Search results for ‘Subject term:"mental health problems"’ Sort:
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Introduction to the research on: the effectiveness of supported housing and accommodation for people with mental health problems
- Authors:
- HARFLETT Naomi, JENNINGS Yasmin, LINSKY Kate
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2017
- Pagination:
- 17
- Place of publication:
- Bristol
A short scoping review of research into the effectiveness of supported housing and accommodation for people with mental health problems aimed at practitioners who work with people with mental health problems. For the review, searches were carried out on organisational websites and a range of databases, including Social Care Online, for UK based research published from 2000. The document provides an overview of the quantity and quality of the research and a table summarising the 20 studies reviewed with their key findings. It also provides a summary of areas identified for future research. The review finds that various models of community-based supported housing have been associated with a range of positive outcomes for people with mental health problems. These include: improved quality of life, more extensive social networks, social inclusion, reduced negative symptoms, increased participation in work and education, increased autonomy, improved self-esteem and happiness, reduced challenging behaviour, increased confidence, and relapse prevention. However, there is less known about the factors which lead to these outcomes and the characteristics that make the most effective types of support. (Edited publisher abstract)
Think ahead: social work poll
- Author:
- COMRES
- Publisher:
- ComRes
- Publication year:
- 2017
- Pagination:
- 8
- Place of publication:
- London
Reports on the results of an online survey of 2,033 of British adults which asked about the role of social workers in providing support for people with mental health problems. The survey also asked about the type of support people thought social workers could provide for people with severe mental health problems and professionals involved in deciding whether someone could be detained under the Mental Health Act. Results included that only 41 per cent of those surveyed thought of social workers as important providers of mental health support, whereas 69 per cent identified psychiatrists and 65 per cent identified GPs. (Edited publisher abstract)
‘It feels as if time has come to a standstill’: institutionalised everyday lives among youth with a mental illness
- Authors:
- KESSING Malene Lue, RAVN Signe
- Journal article citation:
- Journal of Youth Studies, 20(8), 2017, pp.959-973.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This paper focuses on the everyday lives of young people with a severe mental illness living temporarily at a social psychiatric housing facility in Denmark. In the paper we take a temporal approach to the analysis of this and we draw on Henri Lefebvre’s work on rhythm analysis to investigate the differences between the rhythms of everyday life within the institution and the rhythms of what is perceived as the everyday life of ‘ordinary’ youth. The authors also show how digital technologies play a central part in these institutionalised everyday lives by creating connections as well as disruptions between different time-spaces. Centrally, the authors point to the positive and negative consequences this has for the young peoples’ sense of self. Empirically, the paper is based on a four-month ethnographic fieldwork at the housing facility in 2014. (Edited publisher abstract)
Managing physical and mental health conditions: consumer perspectives on integrated care
- Author:
- ROLLINS Angela L.
- Journal article citation:
- Social Work in Mental Health, 15(1), 2017, pp.66-79.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Despite the growing trend of integrating primary care and mental health services, little research has documented how consumers with severe mental illnesses (SMI) manage comorbid conditions or view integrated services. The authors sought to better understand how consumers perceive and manage both mental and physical health conditions and their views of integrated services. Semi-structured interviews with consumers receiving primary care services integrated in a community mental health setting were investigated. Consumers described a range of strategies to deal with physical health conditions and generally viewed mental and physical health conditions as impacting one another. Consumers viewed integration of primary care and mental health services favourably, specifically its convenience, friendliness, and knowledge of providers, and collaboration between providers. Although integration was viewed positively, consumers with SMI may need a myriad of strategies and supports to both initiate and sustain lifestyle changes that address common physical health problems. (Edited publisher abstract)
Mental health-related stigma and pathways to care for people at risk of psychotic disorders or experiencing first-episode psychosis: a systematic review
- Authors:
- GRONHOLM P.C., et al
- Journal article citation:
- Psychological Medicine, 47(11), 2017, pp.1867-1879.
- Publisher:
- Cambridge
Stigma associated with mental illness can delay or prevent help-seeking and service contact. Stigma-related influences on pathways to care in the early stages of psychotic disorders have not been systematically examined. This review systematically assessed findings from qualitative, quantitative and mixed-methods research studies on the relationship between stigma and pathways to care (i.e. processes associated with help-seeking and health service contact) among people experiencing first-episode psychosis or at clinically defined increased risk of developing psychotic disorder. Forty studies were identified through searches of electronic databases (CINAHL, EMBASE, Medline, PsycINFO, Sociological Abstracts) from 1996 to 2016, supplemented by reference searches and expert consultations. Data synthesis involved thematic analysis of qualitative findings, narrative synthesis of quantitative findings, and a meta-synthesis combining these results. The meta-synthesis identified six themes in relation to stigma on pathways to care among the target population: ‘sense of difference’, ‘characterizing difference negatively’, ‘negative reactions (anticipated and experienced)’, ‘strategies’, ‘lack of knowledge and understanding’, and ‘service-related factors’. This synthesis constitutes a comprehensive overview of the current evidence regarding stigma and pathways to care at early stages of psychotic disorders, and illustrates the complex manner in which stigma-related processes can influence help-seeking and service contact among first-episode psychosis and at-risk groups. The findings can serve as a foundation for future research in the area, and inform early intervention efforts and approaches to mitigate stigma-related concerns that currently influence recognition of early difficulties and contribute to delayed help-seeking and access to care. (Edited publisher abstract)
Implementing strong teens for adolescent girls in residential treatment: a quasi-experimental evaluation
- Authors:
- MARVIN Luke A., et al
- Journal article citation:
- Residential Treatment for Children and Youth, 34(3-4), 2017, pp.183-202.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Adolescents in residential treatment centres (RTCs) often have a severe mental illness as well as significant deficits in their social competencies. Strong Teens is a social and emotional learning (SEL) curriculum designed to decrease internalising disorders by promoting emotional resilience and social competence. The curriculum has shown promising effects in educational settings. This study is the second to implement Strong Teens in residential treatment with high-risk adolescents. Using a quasi-experimental wait-list control design, therapists implemented Strong Teens with 36 adolescent girls in an RTC during group therapy. The researchers assessed changes in social and emotional knowledge, internalising symptoms, and resilience using a split-plot repeated measures ANOVA, paired samples t-tests, and effect sizes. Although results indicated that Strong Teens did not affect the girls’ social and emotional knowledge, the intervention did show evidence of reducing their internalising symptoms and increasing their resilience. In a social validity survey, most group therapists agreed with the goals and procedures of the curriculum but were less certain regarding the outcomes. The authors recommend that future studies of this population investigate which SEL topics are most suitable, identify the most favourable lesson times for RTC implementation, and explore student perspectives and experiences with Strong Teens. (Edited publisher abstract)
Innovation in housing, care and support
- Author:
- NHS CONFEDERATION. Mental Health Network
- Publisher:
- NHS Confederation. Mental Health Network
- Publication year:
- 2017
- Pagination:
- 12
- Place of publication:
- London
This briefing, informed by case studies and interviews with providers of innovative support and care services, outlines the vital role that supported housing plays in the recovery pathway of people with severe mental health problems. It also outlines the potential of the housing sector to deliver improved outcomes and financial savings through partnership working with providers of NHS services, clinical commissioning groups and local government. Potential benefits of appropriate provision of supported housing identified include: a reduction of delayed discharges from hospital; the vacation of hospital beds allowing providers to close expensive long-stay wards; reduction in hospital admission rates and duration of hospital stays; and an improvement in mental and physical health. Four case studies provide examples of supported housing delivered through collaborations between housing and healthcare providers. (Edited publisher abstract)
Resilience, mental health and Assertive Community Treatment
- Authors:
- HURLEY Dermot J., O’REILLY Richard L.
- Journal article citation:
- Social Work in Mental Health, 15(6), 2017, pp.730-748.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Clinicians try to promote resilience by building an effective therapeutic relationship with their clients. Assertive Community Treatment (ACT) is an established approach for providing services to individuals with severe mental illness who have not fared well in the regular mental health system. This work underscores the importance of a resilient therapeutic relationship in preventing relapse and assuring adherence to therapeutic outcomes. Persistent psychiatric illness takes a toll on the resilience of the client, while the relationship work takes a toll on the resilience of the clinician. This article explores the concept of relational resilience between clinician and client as a dynamic process of shared success and failure, progress and regression through cycles of crisis, stabilisation, relapse, and partial recovery. This is a qualitative study exploring how ACT clinicians promote and sustain resilience and is based on interviews with social workers, nurses, occupational and recreational therapists, coordinators, and psychiatrists. (Publisher abstract)
Physical health decision making and decision aid preferences of individuals with severe mental illness
- Authors:
- WRIGHT-BERRYMAN Jennifer L., CREMERING Allison
- Journal article citation:
- Social Work in Mental Health, 15(6), 2017, pp.651-662.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Individuals with severe mental illness (SMI) often suffer from comorbid physical health conditions that reduce quality of life and longevity. The integrated care movement has improved access to primary care services, but system change does not necessarily impact health behaviours. In an effort to better understand health behaviours of persons with SMI in integrated care, the authors explored physical health decision making and decision aid preferences. Three focus groups were conducted, including two consumer groups and one mental health staff group. Data were analysed using a grounded theory approach, employing independent coding, thematic analysis, and meaning-making processes. Data suggest that overall, the consumer groups preferred a shared decision making process, with the doctor making the final treatment decision. Staff indicated that decision making depended on a consumer’s functioning level. Consumers liked the idea of using a decision aid, and reported preferring the computerised aid. Staff felt that decision aids were dependent on consumer level of functioning. Consumers generally view primary care doctors as experts, but like the idea of using decision aids to assist in making medical decisions. Staff feel that consumers may need help in both decision making and decision aid use in primary care. (Publisher abstract)
Understanding everyday life and mental health recovery through CHIME
- Authors:
- PIAT Myra, SEIDA Kimberly, SABETTI Judith
- Journal article citation:
- Mental Health and Social Inclusion, 21(5), 2017, pp.271-279.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to understand how daily life reflects the recovery journeys of individuals with serious mental illness (SMI) living independently in the community. Design/methodology/approach: The go-along technique, which blends participant observation and interviewing, was used to gather data from 19 individuals with SMI living in supported housing. Data were analysed through the CHIME framework of personal recovery, which includes social connectedness, hope and optimism, identity, meaning in life, and empowerment. Findings: Applying the CHIME framework to qualitative data reveals the multiple ways in which everyday experiences, within and beyond formal mental healthcare environments, shapes personal recovery processes. Research limitations/implications: Combining novel methods and conceptual frameworks to lived experiences sharpens extant knowledge of the active and non-linear aspects to personal recovery. The role of the researcher must be critically considered when using go-along methods. Practical implications: Practitioners working with this population should account for the role of socially supportive and financially accessible spaces and activities that support the daily work of recovery beyond the context of formal care and services. Originality/value: This study utilises an innovative method to illustrate the crucial role of daily and seemingly banal experiences in fostering or hindering personal recovery processes. It is also the one of the first studies to comprehensively apply the CHIME framework to qualitative data in order to understand the recovery journeys of individuals with SMI living in supported housing. (Publisher abstract)