Search results for ‘Subject term:"mental health problems"’ Sort:
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Staff training on formulation and fire-setting in people with intellectual disabilities
- Authors:
- TOSTEVIN Amy, SHAIKH Abdul
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(6), 2015, pp.371-380.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present the development and evaluation of an original training package for staff members on fire-setting in people with intellectual disabilities. It also included training on functional analysis as a model of formulating the fire-setting behaviour. The quality and effectiveness of the training was assessed and is reported in this paper. Design/methodology/approach: The training was delivered on a ward for people with intellectual disabilities in a UK NHS Trust Low Secure Hospital and was attended by various members of the multidisciplinary team for the ward. The workshop consisted of four modules: theoretical background of fire-setting, the functional analysis model of fire-setting formulation, offence-paralleling behaviours in secure settings and a case study practice. Level of self-reported understanding of the various aspects of the training was measured by an evaluation questionnaire completed pre and post training. Findings: The results of this study showed that following the training there was a significant increase in self-reported understanding of staff members. The participants reported an increase in understanding of fire-setting, functional analysis and formulation of individuals with an intellectual disability and history of fire-setting. Originality/value: This study highlights the potential for staff training to increase awareness of fire-setting behaviours by people with intellectual disabilities. The staff training in formulation would encourage their involvement in development of team formulations and may subsequently increase their understanding of such individuals. (Publisher abstract)
Schedule control and mental health: the relevance of coworkers’ reports
- Authors:
- HURTADO David A., et al
- Journal article citation:
- Community Work and Family, 18(4), 2015, pp.416-434.
- Publisher:
- Taylor and Francis
Although some studies suggest that schedule control might promote mental health, research has over-relied on self-reports, which might explain why the evidence is inconclusive and mixed. This study introduces an analytical approach based on coworkers’ reports (in lieu of self-reports) in order to better characterise the organizational nature of schedule control, and to address biases of self-reports (e.g. reverse causation or confounding). Following job demand-control theoretical principles, in this cross-sectional study of 1229 nurses nested in 104 hospital units, the hypothesis that psychological distress (a risk factor for mental illness) would be lower for nurses where coworkers reported higher levels of schedule control at their units was tested. Results showed that increments in coworkers’ reports of schedule control at their units were associated with lower risk of psychological distress, even after accounting for self-reports of schedule control, which were not associated with this outcome. In conclusion, relying only on self-reports might conceal mental health effects of schedule control, so future research ought to include organisational and individual measures and perspectives of schedule control. Using coworkers' reports is a pertinent strategy to better signal the potential health effect of schedule control, especially when biased self-reporting is suspected. (Edited publisher abstract)
Supporting individuals with autism who self-harm: attributions, emotional response and willingness to help
- Author:
- WILKINSON Jodie
- Journal article citation:
- Good Autism Practice, 16(1), 2015, pp.61-69.
- Publisher:
- British Institute of Learning Disabilities
The author, an educational psychologist, examines how support workers view self-harming behaviour in people with and without autism and how this then affects their emotional response and willingness to help. Her results suggest that support workers are likely to see individuals with autism as having more control over their self-harming behaviour and perceive it as being more stable. Staff were also less likely to prioritise, allocate time and refer a person to other services, to address their self-harm if they had autism. Support staff who attribute self-harm solely to the autism may miss signs that a person also has an accompanying mental health problem. The author suggests that staff are trained in mental health issues and autism and are made aware of attribution theory and how this can impact on how they view and respond to people with autism. (Edited publisher abstract)
Identifying training needs for mainstream healthcare professionals, to prepare them for working with individuals with intellectual disabilities: a systematic review
- Authors:
- HEMM Cahley, DAGNA Dave, MEYER Thomas D.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 28(2), 2015, pp.98-110.
- Publisher:
- Wiley
Background: Research suggests there is a high prevalence of physical and mental ill health among individuals with intellectual disabilities and that staff working in mainstream healthcare services lack knowledge, skills and positive attitudes in supporting this client group. This review aimed to locate, extract themes from and evaluate the current literature that had assessed the training needs of mainstream health professionals within this area. Methods: This review utilised a mixed-methods approach, with systematic elements used to locate and evaluate the literature (n = 13) and a narrative approach used to explore patterns and themes identified. The search was completed across four databases. Results: Three main themes of perceived training need were identified across a range of professional groups: general communication, knowledge/information and profession-specific needs. Conclusions: This review highlights the existing themes of training needs as identified by mainstream healthcare staff. It would appear that it may be possible to produce a core training package, suitable across professions with elements that are profession specific and therefore tailored accordingly. Limitations of the literature are explored within this review, as are recommendations for the directions of future research. (Edited publisher abstract)
A population-based survey of barriers and enablers to physical activity in people using, and working in a mental health service in Scotland
- Authors:
- CRABB Jim, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 17(4), 2015, pp.234-246.
- Publisher:
- Taylor and Francis
Research into physical activity in people who experience mental disorders has tended to focus on those who have agreed to participate in exercise programmes. For effective health promotion across this population, it is important to understand the barriers and enablers to increasing physical activity in all of those who use mental health services. Qualitative and quantitative data were collected from consecutive service users and all staff in a General Adult Mental Health Service in Scotland. Thematic analysis was undertaken. A total of 127 service users and 186 staff participated. Data saturation was achieved. Staff and service users identified different barriers and enablers towards increasing physical activity rates. Different themes were identified in our population compared with those researched in other studies who had agreed to participate in exercise programmes. The author's findings suggest there is a role for education, activity scheduling, motivational interviewing, social skills training and cognitive-behavioural therapy style interventions.
Making use of elephants: lived experience and organisations
- Authors:
- PAYNTER Sarah, RIVERS Sarah
- Journal article citation:
- Mental Health and Social Inclusion, 19(3), 2015, pp.148-154.
- Publisher:
- Emerald
Purpose: This paper examines the surrounding attitudes, culture and workplace environment in which Oxleas NHS Foundation trust developed a network for staff with lived experience of mental ill health. Design/methodology/approach: Sarah Paynter completed an interview talking about her experiences with a peer, which was recorded, then the authors picked out relevant themes from this which are grounded in lived experience. The paper examines the theme of lived experience in the workplace in more depth, from a personal perspective (Sarah) and from an organisational perspective (Christine). Findings: There is a lack of dialogue about staff lived experience of mental ill health within the workplace. There are compelling reasons from both the perspective of the organisation and staff with lived experience for setting up a lived experience staff network. The authors note that increased dialogue and visibility has added value on both sides. (Edited publisher abstract)
Health and wellbeing at work: a survey of employees, 2014
- Authors:
- STEADMAN Karen, WOOD Martin, SILVESTER Hannah
- Publisher:
- Great Britain. Department for Work and Pensions
- Publication year:
- 2015
- Pagination:
- 171
- Place of publication:
- London
Reports on findings from a Department for Work and Pensions commissioned survey into the relationship between health and work. The survey also aimed to monitor progress in the Health and Work policy programme and to build on evidence on what has worked to help people on sick leave return to work. The survey comprised telephone interviews with a nationally representative sample of 2,013 employees, and incorporated a boost sample of an additional 358 employees who had been off work sick for more than two weeks in the last 12 months. Questions covered employees’ experience of health and work, their history of sickness absence in the preceding 12 months and their views on the government's Fit for Work policy. The survey findings provide an overview of employee health and sickness absence in the UK; employees views about how health affected their work; the impact of health and wellbeing-related policies at work; and the effect of workplace culture, including relationships, trust and disclosure, effort, reward, and stress. The report also looks at factors associated with sickness absence of more than two weeks; the management of health conditions in the workplace; and respondents’ views about the Fit for Work service. (Edited publisher abstract)
Reducing use of physical restraint: a pilot study investigating a relationship-based crisis prevention curriculum
- Authors:
- VAN LOAN Chrisopher L., GAGE Nicholas A., CULLEN Joseph P.
- Journal article citation:
- Residential Treatment for Children and Youth, 32(2), 2015, pp.113-133.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
To improve staff practices when working with students experiencing motional, behavioural, and mental health issues, the author designed and piloted a relationship-based crisis prevention curriculum. The curriculum, 'Shifting Gears: Conflict Avoidance through Working Partnerships', was piloted in a therapeutic residential wilderness treatment program for boys located in the Southeastern United States. This article discusses the pilot study and briefly outlines curriculum features. Pilot study results reveal a statistically significant reduction in restraint, a shift in attitudes about prevention and need for restraint, and a positive trend in staff preparation. Additionally, the social validity of the curriculum and future directions for practice and research are discussed. (Edited publisher abstract)
Developing guidelines for sharing lived experience of staff in health and social care
- Authors:
- MORGAN Philip, LAWSON Jackie
- Journal article citation:
- Mental Health and Social Inclusion, 19(2), 2015, pp.78-86.
- Publisher:
- Emerald
Purpose: Since 2010, Dorset HealthCare University NHS Trust has been running a Hidden Talents project seeking to better understand how mental health services can value the lived experience of their staff. The purpose of this paper is to inform discussions on how clinicians and other staff can share their lived experience of mental health problems to improve the experience of people who access services, their carers and supporters and promote the wellbeing of all staff. Design/methodology/approach: The discussion paper was developed through the use of qualitative data collected through three focus groups. One of the focus groups represented people who are part of the Hidden Talents Project, one focus group had representatives of the different professional bodies and the third represented people who access services. Findings: It was identified that there were two differing considerations between sharing personal experience one was sharing with people who access services, the other was sharing with colleagues and managers. It was identified that in order to safely share personal experience it needed to happen in an supportive organisational culture. A number of suggestions were made as to considered why, when, how and what to share with people who access services. Research limitations/implications: This is not a formal piece of research, rather it is an exploration of a range of views and set out into a discussion document. Further action and research is required to explore this topic area in more detail. Originality/value: At present a number of mental health services are beginning to address the value of lived experience in the workforce. Very little has been published exploring how people can share their live experience. This paper provides a starting point for these discussions. (Publisher abstract)
A delicate balance: intervention with mothers with dual diagnosis and their infants
- Authors:
- TSANTEFSKI Menka, JACKSON Alun C., HUMPHREYS Cathy
- Journal article citation:
- Advances in Dual Diagnosis, 8(2), 2015, pp.78-89.
- Publisher:
- Emerald
Purpose: Women with mental illness, substance-dependence or dual diagnosis are at increased risk of losing care of their children which leads to poorer outcomes for mothers. The purpose of this paper is to explore the service response to substance-dependent mothers, many of whom had a dual diagnosis, and reports outcomes for their infants from the perinatal period to the end of each infant's first year. Design/methodology/approach: This was a longitudinal case study of 20 women substance-dependent women and their associated care. Semi-structured interviews were held with mothers recruited from a specialist alcohol and other drug obstetric service at infant age six weeks, six and 12 months. Structured interviews were also held with counsellors from the obstetric service at infant age six weeks. Child protection (CP) workers were interviewed at infant age six weeks, six and 12 months regarding mothers involved with the service. Findings: By 12-month follow-up, CP services had been involved with 14 mothers and eight had lost the legal care of their infant. Mothers who retained legal care were more likely to have addressed their drug use and less likely to be in a domestically violent relationship. Domestic violence, homelessness and maternal recidivism to crime tipped the scales in favour of protection of the infant through removal from maternal care, essentially leaving mothers with minimal support for reunification and reduced incentive for treatment. Research limitations/implications: Reliance on mothers’ self-reports was a limitation of the study. The small sample size restricts generalisability of findings. Practical implications: Key workers should engage women (and their partners) during the perinatal period to provide support, advocacy and case-management to enable substance-dependent mothers to safely parent. Originality/value: This is one of few studies to report long-term outcomes for mother/infant dyads when substance-dependence and/or mental health are present that allows women to speak for themselves. The prospective design provides a contemporaneous account of events as they unfolded in situ. (Publisher abstract)