Search results for ‘Subject term:"mental health problems"’ Sort:
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Recovery: a selective review of the literature and resources
- Authors:
- CARSON Jerome, McMANUS Gordon, CHANDER Anant
- Journal article citation:
- Mental Health and Social Inclusion, 14(1), February 2010, pp.35-44.
- Publisher:
- Emerald
There has been a huge increase in the literature and resources devoted to the topic of recovery. Recovery is a concept that has been embraced by service users, professionals, mental health planners, and governments. In this review, the authors offer a selection of what they feel are the top 10 on the topic of recovery in the following categories: journal papers; policy papers and reports; books; and websites. In addition, Gordon McManus, who has been diagnosed with paranoid schizophrenia, gives his personal thoughts on his reading around recovery. The review ends with some reflections on the topic. It concludes that recovery was grounded in a ‘grassroots advocacy movement’, but there are real dangers that mental health professionals may try and divert the movement away from its focus on service users, towards scientific research and randomised controlled trials.
Discourses of consumption or consumed by discourse? A consideration of what "consumer" means to the service user
- Author:
- SPEED E.
- Journal article citation:
- Journal of Mental Health, 16(3), June 2007, pp.307-318.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This article considers discourses of consumption, in a mental health context, from data collected in the Republic of Ireland. Drawing on typifications of western welfare regimes, it will consider processes of commodification and consumption. The purpose of this paper is to explore the political connotations of the consumer discourse and to focus attention on the implications of utilizing discourse(s) of consumption for service users. Data were generated through interviews with ten mental health service users who were members of mental health social movement organizations. This was analysed using a discourse-analytic technique. The analysis considers consumer discourse(s) and delimits the utility of this way of talking about being a service user. The impacts and inferences of using a consumer discourse are identified. Under some conditions it can be a positive event for the healthcare consumer, but the discourse tends to favour the healthcare professional and/or the state, in that it implicitly reasserts the primacy of the medical model. The consumer discourse is a complex construct that speaks to and for both the state and the service user. However, use of this discourse carries political and therapeutic connotations for the service user. The political connotations relate to the consumer discourse as a feature of a state sanctioned re-positioning of healthcare provision within a more explicitly market based context. The therapeutic connotations relate to a lack of genuine alternative explanatory systems to that of the medical model and an often implicit championing of medical discourses as evidenced in the consumer discourse.
First-person accounts of delusions
- Authors:
- STANTON Biba, DAVID Anthony
- Journal article citation:
- Psychiatric Bulletin, 24(9), September 2000, pp.333-336.
- Publisher:
- Royal College of Psychiatrists
In order to investigate cognitive aspects of the experience of delusions, including onset and recovery, autobiographical accounts of schizophrenia were reviewed. The sample was self-selected and biased towards women and highly-educated patients. Most attributed their recovery to a combination of medication, psychotherapy, social support and personal coping strategies; some felt that their illness had enhanced their self-awareness or spirituality.
The least worst option: user experiences of antipsychotic medication and lack of involvement in medication decisions in a UK community sample
- Authors:
- MORANT Nicola, et al
- Journal article citation:
- Journal of Mental Health, 27(4), 2018, pp.322-328.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Treatment decision-making that fully involves service users is an aim across medicine, including mental health. Aim: To explore service users experiences of taking antipsychotic medication for psychotic disorders and their perceptions of decision-making about this. Method: Semi-structured interviews with 20 users of community mental health services, conducted by service user researchers and analysed using thematic analysis.Results: Antipsychotic medication was perceived to have beneficial effects on symptoms and relapse risk, but adverse effects were prominent, including a global state of lethargy and demotivation. Weighing these up, the majority viewed antipsychotics as the least worst option. Participants were split between positions of “willing acceptance”, “resigned acceptance” and “non-acceptance” of taking antipsychotics. Many felt their choices about medication were limited, due to the nature of their illness or pressure from other people. They commonly experienced their prescribing psychiatrist as not sufficiently acknowledging the negative impacts of medication on life quality and physical health concerns and described feeling powerless to influence decisions about their medication. Conclusion: The study highlights the complexity of agendas surrounding antipsychotic medication, including the pervasive influence of coercive processes and the challenges of implementing collaborative decision-making for people with serious mental health problems.
Shared treatment decision-making and empowerment-related outcomes in psychosis: systematic review and meta-analysis
- Authors:
- STOVELL Diana, et al
- Journal article citation:
- British Journal of Psychiatry, 209(1), 2016, pp.23-28.
- Publisher:
- Cambridge University Press
Background: In the UK almost 60% of people with a diagnosis of schizophrenia who use mental health services say they are not involved in decisions about their treatment. Guidelines and policy documents recommend that shared decision-making should be implemented, yet whether it leads to greater treatment-related empowerment for this group has not been systematically assessed. Aims: To examine the effects of shared decision-making on indices of treatment-related empowerment of people with psychosis. Method: A systematic review and meta-analysis of randomised controlled trials (RCTs) of shared decision-making concerning current or future treatment for psychosis (PROSPERO registration CRD42013006161) was conducted. Primary outcomes were indices of treatment-related empowerment and objective coercion (compulsory treatment). Secondary outcomes were treatment decision-making ability and the quality of the therapeutic relationship. Results The authors identified 11 RCTs. Small beneficial effects of increased shared decision-making were found on indices of treatment-related empowerment (6 RCTs; g = 0.30, 95% CI 0.09–0.51), although the effect was smaller if trials with >25% missing data were excluded. There was a trend towards shared decision-making for future care leading to reduced use of compulsory treatment over 15–18 months (3 RCTs; RR = 0.59, 95% CI 0.35–1.02), with a number needed to treat of approximately 10 (95% CI 5–∞). No clear effect on treatment decision-making ability (3 RCTs) or the quality of the therapeutic relationship (8 RCTs) was found, but data were heterogeneous. Conclusions: For people with psychosis the implementation of shared treatment decision-making appears to have small beneficial effects on indices of treatment-related empowerment, but more direct evidence is required. (Edited publisher abstract)
Fourth Report [session 1999-00]: provision of NHS mental health services; Vol 2 minutes of evidence and appendices
- Authors:
- GREAT BRITAIN. Parliament. House of Commons. Health Committee, HINCHCLIFFE David
- Publisher:
- Stationery Office
- Publication year:
- 2000
- Pagination:
- 368p.
Evidence presented from representatives of Mind, National Schizophrenia Fellowship; Sane; Young Minds; Breakthrough; Footprints; Manic Depression Fellowship.
Raising our voices: an account of the hearing voices movement
- Author:
- JAMES Adam
- Publisher:
- Handsell
- Publication year:
- 2001
- Pagination:
- 178p.,bibliog.
- Place of publication:
- Gloucester
This book details the history of the Hearing Voices Network from Julian Jaynes' work on the bicarmal mind to the development of the Network. It includes chapters on: Moses - prophet or schizophrenic; the freedom to hear voices and the beginnings of the hearing voices movement; self help; who or what are the voices; psychotic and proud; cognitive psychology and hearing voices; grooming maverick psychiatrists; advocacy; and the genetics of schizophrenia.
The colour that lends support
- Author:
- COBB Alison
- Journal article citation:
- Diverse Minds Magazine, 10, October 2001, pp.4-6.
- Publisher:
- MIND
Reports on Mind's analysis of its yellow card scheme which highlights the need for people to get better information, to have more say in their treatment, and gain greater support for managing withdrawal.
Learning from mental health service users
- Author:
- BAUMBACH Sue
- Journal article citation:
- Probation Journal, 46(2), June 1999, pp.113-115.
- Publisher:
- Sage
After nineteen years in the Probation Service, the author took a three year career break to set up a Carer's Support Project for the National Schizophrenia Fellowship. In this article, she draws on her experience of working in both the mental health and criminal justice fields, as well as her perspective as a one-time service user, to reflect on the importance of listening to service-users and their carers.
Compelling case for service users' rights
- Author:
- GREEN Linda
- Journal article citation:
- Community Care, 15.4.99, 1999, pp.8-9.
- Publisher:
- Reed Business Information
Reports on how a new National Schizophrenia Fellowship survey of mental health service users, carers and professionals reveals a groundswell of support for rights-based legislation.