Search results for ‘Subject term:"mental health problems"’ Sort:
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Football metaphor and mental well-being: an evaluation of the It's a Goal! programme
- Authors:
- SPANDER Helen, et al
- Journal article citation:
- Journal of Mental Health, 22(6), 2013, pp.544-554.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The It's a Goal! programme utilises football metaphor and football venues as a means to frame and deliver a non-clinical, group-based therapeutic intervention, targeting men with mental health needs. The article evaluates the impact of a pilot in the North West of England hosted by seven professional football clubs in partnership with local Primary Care Trusts and identifies the benefits and key components of the approach from the perspective of participants. Analysis of impact utilised before and after well-being scores measured on a modified version of the Warwick-Edinburgh Mental Well-being Scale. Focus groups provided additional qualitative data that were analysed thematically. Findings suggest that It's a Goal! had a significant impact upon participant's well-being. In addition, participants reported a range of positive benefits especially in relation to confidence, self-esteem and developing better coping mechanisms. Participants related these benefits to a number of key components, not least the therapeutic value of football metaphor, the focus on goal-setting and the mutual support developed within the groups.Using football metaphor to deliver a group therapeutic programme aimed at men appears to be an effective means of facilitating mental health benefits. (Edited publisher abstract)
Towards support: evaluating a move to independent living
- Authors:
- KARBAN Kate, PALEY Caroline, WILLCOCK Kim
- Journal article citation:
- Housing Care and Support, 16(2), 2013, pp.85-94.
- Publisher:
- Emerald
Purpose – The purpose of this paper is to present results from an evaluation of the experience of a move to independent living for people with mental health needs or a learning disability. The discussion focuses on the shift in organisational culture from providing care within a hostel setting to supporting people in their own tenancies. Design/methodology/approach – The evaluation was underpinned by a participatory action research design. A total of ten co-researchers with experience of using services or as carers were recruited. Qualitative data was obtained from “before” and “after” interviews with residents, staff and relatives. Findings – Widespread satisfaction was expressed with people's new homes. Many residents were found to be increasingly independent. There was some evidence of concerns regarding the pace and process of change and the introduction of new practices to promote independence. Research limitations/implications – The timing of the evaluation limited the opportunity for comprehensive “before” and “after” data collection. The involvement of co-researchers required considerable time and support although the experience of those involved was positive. Practical implications – Learning from this evaluation emphasises the importance of support and preparation for staff as well as residents, in moving from hostel to independent living. Social implications – This study highlights the advantages of a participatory design in evaluating a major change in service delivery. Originality/value – This paper raises important issues about organisational change. It contributes to wider debates regarding the implementation of personalisation and recovery-focused agendas. (Publisher abstract)
Public knowledge, attitudes and behaviour regarding people with mental illness in England 2009-2012
- Authors:
- EVANS-LACKO Sara, HENDERSON Claire, THORNICROFT Graham
- Journal article citation:
- British Journal of Psychiatry, 202(s55), April 2013, pp.s51-s57.
- Publisher:
- Cambridge University Press
Public stigma against people with mental health problems is damaging to individuals with mental illness and is associated with substantial societal burden. This study investigates whether public knowledge, attitudes and behaviour in relation to people with mental health problems have improved among the English population since the inception of the Time To Change programme in 2009. Longitudinal trends in public knowledge, attitudes and behaviour between 2009 and 2012 among a nationally representative sample of English adults were examined. Results found improvements in intended behaviour and a non-significant trend for improvement in attitudes among the English population. There was, however, no significant improvement in knowledge or reported behaviour. The findings provide support for effectiveness of the national Time to Change programme against stigma and discrimination in improving attitudes and intended behaviour, but not knowledge, among the public in England. (Edited publisher abstract)
Impact evaluation of a cognitive behavioral group therapy model in Brazilian sexually abused girls
- Authors:
- HABIGZANG Luísa, DAMÁSIO Bruno Figueiredo, KOLLER Silvia Helena
- Journal article citation:
- Journal of Child Sexual Abuse, 22(2), 2013, pp.173-190.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study evaluated the impact of a newly developed cognitive behavioural group therapy model for young female victims of sexual abuse. The effect of the waiting period before treatment and the enduring effectiveness of the treatment after 6 and 12 months were also evaluated. The cognitive behavioural group therapy consisted of 3 stages: psychoeducation and cognitive restructuring (Stage 1, 6 weeks of group therapy); stress inoculation training (Stage 2, 10 weeks of group therapy); and relapse prevention (Stage 3, 16 weeks of group therapy). The participants were 49 Brazilian girls from 9-16 years of age who had experienced at least one episode of sexual abuse. The participants completed instruments measuring depression, anxiety, stress, and post-traumatic stress disorder before, during, and after the group therapy. The findings showed that group therapy had a positive impact on the girls psychological functioning, significantly reducing symptoms of anxiety, stress, and post-traumatic stress disorder. They also showed that the model was of benefit regardless of the time between the sexual abuse and the beginning of group therapy. The therapeutic effects of the group therapy continued to be maintained 6-12 months after the treatment ended.
Returning home: piloting personalised support
- Author:
- DUFFY Simon
- Publisher:
- Centre for Welfare Reform
- Publication year:
- 2013
- Pagination:
- 42
- Place of publication:
- Sheffield
This report sets the scene for the Beyond Limits Pilot project, providing an overview of its design, goals and approach and highlighting some of the early successes and current problems. The project, which is focused on people living within the Plymouth footprint of the Western Locality within NEW Devon Clinical Commissioning Group, aims to bring back disabled people and people with mental health needs from institutional services and help them return home. The report discusses key components of the projects, focusing on personalisation, capacity development and wider developments, including prevention, crisis management, flexible services, strategic commissioning and rights. The report also looks at the impact the pilot made on people’s lives, the family experience and the increased collaboration with other service providers to help develop and share good practice and resources. It concludes with the key challenges ahead, including: protecting human rights; increasing efficiency; and strengthening strategic commissioning. (Edited publisher abstract)
Being understood, being respected: an evaluation of mental health service provision from service providers and users' perspectives in Birmingham, UK
- Authors:
- RABIEE Fatemeh, SMITH Paula
- Journal article citation:
- International Journal of Mental Health Promotion, 15(3), 2013, pp.162-177.
- Publisher:
- Taylor and Francis
This paper examines the views and experiences of using and providing mental health services from the perspectives of black African and black African Caribbean mental health service users, their carers, voluntary services and a range of statutory mental health professionals and commissioners in Birmingham, UK. Using a qualitative approach, data were collected through telephone interviews (n = 15), individual face-to-face (n = 20) and focus group interviews (n = 12), and analysed using Krueger's framework and Rabiee's guidelines. Findings showed differences in the experiences of mental health services amongst African Caribbean and their African counterparts, the impact of social inequality on mental health and the needs of asylum seekers and refugees. It highlighted the important role of voluntary organisations in provision of care and support, insufficient provision of psychological therapies and concerns about high dosage of medication. The implications for practice are discussed, particularly the role of health beliefs in help-seeking behaviour and barriers to accessibility of mental health services. (Edited publisher abstract)
Ecominds effects on mental wellbeing: an evaluation for Mind
- Authors:
- BRAGG Rachel, WOOD Carly, BARTON Jo
- Publisher:
- MIND
- Publication year:
- 2013
- Pagination:
- 112
- Place of publication:
- London
In 2007, Mind called for a new green agenda for mental health, highlighting the growing evidence in support of an accessible, cost-effective and natural addition to existing treatment options, using ecotherapy (sometimes called green care) interventions. Through the management of Ecominds (a £7.5 million Big Lottery Fund supported open grant scheme), Mind subsequently funded 130 ecotherapy projects ranging from horticultural and agricultural schemes, through to walking groups and regeneration initiatives in local parks. Ecominds has helped 12,071 people living with mental health problems to get involved in green activities to improve confidence, self-esteem, and their physical and mental health. This report presents results of projects and “in-depth” evaluations conducted by researchers at the University of Essex School of Biological Sciences and Essex Sustainability Institute. The focus was on three main themes: wellbeing, social inclusion, and connection to nature; and two secondary themes: healthy lifestyles, and environmentally friendly behaviour. The report includes examples of different forms of activity consistent with Ecominds project activities as described by participants. It also includes the texts of questionnaires used for the evaluations. (Edited publisher abstract)
Prevention: wrestling with new economic realities
- Author:
- KNAPP Martin
- Journal article citation:
- Tizard Learning Disability Review, 18(4), 2013, pp.186-191.
- Publisher:
- Emerald
Purpose : The purpose of this paper is to discuss the economic pressures on long-term care systems, and describe how an economic case might be made for better care, support and preventive strategies. Design/methodology/approach: Discussion of recent developments and research responses, with illustrations from previous studies. Findings: Economics evidence is highly relevant to decision makers in health, social care, and related systems. When resources are especially tight, economics evidence can sometimes persuade uncertain commissioners and others to adopt courses of action that improve the wellbeing of individuals, families, and communities. Originality/value: The paper uses long-established approaches in economic evaluation to discuss preventive and other strategies in today's challenging context. (Publisher abstract)
Evaluation of three assertive outreach teams
- Authors:
- MACPHERSON Rob, et al
- Journal article citation:
- Psychiatrist (The), 37(7), 2013, pp.228-231.
- Publisher:
- Royal College of Psychiatrists
Outcomes for service users during their first year of treatment in three English assertive outreach teams were evaluated by examining changes in health and social functioning, engagement with services, service use and need (rated by staff and service users). In 49 service users a significant increase in mean staff-rated met needs up to 6 months of treatment. There were no significant changes in ratings of engagement or Health of the Nation Outcome Scales (HoNOS) scores at 6 and 12 months. Unmet needs rated by service users and staff showed a non-significant trend for improvement across a range of individual health and social domains. Duration of hospital admission reduced significantly between the 12 months before the evaluation and the 12 months of the evaluation. Formal and informal admission and levels of contact with crisis teams reduced over the study period. Although these results offer some support to the assertive outreach approach, further research in larger samples is needed to identify which changes in health and social functioning are associated with transfer to assertive outreach teams. (Edited publisher abstract)
Enhanced case management versus substance abuse treatment alone among substance abusers with depression
- Authors:
- STRILEY Catherine W., et al
- Journal article citation:
- Social Work Research, 37(1), 2013, pp.19-25.
- Publisher:
- Oxford University Press
This pilot study evaluated the effectiveness of enhanced case management for substance abusers with comorbid major depression, which was an integrated approach to care. One hundred and 20 participants admitted to drug treatment who also met Computerized Diagnostic Interview Schedule criteria for major depression at baseline were randomized to enhanced case management (ECM) (n = 64) or treatment as usual (TAU) (n = 56). Both groups were followed up at six and 12 months. Participants' current clinical status across a broad range of domains in the past 90 days was assessed using the Global Appraisal of Individual Needs and included their Depressive Symptom Scale, Homicidal–Suicidal Thought Index, and Mental Health Treatment Index scores. The findings did not reveal any statistically significant effects of ECM on outcome measures. However, in view of the high rates of adverse treatment outcomes among comorbid groups, including suicide, the finding of a clinically significant reduction in homicidal and suicidal thoughts warrants further research; the comprehensive approach to treatment tested may be especially helpful to depressed substance abusers with such ideations. (Publisher abstract)