Search results for ‘Subject term:"mental health problems"’ Sort:
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Putting users in control
- Authors:
- HITCHON Gil, et al
- Journal article citation:
- Mental Health Today, June 2006, pp.16-18.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The authors, from the charity Together, argue that mental health organisations need to put service users at the heart of everything they do. They argue that recovery, well-being and quality of life, rather than simply the treatment of symptoms, should drive mental health organisations. The article uses a four quadrant/four-views perspective in order to help integrate the key perspectives that influence people's lives.
Transforming systems of care: the American Association of Community Psychiatrists guidelines for recovery oriented services
- Author:
- SOWERS Wesley
- Journal article citation:
- Community Mental Health Journal, 41(6), December 2005, pp.757-774.
- Publisher:
- Springer
Promotion of recovery has recently been recognized as an organizing principle for the transformation of behavioral health services. Recovery is a personal process of growth and change which typically embraces hope, autonomy and affiliation as elements of establishing satisfying and productive lives in spite of disabling conditions or experiences. Recovery oriented services replace paternalistic, illness oriented perspectives with collaborative, autonomy enhancing approaches and represent a major cultural shift in service delivery. Recovery oriented services replace the myth of chronicity and dependence with a message of individualism, empowerment and choice in the context of collaborative relationships with service providers. This article presents the Guidelines for Recovery Oriented Services developed by the American Association of Community Psychiatrists to facilitate the transformation of services to this new model. The guidelines are divided into three domains: administration, treatment, and supports, each consisting of several elements for which recovery enhancing characteristics are defined. Several example indicators are also provided for each element.
Mental health promotion theory: review and application
- Author:
- SECKER Jenny
- Journal article citation:
- Journal of Public Mental Health, 4(1), March 2005, pp.10-12.
- Publisher:
- Emerald
Reviews the ways in which mental health has been defined in the mental health promotion literature and then introduces a model derived from mental health promotion theory. Concludes with an example of the model's application to promoting the well-being of mental health service users through the provision of evidence-based employment support.
Coaching for recovery: a key mental health skill
- Author:
- BOYLE Don
- Journal article citation:
- A Life in the Day, 8(1), February 2004, pp.23-27.
- Publisher:
- Emerald
Discusses the potential of coaching in mental health. It reports on the work being done by Oxleas NHS Trust, Bexley Council and First Step Trust in partnership with Doing-it Personal and Corporate Coaching to equip managers, workers and service users with the new skill of coaching. Also provides an overview of the GROW model of coaching. Explains how coaching can enable mental health professionals to work confidently with service users to help achieve their individual aspirations and potential.
Development of the REFOCUS intervention to increase mental health team support for personal recovery
- Authors:
- SLADE Mike, et al
- Journal article citation:
- British Journal of Psychiatry, 207(6), 2015, pp.544-550.
- Publisher:
- Cambridge University Press
Background: There is an emerging evidence base about best practice in supporting recovery. This is usually framed in relation to general principles, and specific pro-recovery interventions are lacking. Aims: To develop a theoretically based and empirically defensible new pro-recovery manualised intervention, called the REFOCUS intervention. Method: Seven systematic and two narrative reviews were undertaken. Identified evidence gaps were addressed in three qualitative studies. The findings were synthesised to produce the REFOCUS intervention, manual and model. Results: The REFOCUS intervention comprises two components: recovery-promoting relationships and working practices. Approaches to supporting relationships comprise coaching skills training for staff, developing a shared team understanding of recovery, exploring staff values, a Partnership Project with people who use the service and raising patient expectations. Working practices comprise the following: understanding values and treatment preferences; assessing strengths; and supporting goal-striving. The REFOCUS model describes the causal pathway from the REFOCUS intervention to improved recovery. Conclusions: The REFOCUS intervention is an empirically supported pro-recovery intervention for use in mental health services. It will be evaluated in a multisite cluster randomised controlled trial (Publisher abstract)
The Experience of KAI MAHI, an employment initiative for people with an experience of mental illness, as Told by Zarna, Zeus, Lulu, Mary, Paul, and Hemi
- Authors:
- De MALMANCHE Janie, ROBERTSON Linda
- Journal article citation:
- Community Mental Health Journal, 51(8), 2015, pp.880-887.
- Publisher:
- Springer
There is a growing body of evidence endorsing the use of supported employment models for people with an experience of mental illness. However current literature and research regarding the perspective of people with experience of mental illness, as well as alternate models of employment support, is sparse. This study has captured the stories of employment of people with experience of mental illness who participated in KAI MAHI, a group based employment programme. Findings identified key components of KAI MAHI, consistent with their overall experiences of employment, which were influential in assisting them to find and sustain employment. These included the opportunity for self-determination, a sense of self-efficacy, and respectful relationships. (Edited publisher abstract)
Money for change?
- Author:
- BRANDON David
- Journal article citation:
- Care in Place the International Journal of Networks and Community, 1(3), December 1994, pp.211-217.
Traces the history of peer advocacy in mental health services. Explores alternate definitions of the term, and provides some examples of action linked with changes in the citizens advocacy movement. Staff resistance to these changes are documented, with possible explanations for the dynamic. Other obstacles to change are identified, with an attempt to define essential features of the model in action.
Making sense of being recalled: a grounded theory
- Authors:
- RYE Owen, et al
- Journal article citation:
- Journal of Forensic Practice, 21(1), 2019, pp.27-37.
- Publisher:
- Emerald
Purpose: A high proportion of forensic mental health service users (FSUs) are recalled to secure hospitals from conditional discharge in the community. The limited research on recall to date has preliminarily identified why FSUs are recalled, but not how they make sense of the process. The purpose of this paper is to develop a conceptual understanding of how FSUs make sense of being recalled to hospital. Design/methodology/approach: A constructivist grounded theory approach was used. Semi-structured interviews were carried out with 11 FSUs from different levels of forensic service security who had been recalled varying numbers of times across a wide timeframe. Findings: A theoretical model was constructed to illustrate the process of how FSUs make sense of being recalled. FSUs appraise being recalled on a continuum from negative to positive, based on their experiences when conditionally discharged and their reflections on the circumstances of being recalled. The nature of their appraisal appears to reciprocally influence their subsequent attitudes towards and their engagement with forensic services. Research limitations/implications: The proposed mechanism of how FSUs make sense of being recalled, particularly their dynamic appraisal of it, should now be investigated longitudinally. Future qualitative research could explore forensic service staff perspectives on recall. Practical implications: Enhancing the positivity of FSUs’ appraisals about being recalled may improve their attitudes about and engagement with forensic services. Originality/value: This is the first research study to construct a theoretical model of recall. (Edited publisher abstract)
Psychologically informed environments for homeless people: resident and staff experiences
- Authors:
- PHIPPS Catriona, et al
- Journal article citation:
- Housing Care and Support, 20(1), 2017, pp.29-42.
- Publisher:
- Emerald
Purpose: Many homeless people have significant levels of early adverse experiences and consequent mental health difficulties. This study examines the experiences of residents and staff living and working in a Psychologically Informed Environment (PIE), a new model of hostel for homeless people which aims to update and make more flexible the principles of the therapeutic community, thereby meeting the psychological and emotional needs of residents. Design/methodology/approach: Semi-structured interviews were carried out with nine residents, ten staff and five psychotherapists at two PIE hostels in London. The data were analysed using thematic analysis with a phenomenological epistemological approach. Findings: Analysis generated 18 themes for residents and staff combined, organised into five domains: what makes a home, resident needs, managing relationships, reflective practice and theory vs practice of PIEs. The study suggests that PIEs broadly meet their aim in providing a different type of environment from standard hostels. Efforts to build relationships with residents are particularly prioritised. This work can be challenging for staff and reflective practice groups provide a supportive forum. There are limits to the extent to which the theoretical PIE can be put into practice in the current political and economic climate. Originality/value: Originality/Value: This is one of the first qualitative studies of PIEs. It provides perspectives on their theoretical background as well as how they operate and are experienced in practice. It may be informative to services intending to establish a PIE and to commissioners in assessing appropriate resources. (Publisher abstract)
Causal and mediating factors for anxiety, depression and well-being
- Authors:
- KINDERMAN Peter, et al
- Journal article citation:
- British Journal of Psychiatry, 206(6), 2015, pp.456-460.
- Publisher:
- Cambridge University Press
Background: The relationship between well-being and mental ill health is complex; people may experience very low levels of well-being even in the absence of overt mental health problems. Aims: This study tested the hypothesis that anxiety, depression and well-being have different causal determinants and psychological mediating mechanisms. Method: The influence of causal and mediating factors on anxiety, depression and well-being were investigated in a cross-sectional online questionnaire survey hosted on a UK national broadcasting website. Results: Multivariate conditional independence analysis of data from 27 397 participants revealed different association pathways for the two constructs. Anxiety and depression were associated with negative life events mediated by rumination; low levels of subjective well-being were associated with material deprivation and social isolation, mediated by adaptive coping style. Conclusions: The findings support the ‘two continua’ model of the relationship between psychological well-being and mental health problems, with implications for both treatment and prevention. (Edited publisher abstract)