Search results for ‘Subject term:"mental health problems"’ Sort:
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Does forming implementation intentions help people with mental health problems to achieve goals? A meta-analysis of experimental studies with clinical and analogue samples
- Authors:
- TOLI Agoro, WEBB Thomas L., HARDY Gillian E.
- Journal article citation:
- British Journal of Clinical Psychology, 55(1), 2016, pp.69-90.
- Publisher:
- Wiley
Objective: People struggle to act on the goals that they set themselves, and this gap between intention and action is likely to be exacerbated by mental health problems. Evidence suggests that forming specific if-then plans (or ‘implementation intentions’) can promote goal attainment and a number of studies have applied such techniques in clinical contexts. However, to date, the extent to which planning can help people with mental health problems has not been systematically examined. Method: This review used meta-analysis to investigate the effect of if-then planning on goal attainment among people with a DSM-IV/ICD-10 diagnosis (i.e., clinical samples) or scores above a relevant cut-off on clinical measures (i.e., analogue samples). In total, 29 experimental studies, from 18 records, met the inclusion criteria. Results: Excluding one outlying (very large) effect, forming implementation intentions had a large-sized effect on goal attainment. Implementation intentions proved effective across different mental health problems and goals, and in studies with different methodological approaches. Conclusions: Taken together, the findings suggest that forming implementation intentions can be a useful strategy for helping people with mental health problems to achieve various goals and might be usefully integrated into existing treatment approaches. However, further studies are needed addressing a wider range of mental health problems. (Edited publisher abstract)
Conceptualizing spirituality and religion for mental health practice: perspectives of consumers with serious mental illness
- Author:
- STARNINO Vincent R.
- Journal article citation:
- Families in Society, 97(4), 2016, pp.295-304..
- Publisher:
- The Alliance for Children and Families
Studies show that a high percentage of people with serious mental illness (SMI) draw upon spirituality and religion, resulting in a call for practitioners to incorporate these as part of recovery-related services. A challenge is that there are differing definitions of spirituality and religion presented in the literature which could lead to confusion in practice settings. A qualitative study was conducted with 18 participants with SMI. Findings reveal that there are important nuances, and much overlap, related to how people with psychiatric disabilities define and conceptualize spirituality and religion. Three major conceptualisations of spirituality and religion are presented. Insights from this study are relevant to practitioners interested in incorporating spirituality as part of recovery-oriented practice. (Publisher abstract)
Mental health and housing: housing on the pathway to recovery
- Authors:
- HACT, NATIONAL HOUSING FEDERATION, COMMON CAUSE CONSULTING
- Publisher:
- National Housing Federation
- Publication year:
- 2016
- Pagination:
- 36
- Place of publication:
- London
Outlines the evidence to support the inclusion of housing in the mental health recovery pathway, including examples of the types of intervention that can contribute to improvements in quality and cost savings in mental health. It is designed to support both the continued development of a more outcome-based approach to commissioning and a more integrated approach to service provision. It also looks at the potential economic benefits of reduced admissions to hospital, reducing delays in discharge, reducing readmissions, and reducing out of area placement. The document also includes four case examples to show how housing and housing related services have been able to improve cost effectiveness while also delivering higher quality services. The report argues for a whole system approach to ensure that every intervention that can contribute to someone’s recovery are considered. It highlights the importance of focusing early in the pathway on someone’s housing circumstances to ensure that they only stay in institutional forms of care out of choice or real necessity. (Edited publisher abstract)
Tackling community integration in mental health home visit integration in Finland
- Authors:
- RAITAKARI Suvi, HAAHTELA Riikka, JUHILA Kirsi
- Journal article citation:
- Health and Social Care in the Community, 24(5), 2016, pp.e53-e62.
- Publisher:
- Wiley
This article explores how community integration is understood and tackled in mental health floating support services (FSSs) and, more precisely, in service user–practitioner home visit interaction. The aim, through shedding light on how the idea of integration is present and discussed in front-line mental health practices, is to offer a ‘template’ on how we might, in a systematic and reflective way, develop community integration research and practice. The analysis is based on ethnomethodological and micro-sociological interaction research. The research settings are two FSSs located in a large Finnish city. The data contain 24 audio-recorded and transcribed home visits conducted in 2011 and 2012 with 16 different service users. The study shows how the participants in service user–practitioner interaction give meaning to community integration and make decisions about how it should (or should not) be enhanced in each individual case. This activity is called community integration work in action. Community integration work in action is based on various dimensions of integration: getting out of the house, participating in group activities and getting along with those involved in one's life and working life. Additionally, the analysis demonstrates how community integration work is accomplished by discursive devices (resistance, positioning, excuses and justifications, delicacy and advice-giving). The article concludes that community integration is about interaction: it is not only service users' individual challenge but also a social challenge, our challenge. (Edited publisher abstract)
Are recovery and quality of life different outcome measures for community-based psychosocial program?
- Authors:
- YOUNG Daniel, et al
- Journal article citation:
- Social Work in Mental Health, 14(4), 2016, pp.360-378.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This research study aims to explore the relationship between quality of life (QoL) and recovery in mental illness in a community-based psychosocial programme. By adopting a prospective, naturalistic, longitudinal follow-up research design, a cohort of 87 consumers who were discharged from mental hospitals and participated in a community-based psychosocial programme were followed for one year. QoL and recovery of these individuals were assessed at baseline, 6-month and 12-month follow up assessments. At the 12-month follow up, this cohort of participants showed improvement in QoL and achieved a recovery rate of 8%. ANOVA analysis indicated that overall QoL was not related to recovery. Moreover, multiple linear regression analysis showed that overall QoL was predicted significantly by self-efficacy at baseline, improvement in self-efficacy and improvement in functioning (adjusted R2 = 22.8; F(3,81) = 9.272, p < .001). Multivariate logistic regression analysis showed that recovery was significantly predicted by baseline functioning level and improvement in open employment (Nagelkerke R2: 36.7, Model χ2 = 13.214, p < .001). Therefore, overall QoL and recovery were predicted by different factors. These results indicate that recovery and QoL should be conceptualised as two different outcome measures. Community-based psychosocial programmes should include both recovery and QoL as outcome measures and adopt different strategies to facilitate recovery and QoL for consumers. (Edited publisher abstract)
A basic need: housing policy and mental health
- Author:
- BRADSHAW Ian
- Publisher:
- Centre for Mental Health
- Publication year:
- 2016
- Pagination:
- 12
- Place of publication:
- London
Based on an initial review of the literature, this briefing paper explores recent Government policy changes to housing benefits, subsidies for social landlords and the provision of affordable housing and looks at the potential impact of these change on people with serious mental health problems. It looks at why affordable housing is important for mental health, provides an outline of key reforms to affordable housing and housing benefits implemented since 2010 and their potential impact, highlights gaps in the evidence and future priorities for research in mental health policy. Annex A lists specific housing reforms and their potential impact for people with severe mental health problems. (Edited publisher abstract)
More than shelter: supported accommodation and mental health
- Author:
- BOARDMAN Jed
- Publisher:
- Centre for Mental Health
- Publication year:
- 2016
- Pagination:
- 36
- Place of publication:
- London
This report looks at evidence about the provision of supported housing for people with mental health problems in England, including those with multiple needs and substance misuse, and presents key themes for its future development. It highlights the significant links between housing and mental wellbeing, indicating that factors such as overcrowding, insufficient daylight and fear of crime all contribute to poorer mental health. The review identifies a wide range of types of housing support, including help for people to remain their own tenancies to specialist supported accommodation, hostels, crisis houses and the Housing First approach. Although the review identified limited evidence about what kinds of housing support are most effective and cost-effective, small-scale studies suggest that housing support can reduce the costs of hospital stays. When looking at the type of support people want, the literature found most people prefer help in their own homes to being in sheltered or transitional accommodation. The report calls for better provision of housing support and also argues that housing support should be funded jointly by local authorities and the NHS to ensure that services are delivered in partnership between health, housing and social care providers. (Edited publisher abstract)
Identity development of mothers with mental illness: contribution and challenge of motherhood
- Authors:
- SHOR Ron, MOREH-KREMER Maya
- Journal article citation:
- Social Work in Mental Health, 14(3), 2016, pp.215-226.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Limited knowledge exists about the experience of mothers with serious mental illness in developing their maternal identity and the challenges they face in this process. This subject was examined in Israel in a qualitative research with 12 mothers. The results indicated the contribution of the motherhood experience to the development of positive identity and to the management of mental illness. The mothers described tensions between their efforts to maintain their maternal identity during periods of deterioration in their mental health situation, as well as lack of sufficient attention by their formal and informal support systems to these tensions. Mental health professionals need to provide legitimacy to the positive contribution that the motherhood experience may have on the women’s identity, as well as to provide them support with the effects that changes in their mental health situation may have on their sense of maternal identity. (Publisher abstract)
Treating PTSD using the natural environment
- Author:
- PITHOUSE Mat
- Journal article citation:
- Nursing Times, 112(5), 2016, pp.16-18.
- Publisher:
- Nursing Times
This article looks at how the natural environment could be used instead of more traditional therapies such as cognitive behavioural therapy (CBT) or eye movement desensitisation and reprocessing (EMDR) to treat symptoms of post-traumatic stress disorder. It discusses the benefits of physical activity and ecotherapy on wellbeing and provides two practice examples. Surf Action offers a service to returning servicemen and women who have been affected physically or psychologically by their experiences and Wild Things offers service users with mental health problems the opportunity to access therapeutic activities outside. (Edited publisher abstract)
Mental health early intervention and human rights: a practitioner's guide
- Author:
- BRITISH INSTITUTE OF HUMAN RIGHTS
- Publisher:
- British Institute of Human Rights
- Publication year:
- 2016
- Pagination:
- 9
- Place of publication:
- London
This booklet provides information for practitioners working in mental health early intervention services about using human rights values and approaches. It covers both mental health settings in hospital or in the community. It aims to give practitioners the knowledge and confidence to use human rights in practice to design and deliver rights-respecting early intervention services. It is arranged around three key issues for early intervention services: Medication and consent, which includes a decision-making flowchart; assertive outreach; and Community Treatment Orders. Each section outlines potential human rights issues for practice; offers suggested responses which take a human rights approach; provides information about the key rights most likely to be relevant to that area of practice; and worked examples. Although produced for practitioners, it includes information that may also be useful for people using mental health early intervention services, their family, carers or advocates. It is one of eight booklets developed as part of the British Institute of Human Rights (BIHR) project ‘Delivering Compassionate Care: Connecting Human Rights to the Frontline’, which aims to help ensure that frontline staff have the knowledge and skills to place human rights at the heart of mental health services. (Edited publisher abstract)