Search results for ‘Subject term:"mental health problems"’ Sort:
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Involving users in the delivery and evaluation of mental health services: systematic review
- Authors:
- SIMPSON Emma L., HOUSE Allan O.
- Journal article citation:
- British Medical Journal, 30.11.02, 2002, pp.1265-1268.
- Publisher:
- British Medical Association
It was found that involving users as employees of mental health services led to clients having greater satisfaction with personal circumstances and less hosapitalisation. Providers of services who have been trained by users had more positive attitdes towards users. Users can be involved as employees, trainers or researchers. Involving users with severe mental disorders in the delivery and evaluation of services can also be recommended.
In our experience: user-focused monitoring of mental health services in Kensington & Chelsea and Westminster Health Authority
- Authors:
- ROSE Diana, et al
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 1998
- Pagination:
- 35p.,bibliog.
- Place of publication:
- London
Report of a joint project run by the Sainsbury Centre for Mental Health and Kensington and Chelsea and Westminster Health Authority which aimed to give people with severe mental health problems a voice in the services they receive.
Keys to engagement: review of care for people with severe mental illness who are hard to engage with services
- Editor:
- SEYMOUR Emma
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 1998
- Pagination:
- 104p.,bibliog.
- Place of publication:
- London
Review focusing on the needs and aspirations of people with severe mental health problems who are not engaging with services. Examines how services can best address the needs of this group of people. Presents a core service model and a series of steps which need to be taken nationally and locally to enable systematic service development across the various agencies involved.
Different voices, single harmony
- Author:
- STRONG Susannah
- Journal article citation:
- Care and Health Magazine, 37, 4.6.03, 2003, pp.19-20.
- Publisher:
- Care and Health
Looks at the Sainsbury Centre for Mental Health's new survey of user groups which aims to build the cornerstone of a formidable national voice for users of mental health services.
The road to recovery
- Author:
- WALLCRAFT Jan
- Journal article citation:
- Care and Health Magazine, 37, 4.6.03, 2003, pp.21-22.
- Publisher:
- Care and Health
The author from the Sainsbury Centre for Mental Health examines how mental health users are leading the way in providing self help services for themselves.
Exploring multi-disciplinary team meetings on a personality-disorder ward within a forensic setting
- Authors:
- LEESE Maggie, FRASER Kim
- Journal article citation:
- Mental Health Review Journal, 24(3), 2019, pp.160-170.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to understand how patients on a low security personality disorder ward experienced multi-disciplinary team (MDT) meetings, in order to suggest improvements that would benefit the patients and clinical teams. Design/methodology/approach: The design was a case study where all patients on a low secure ward that specialised in personality disorders were approached to take part in the research. The study utilised non-participant observations of the MDT meeting (n=11), followed by individual interviews with the patients (n=10). Findings: The data were subjected to a thematic analysis and this illuminated five themes relating to the patients’ experience of the MDT meetings namely, the importance of leave applications, the formality of the meetings, the opportunity to check on progress, decision-making and the importance of communication. Practical implications: The findings suggest that small changes could be made to improve the patients’ experience of the MDT meeting. These included the provision of a less formal setting, ensuring a system where leave can be requested confidentially, greater transparency about the content of progress reports, and clearer communication between the MDT and the patient after the meeting. Originality/value: There is limited research that has explored patients’ experiences of MDT meetings within secure forensic settings, and the use of non-participant observations of the MDT meeting followed by semi-structured interviews meant that the researcher and the patient had a shared experience that formed the basis of the later discussion. (Edited publisher abstract)
The Recovery House in Trieste: rational, participants, intervention as the “work”
- Authors:
- CASADIO Roberta, et al
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 39(4), 2018, pp.149-161.
- Publisher:
- Emerald
Purpose: Too often people with complex mental health needs do not find their way out of the mental health system or find satisfactory solutions that enable them to live a full life. In 2015 the Mental Health Department (MHD) of Trieste established the Recovery House pilot project to address this concern. The paper aims to Investigate the project. Design/methodology/approach: The Recovery House was co-created with and for people between 18 and 35 years old with diagnoses of psychosis and other complex mental health conditions. An integral part of the pilot was the organization of the “Recovery Community,” inspired by the Assembly model embraced by Franco Basaglia. The Recovery Community met regularly to both support and learn from the Recovery House and aimed to create a democratic and reflective space where power relationships, self-determination, responsibility and ownership by all the stakeholders, including family members, could be explored together. Findings: Over a period of 31 months, four groups of people have successfully completed their residency at the Recovery House. In total, 89 percent of people who stayed at the Recovery House did so up to six months. After the period of staying at the Recovery House most of them moved to independent living or shared supported accommodation. Originality/value: This initiative sheds light on the fact that democratic values, approaches and structures can improve both service functioning and the recovery outcomes for people with complex health needs. Further, the Recovery House has had a significant effect on the culture and practice of the MHD in adopting a comprehensive approach to emotional distress. (Edited publisher abstract)
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.
Carers and co-production: enabling expertise through experience?
- Author:
- BRADLEY Eleanor
- Journal article citation:
- Mental Health Review Journal, 20(4), 2015, pp.232-241.
- Publisher:
- Emerald
Purpose: This paper provides a brief overview of the literature to date which has focused on co-production within mental healthcare in the UK, including service user and carer involvement and collaboration. Design/methodology/approach: The paper presents key outcomes from studies which have explicitly attempted to introduce co-produced care in addition to specific tools designed to encourage co-production within mental health services. The paper debates the cultural and ideological shift required for staff, service users and family members to undertake co-produced care and outlines challenges ahead with respect to service redesign and new roles in practice. Findings: Informal carers (family and friends) are recognised as a fundamental resource for mental health service provision, as well as a rich source of expertise through experience, yet their views are rarely solicited by mental health professionals or taken into account during decision making. This issue is considered alongside new policy recommendations which advocate the development of co-produced services and care. Research limitations/implications: Despite the launch of a number of initiatives designed to build on peer experience and support, there has been a lack of attention on the differing dynamic which remains evident between healthcare professionals and people using mental health services. Co-production sheds a light on the blurring of roles, trust and shared endeavour (Slay and Stephens, 2013) but, despite an increase in peer recovery workers across England, there has been little research or service development designed to focus explicitly on this particular dynamic. Practical implications: Despite these challenges, coproduction in mental healthcare represents a real opportunity for the skills and experience of family members to be taken into account and could provide a mechanism to achieve the “triangle of care” with input, recognition and respect given to all (service users, carers, professionals) whose lives are touched by mental distress. However, lack of attention in relation to carer perspectives, expertise and potential involvement could undermine the potential for coproduction to act as a vehicle to encourage person-centred care which accounts for social in addition to clinical factors. Social implications: Involving carers in discussions about care planning could help to provide a wider picture about the impact of mental health difficulties, beyond symptom reduction. The "co-production of care" reflects a desire to work meaningfully and fully with service users and carers. However, to date, little work has been undertaken in order to coproduce services through the “triangle of care” with carers bringing their own skills, resources and expertise. (Edited publisher abstract)
National programme for improving mental health and well-being small research projects initiative 2005-06: how can community services support mental health and well-being?
- Author:
- Connor Anne
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2006
- Pagination:
- 2p.
- Place of publication:
- Glasgow
A study to identify the experiences and views of people with serious mental health problems, and of members of other community groups(which were likely to include people who had mental health problems), about what keeps them well and ways in which community services can support people’s mental health and wellbeing is presented. The study involved a series of group interviews, planned and led by people who had personal experience of mental health problems.