Search results for ‘Subject term:"mental health problems"’ Sort:
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Recovery in psychiatry
- Authors:
- SCHRANK Beate, SLADE Mike
- Journal article citation:
- Psychiatric Bulletin, 31(9), September 2007, pp.321-325.
- Publisher:
- Royal College of Psychiatrists
In recent years, the concept of recovery from severe mental illness has increasingly gained relevance in the mental health field. Countries all over the world have been introducing recovery policy into mental health services However, there is still debate about the concept, such as whether symptom reduction is central or not. This article proposes a conceptual framework for recovery and identifies emergent practical issues. The term, two meanings, two classes of definitions which emerged from two different influences, can be identified for the term recovery in mental health. In psychiatry the idea of recovery is based on longitudinal studies demonstrating a widely heterogeneous course for severe mental illnesses. In this context, remission is defined as an improvement in symptoms and other deficits to a degree that they would be considered within a normal range. Recovery can be seen as a long-term goal of remission This is named service-based definition of recovery. A second definition of the term recovery came from the self-help and consumer/user/survivor movement. Here, recovery may include, but does not require, symptom remission or a return to normal functioning. However, recovery is seen as a process of personal growth and development, and involves overcoming the effects of being a mental health patient, with all its implications, to regain control and establish a personally fulfilling, meaningful life This is named the user-based definition of recovery. This is exemplified by the National Institute for Mental Health in England definition of recovery as the ‘achievement of a personally acceptable quality of life’.
Use of standardised outcome measures in adult mental health services: randomised controlled trial
- Authors:
- SLADE Mike, et al
- Journal article citation:
- British Journal of Psychiatry, 189(4), October 2006, pp.330-336.
- Publisher:
- Cambridge University Press
A randomised controlled trial, involving 160 representative adult mental health patients and paired staff (ISRCTN16971059). The intervention group (n=101) (a) completed monthly postal questionnaires assessing needs, quality of life, mental health problem severity and therapeutic alliance, and (b) received 3-monthly feedback. The control group (n=59) received treatment as usual. The intervention did not improve primary outcomes of patient-rated unmet need and of quality of life. Other subjective secondary outcome measures were also not improved. The intervention reduced psychiatric inpatient days (3.5 v.16.4 mean days, bootstrapped 95% CI1.6–25.7), and hence service use costs were £2586 (95% CI 102–5391) less for intervention-group patients. Net benefit analysis indicated that the intervention was cost-effective. Routine use of outcome measures as implemented in this study did not improve subjective outcomes, but was associated with reduced psychiatric inpatient admissions.
The art of recovery: outcomes from participatory arts activities for people using mental health services
- Authors:
- STICKLEY Theodore, WRIGHT Nicola, SLADE Mike
- Journal article citation:
- Journal of Mental Health, 27(4), 2018, pp.367-373.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: There is a growing evidence base for the use of participatory arts for the purposes of health promotion. In recent years, recovery approaches in mental healthcare have become commonplace in English speaking countries amongst others. There are few studies that bring together these two fields of practice. Aims: The two aims of this study were (a) to investigate the validity of the CHIME framework for characterising the experience of Participatory Arts and (b) to use the CHIME framework to investigate the relationship between participatory arts and mental health recovery. Method: The study employed a two-phase methodology: a rapid review of relevant literature followed by secondary analysis of qualitative data collected from 38 people who use mental health service who took part in participatory arts activities designed to improve mental health. Results: Each of the recovery processes identified by CHIME are present in the qualitative research literature as well as in the data of the secondary analysis. Conclusions: Participatory arts activities produce outcomes which support recovery, specifically including enhancing connectedness and improving hope. They can be recommended to people living with mental health problems. (Publisher abstract)
Routine use of mental health outcome assessments: choosing the measure
- Authors:
- SALVI Giovanni, LESSE Morven, SLADE Mike
- Journal article citation:
- British Journal of Psychiatry, 186(2), February 2005, pp.146-152.
- Publisher:
- Cambridge University Press
The aim was to investigate the relationship between the items in four staff-rated measures recommended for routine use. Correlation analysis of total scores and factor analysis using combined data from the Health of the Nation Outcome Scales (HoNOS). The Camberwell Assessment of Need Short Appraisal Schedule (CANSAS), the Threshold Assessment Grid (TAG) and the Global Assessment of Functioning (GAF) were performed. Procrustes analysis on factors and scales, and Ward's cluster analysis to group the items, were applied. The total scores of the measures were moderately correlated. The Procrustes analysis, factor analysis and cluster analysis all agreed on better coverage of the patients' problems by HoNOS and CANSAS. A global severity factor accounts for 16% of the variance, and is best measured with TAG or GAF. The CANSAS and HoNOS each provide a detailed characterisation of the patient; only CANSAS provides information about met needs.