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Attitudes to health promotion interventions among patients in mental health services – differences in relation to socio-demographic, clinical and health-related variables
- Author:
- SVEDBERG Petra
- Journal article citation:
- Journal of Mental Health, 20(2), 2011, pp.126-135.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The global burden of mental illness is high, with mental illness affecting 1 in 4 people at some stage during their lives. The high social and economic costs of poor mental health have contributed to a growing recognition of the need for health promotion interventions in mental health services. The aim of this study was to investigate differences in patients' attitudes to health promotion interventions with regard to socio-demographic, clinical and health-related variables. The participants were 141 outpatients in contact with 8 community mental health service units in the county of Halland, Sweden. The participants rated their attitudes to the concept of health promotion interventions in accordance to the Health Promotion Intervention Questionnaire (HPIQ). The results show a clear indication that there are gender differences in attitudes of health promotion interventions in mental health services, with females rating overall health promotion interventions as more important than males did. The article concludes that gender issues have to be considered in health promotion interventions in mental health services and taken into account in the assessment, planning and delivery of the interventions as well as the evaluation of outcomes.
Mental health users' experiences of being interviewed by another user in a research project. A qualitative study
- Authors:
- BENGTSSON-TOPS A., SVENSSON B.
- Journal article citation:
- Journal of Mental Health, 19(3), June 2010, pp.234-242.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Using a sample of 17 mental health users with previous experience of being interviewed in a research project by another user, interviews were conducted to thematically identify users’ perception of participating in the study. Analysis after content analysis revealed that being interviewed by another user was a special experience including both negative and positive aspects. While it generally happened in an atmosphere of comradeship, being interviewed by another user could generate feelings of insecurity. This result highlights the requirements from the informants how to perform user-involved research in the future. When planning for user-involved research education, the authors concluded that it is necessary to consider training aspects and issues related to secure ethical principles concerning the informants.
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)
Normal life crises and insanity: mental illness contextualised
- Authors:
- INGVARSDOTTER Karin, JOHNSDOTTER Sara, ÖSTMAN Margareta
- Journal article citation:
- European Journal of Social Work, 15(3), 2012, pp.345-360.
- Publisher:
- Taylor and Francis
Based on a 2005 Swedish survey, the people of Rosengård, a culturally heterogeneous borough of Malmö, utilise considerably less mental health services in relation to their estimated needs than the rest of the city's population. A previous study based on interviews with people living or working in the area suggested several possible reasons. The most important finding was their perception of what constitutes mental illness – if the cause of one's disturbed mental state is viewed as a normal life crises rather than an illness, one does not seek medical treatment. This article illustrates how under-utilisation of mental health services by an immigrant population can be explained by their different perceptions of what constitutes mental illness. Interventions should add concerns regarding a client's socio-economic and psychosocial needs, rather than solely follow a medical model. Implications for practice are discussed.
Coordination in networks for improved mental health service
- Authors:
- HANSSON Johan, et al
- Journal article citation:
- International Journal of Integrated Care, 10(3), 2010, Online only
- Publisher:
- International Foundation for Integrated Care
Well-organised clinical cooperation between health and social services has been difficult to achieve in Sweden as in other countries. This paper presents an empirical study of a mental health coordination network in one area in Stockholm. The aim was to describe the development and nature of coordination within a mental health and social care consortium and to assess the impact on care processes and client outcomes. This study addressed the following questions: What main coordination elements constitute the Södertälje mental health and social care consortium? Which factors emerge as most essential for helping and hindering coordination? To what extent has the integrated model influenced the clients’ satisfaction? The took place at the Södertälje mental health and social care consortium, a cooperative model involving a county psychiatry clinic and the municipal social services and sheltered housing and rehabilitation units. This paper described areas where there was some evidence of effective care coordination. Factors that help and hinder care coordination were identified, suggesting elements to be included in further research.
The Children's Project in Western Stockholm
- Author:
- SKERFVING Annemi
- Journal article citation:
- Social Work in Europe, 6(1), 1999, pp.22-25.
- Publisher:
- Russell House
Describe the Children's Project, a project based in Stockholm to investigate the situation of the children of psychiatric patients and to develop a methodology for carrying out such studies.
Critical components in implementing evidence‐based practice: a multiple case study of individual placement and support for people with psychiatric disabilities
- Authors:
- BERGMARK Magnus, BEJERHOLM Ulrika, MARKSTROM Urban
- Journal article citation:
- Social Policy and Administration, 52(3), 2018, pp.790-808.
- Publisher:
- Wiley
When developing Community Mental Health Services to support people with psychiatric disabilities, European countries are advocating evidence‐based practice (EBP). Individual Placement and Support (IPS) is an evidence‐based model designed to support people in acquiring and maintaining competitive employment. Implementation science is a growing research field, with a focus on components that impact the process of implementing EBP programmes. In this multiple case study, three IPS demonstration sites are followed for two years, in order to describe and analyze barriers and facilitators for implementation, according to constructs described in the Consolidated Framework for Implementation Research(Damschroder et al. 2009). The results highlight the importance of strategic networking, as well as the need for planning and preparations carried out before the start of an EBP programme, since deficiencies related to these constructs are difficult to compensate for. (Edited publisher abstract)
Internet-based cognitive behaviour therapy and physical exercise – effects studied by automated telephone assessments in mental ill-health patients; a randomized controlled trial
- Authors:
- STRID Catharina, et al
- Journal article citation:
- British Journal of Clinical Psychology, 55(4), 2016, p.414–428.
- Publisher:
- Wiley
Objectives: Mental ill-health has become a large health problem and it is important for caregivers to provide effective treatment alternatives. REGASSA is a randomized controlled study performed in primary care to study the effects of 12 weeks of Internet-based cognitive behaviour therapy (ICBT) and physical exercise (PE) compared with treatment as usual (TAU) in patients with mild-to-moderate mental ill-health. The present study aimed to examine the results of these treatment alternatives on psychological functioning, stress, and sleep disturbances. Methods: The study comprised 879 patients with mental ill-health taking part in the REGASSA study. Data were collected by Interactive Voice Response (IVR), a computerised, automated telephone technique. The treatments were compared at baseline, twice during treatment, at the end of treatment and at three follow-ups after treatment. Measures used were the Outcome Questionnaire-45, the short versions of the Perceived Stress Scale, and the Karolinska Sleep Questionnaire. Results: Linear mixed models showed that the patients in ICBT and PE had better results than in TAU on psychological functioning and sleep disturbances, p < .001, with weak-to-moderate effect sizes. On stress there were no differences; all groups made improvements. Women had stronger effects than men. More patients recovered on psychological functioning (OQ-45) in ICBT and PE than in TAU. Conclusions: Internet-based cognitive behaviour therapy and PE proved to be effective treatment alternatives for patients with mild-to-moderate mental ill-health in improving psychological functioning, stress, and sleep disturbances and could be useful alternatives in primary care. Practitioner points: a) Internet-based cognitive behaviour therapy and physical exercise proved to be effective treatment alternatives for mental ill-health patients in primary care. Automated techniques (Interactive Voice Response) could be useful for following treatment course in large groups of patients in the health care; b) It is important to use measures that capture different aspects of patients’ health problems; c) The recruitment of participants was based on patients’ interest and inclusion criteria which may have affect the generalisability. (Edited publisher abstract)
A qualitative evaluation of professionals’ experiences of conducting Beardslee’s family intervention in families with parental psychosis
- Authors:
- STRAND Jennifer, RUDOLFSSON Lisa
- Journal article citation:
- International Journal of Mental Health Promotion, 19(5), 2017, pp.289-300.
- Publisher:
- Taylor and Francis
After Sweden passed new health care legislation in 2010, Beardslee’s preventive family intervention (FI) was implemented to meet children’s rights to information and support. No studies have yet evaluated perceived effectiveness of FI in families with parental psychosis or its reception by families or professionals. This study focused on professionals’ experiences of offering FI to parents with psychosis, their partners, and their children. The authors conducted 11 semi-structured interviews with FI-educated professionals at open care psychosis service units. Both authors applied thematic analysis to the interview data. The main reported benefit of FI was more open communication in the family; discussing the parent’s illness was thought to be helpful for all family members. Psychoeducation was described as particularly useful because family members generally seemed to lack sufficient information about psychosis. The FI manual also made professionals more confident about asking about patients’ parenting capacity and their children’s wellbeing. Despite positive descriptions, participants had conducted few FI interventions because of heavy workloads, organisational problems, and patients’ resistance to talking about their children. These barriers need to be addressed because children of parents with psychosis are a vulnerable group in great need of information and support. (Edited publisher abstract)
Caring for mentally ill people in Europe
- Authors:
- VAN OS Jan, NEELEMAN Jan
- Journal article citation:
- British Medical Journal, 5.11.94, 1994, pp.1218-1221.
- Publisher:
- British Medical Association
Despite legislation to harmonise mental health practice throughout Europe and convergence in systems of training there remains an extraordinary diversity of psychiatric practice in Europe. Approaches to tackling substance misuse vary among nations; statistics on psychiatric morbidity are affected by different approaches to diagnosis and treatment of psychiatric disorders; attitudes towards mental illness show definite international differences. Everywhere, though, mental health care for patients with psychotic illness is a "cinderella service", and there is a general move towards care falling increasingly on the family and the community.