields of sociology, social work, human relations, human services, and psychology. It provides useful definitions, overviews of the historical, social, and institutional frameworks for understanding mental health and illness. Summary chapters describe the wider context for the study of the subject.
Peer to peer
- Author:
- COSH Jackie
- Journal article citation:
- Mental Health Today, April 2010, pp.14-15.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article describes a pioneer scheme of peer supporter workers where people with experience of mental illness were employed and trained to support other people in their recovery. Commissioned by the Scottish government and carried out by the Scottish Development for Mental Health and the Scottish Recovery Network, the trial ran from January 2008 for 18 months in 5 health boards across Scotland. Peer support workers were employed as part of the mental health team in a variety of inpatient and community based settings. The peer support workers all worked on a one-to-one basis talking with service users. An evaluation of the impact of the peer supporter’s role on service users and on peer support workers themselves, as well as assessing the way the system was implemented was carried out by the universities of Stirling and Edinburgh. The trial showed that using their own experiences peer support workers were able to break down barriers between service users and their teams, articulating what the users needed and explaining to the team what they thought would help. Although the evaluation highlighted some challenges, including team relationships, confidentiality and information sharing, it also highlighted the key skills that only someone with a history of mental illness could bring.