Search results for ‘Subject term:"mental health problems"’ Sort:
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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)
Developing a theory-driven framework for a football intervention for men with severe, moderate or enduring mental health problems: a participatory realist synthesis
- Authors:
- SUCH Elizabeth, et al
- Journal article citation:
- Journal of Mental Health, 29(3), 2020, pp.277-288.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Physical activity interventions are an important adjunct therapy for people with severe to moderate and/or enduring mental health problems. Football is particularly popular for men in this group. Several interventions have emerged over the past decade and there is a need to clearly articulate how they are intended to work, for whom and in what circumstances. Aims: To develop a theory-driven framework for a football intervention for men with severe, moderate and/or enduring mental health problems using a participatory realist approach. Methods: A participatory literature review on playing football as a means of promoting mental health recovery with a realist synthesis. It included the accounts and input of 12 mental health service users and the contributions of other stakeholders including football coaches and occupational therapists. Results: Fourteen papers were included in the review. Analysis revealed that interventional mechanisms were social connectedness, identity security, normalising experiences and positive affectivity. These supported mental health recovery. Outcomes were moderated by social stigma and several interventional factors such as over-competitiveness. Conclusions: The context mechanism outcome configuration framework for these interventions map well onto social models of mental health recovery and provide insight into how they work. This now requires testing. (Edited publisher abstract)
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)
Supported decision making: experiences, approaches and preferences
- Authors:
- DAVIDSON Gavin, et al
- Publishers:
- Praxis Care, Mencap, Queens University Belfast
- Publication year:
- 2018
- Pagination:
- 72
- Place of publication:
- Belfast
This report presents the findings from research which explores how people are supported to make their own decisions. The report includes the results of a review of literature on supported decision making, including different approaches; a review of key guidance; and findings from interviews with 41 people with mental health problems and/ or intellectual disabilities carried out by peer researchers. The interviews provided an in-depth understanding of people’s experiences of support for decision making and their ideas on how decision making should be supported in the future. The research was funded by the Disability Research on Independent Living and Learning (DRILL) programme and was led by Praxis Care in partnership with Mencap NI and Queen’s University Belfast. The findings identified three things that participants felt make decision making harder: the type of decision; the role of other people; and what the outcome might be. Time was also identified as an important factor. In terms of support, people said they would like: practical support including more accessible information; emotional support including someone to talk to; and sometimes the options to choose from. The report makes a number of recommendations for how support for decision making should be provided but also specifically for how these findings might help to inform how the new support principle in the Mental Capacity Act (Northern Ireland) 2016 should be implemented in practice. (Edited 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)
A mental health service users perspective to stigmatisation
- Authors:
- GREEN Gill, et al
- Journal article citation:
- Journal of Mental Health, 12(3), June 2003, pp.223-234.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Previous campaigns to combat stigma emphasise the need for people who do not have mental health problems to behave in a non-stigmatising socially inclusive way towards those who do. Less attention has been given to the role of people with mental health problems in the construction of stigma or the impact it has upon them. To enhance services' contribution to supporting their clients in dealing with stigma, this study explores the nature and impact of stigma from the perspective of the lived experience of mental health service users. In-depth interviews were conducted with 27 Caucasian service users. All respondents, whatever their diagnosis, reported being affected by stigma. Fear of stigma was found to be more commonplace (reported by 25 respondents) and more restrictive than overt discrimination (reported by 14 respondents). It is suggested that traditional campaigns that highlight discrimination may have a negative impact on the mentally ill because they highlight the prevalence of hostile attitudes. In so doing the stigmatised stereotype is perpetuated.
Assertive Outreach: does it reach expectations?
- Authors:
- MINGHELLA Edana, GAUNTLETT Nick, FORD Richard
- Journal article citation:
- Journal of Mental Health, 11(1), February 2002, pp.27-42.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The study evaluated two voluntary sector Assertive Outreach (AO) teams. Team structures and functions were measured against an evidence-based model of assertive community treatment (ACT). Targeting and engagement were also considered. Outcome measures comprised mental health, quality of life, social functioning and user satisfaction. Users' contact with mental health services, and costs incurred, were measured. While the teams partly adhered to the ACT model, there were major areas of deviation. The teams had little influence over admission and discharge and no medical input. Local users with frequent hospital admissions were not targeted. Clinical and social outcomes were mixed, and hospital bed use - and, consequently, costs - increased. Conversely, clients valued the teams, especially the practical help provided and staff attitudes. The findings add to growing evidence that lack of adherence to the ACT model and inadequate targeting of the appropriate client group adversely affect outcomes. The question is whether the benefits of user satisfaction and engagement outweigh the costs of disappointing clinical outcomes and increased hospital use.
Exploring the risk management strategies of informal carers of mental health service users
- Author:
- RYAN Tony
- Journal article citation:
- Journal of Mental Health, 11(1), February 2002, pp.17-25.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Presents the findings of an exploratory study examining the risk management strategies of informal carers of mental health service users. Thirteen carers from two cities were interviewed in depth using a semi-structured interview schedule. Participants had been informal carers between four and 20 years and supported users with formal diagnoses of schizophrenia, manic depression and depression. A grounded theory approach was followed to collect and examine data and to test the resulting models of risk management. Three models of risk management are discussed and relate to a wide range of risks posed and faced by the carers' users. The results of this study are compared with those of an earlier study into the risk management strategies of 22 service users with similarities and differences highlighted.
Active outreach: an independent service user evaluation of a model of assertive outreach practice
- Authors:
- GRALEY-WETHERELL Roberta, MORGAN Steve
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2001
- Pagination:
- 44p.,bibliog.
- Place of publication:
- London
Assertive (Active) Outreach is a flexible and creative team based approach to working with the complex needs and wishes of a clearly defined group of people. This group is frequently referred to as experiencing severe and enduring mental health problems, and as being hard to engage or resistant to services. They have generally been inadequately served in the mainstream development of community and inpatient mental health services. The aim of this publication is to show the importance of gaining service users' views on the innovative local practices that they receive and to provide an example of how service user involvement can be more widely implemented through direct consultation.
Exploring 'person-centredness': user perspectives on a model of social psychiatry
- Authors:
- WILLIAMS Brian, et al
- Journal article citation:
- Health and Social Care in the Community, 7(6), November 1999, pp.475-482.
- Publisher:
- Wiley
Explores service users' experiences of a 'person-centred' mental health service. The articles describes the development of a model of social psychiatry that places the emphasis on the experiences of the person within social and political contexts which establishes the foundations of a 'person-centred' approach. Presents the results of interviews with 20 people, and explores their experiences. Discusses some of the obstacles to the full realisation of a 'person-centred' approach.