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Service users' experience of violence within a mental health system: A study using grounded theory approach
- Authors:
- KUMAR Shailesh, GUITE Hilary, THORNICROFT Graham
- Journal article citation:
- Journal of Mental Health, 10(6), December 2001, pp.597-611.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This study attempts to elicit the experiences of six existing service users of mental health services at the Maudsley Hospital by running a focus group. These service users had experienced violence as perpetrators, victims or witnesses within the mental health service. Grounded theory approach was used to analyse the transcript, which identified 21 categories and six themes: imbalance of power; violence has psychological sequelae; mental Health Services are not geared to help victims of institutional violence; the present mental health system fosters violence; a radical change is needed in the infrastructure of the mental health system and reinforcement and reforms may come from parallel efforts. Significant similarities were noted in the recommendations made by the study participants about the factors that may reduce violence within the mental health system. The study demonstrates that people with mental illness do experience violence, and that they are capable of identifying measures that are known to reduce violence on the basis of their personal experiences.
Users' voices: the perspectives of mental health service users on community and hospital care
- Author:
- ROSE Diana
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2001
- Pagination:
- 120p.,bibliog.
- Place of publication:
- London
Report of a systematic study designed to find out what mental health service users think about living in the community, of their services and of the experiences of being in hospital. The questions were developed and asked by user interviewers. Aimed at mental health service planners and managers, policy makers, service users, practitioners and researchers.
Is anybody listening?
- Author:
- WARNER Lesley
- Journal article citation:
- Nursing Times, 15.3.01, 2001, pp.28-29.
- Publisher:
- Nursing Times
Argues that service users are unhappy with many aspects of inpatient mental health care and looks at how nurses can help.
Lest we forget
- Author:
- JACKSON Catherine
- Journal article citation:
- Mental Health and Learning Disabilities Care, 3(7), March 2000, pp.220-221.
- Publisher:
- Pavilion
The filmed life stories and testimonies of survivors of the psychiatric system have been added to the National Life Story Collection at the British Library. This article details the Mental Health Media project and gives some brief examples of the kind of stories that were told.
A qualitative analysis of the views of in-patient mental health service users
- Authors:
- GOODWIN Isabel, et al
- Journal article citation:
- Journal of Mental Health, 8(1), February 1999, pp.43-54.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This study examines the views of patients of adult in-patient psychiatric services in a large, rural county in England. The emergent themes extracted from the comments made by the patients reflect what appear to be most important issues for in-patient service users. The 13 themes identified are presented with illustrative comments, and discussed in relation to the methodology used and the issues of the intransigence and power of psychiatric institutional systems. Finally, the challenge of pursuing more humane and caring practices within psychiatric institutions is considered and means of achieving and monitoring this are discussed.
Reactions to Hill End Adolescent Unit: interviews with 20 ex-patients
- Author:
- STUART-SMITH Sue
- Journal article citation:
- Journal of Adolescence, 17(5), October 1994, pp.483-489.
- Publisher:
- Academic Press
Adolescents recently discharged from the Hill End Adolescent Unit were interviewed to explore their experience of the Unit. Reactions and areas of difficulty are reported, and changes made to the Unit since the study.
Living with the opposite sex: the views of long-stay psychiatric patients
- Authors:
- HINGLEY Susan M., GOODWIN Anne M.
- Journal article citation:
- British Journal of Clinical Psychology, 33(2), May 1994, pp.183-192.
- Publisher:
- Wiley
Assumptions tend to be made about the value of long-stay psychiatric patients living on mixed-sex wards. In this study the views of 71 patients living on single-sex continuing care wards were elicited using a structured interview. The results show that the majority of patients preferred single-sex living. The benefits and problems of surveys with this population are discussed as well as the implications for decisions about the structure and quality of care.
Following the Francis report: investigating patient experience of mental health in-patient care
- Authors:
- WILLIAMS E., et al
- Journal article citation:
- British Journal of Psychiatry, 209(1), 2016, pp.35-39.
- Publisher:
- Cambridge University Press
Background: The Francis report highlights perceptions of care that are affected by different factors including ward structures. Aims: To assess patient and staff perceptions of psychiatric in-patient wards over time. Method: Patient and staff perceptions of in-patient psychiatric wards were assessed over 18 months. The authors also investigated whether the type of ward or service structure affected these perceptions. They included triage and routine care. The goal was to include at least 50% of eligible patients and staff. Results: The most dramatic change was a significant deterioration in all experiences over the course of the study. Systems of care or specific wards did not affect patient experience but staff were more dissatisfied in the triage system. Conclusions: This is the first report of deterioration in perceptions of the therapeutic in-patient environment that has been captured in a rigorous way. It may reflect contemporaneous experiences across the National Health Service of budget reductions and increased throughput. The ward systems the authors investigated did not improve patient experience and triage may have been detrimental to staff. (Edited publisher abstract)
ASH smoking and mental health survey 2016: an analysis of the views of people with a mental health condition and staff working in mental health services
- Author:
- ACTION ON SMOKING AND HEALTH
- Publisher:
- Action on Smoking and Health
- Publication year:
- 2016
- Pagination:
- 31
- Place of publication:
- London
Reports on findings of two surveys, one with people who have a mental health condition and one with staff working with those with a mental health condition, to explore attitudes towards and links between smoking and mental health. Surveys were completed by 302 people with a mental health condition and 147 members of staff. Results of the survey of people with a mental health condition are reported in the following areas: demographics, smoking status and behaviour, acquiring cigarettes, quitting smoking, smoking in mental health impatient settings; and attitudes to smoking in mental health impatient settings. Analysis of the staff survey covers: demographics, role and setting, smoking status, training, discussing smoking with patients, attitudes to smoking and cessation in mental health inpatient settings, and pharmacological aids to quitting smoking. Key findings from the survey of people with a mental health condition include that: over half of those responding to the survey of people with a mental health condition smoked; over 80 percent respondents who were current smokers reported having attempted to quit; only 67 percent of current smokers reported that a health professional had spoken to them about their smoking. Findings of the staff survey reported that 45 percent of staff had received no smoking cessation training. Staff who had received training were more likely to think that hospitalisation was an opportunity to address smoking. The results of the survey were used to inform the report 'The stolen years: the mental health and smoking action report', published by ASH. (Edited publisher abstract)
The ward atmosphere scale for psychiatric inpatients with intellectual disability: a pilot study
- Authors:
- BAKKEN Trine Lise, ROSSBERG Jan Ivar, FRIIS Svein
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 6(5), 2012, pp.265-272.
- Publisher:
- Emerald
The Ward Atmosphere Scale (WAS) is a self-report questionnaire and the most commonly used instrument to measure aspects of treatment environment, which is a factor related to both treatment outcome and patient satisfaction for psychiatric inpatients. This study aimed to examine whether adult psychiatric inpatients with intellectual disability could complete the WAS in a meaningful way. It was conducted with 17 patients and 21 staff members in a specialised psychiatric inpatient unit at the Oslo University Hospital, Norway. This article describes the methodology, analysis and results. It reports that patients with mild intellectual disabilities were able to answer the WAS with some help, but that patients with moderate intellectual disabilities had major difficulties with understanding more than half of the items. The authors conclude that there is a need for further research on how inpatients with intellectual disability and mental illness perceive ward atmosphere, and that a replication study should use a shorter version of the WAS.