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Self-care in mental health services: a narrative review
- Authors:
- LUCOCK Mike, et al
- Journal article citation:
- Health and Social Care in the Community, 19(6), November 2011, pp.602-616.
- Publisher:
- Wiley
Self-care is an important approach to the management of long-term health conditions. The aim of this review is to understand self-care from the perspective of mental health service users. Systematic searches of the literature were conducted for qualitative empirical studies of the views of people with mental health problems on self-care or the related concepts of self-management, self-help or recovery. These concepts all entail individuals having more choice and control over treatment and a greater role in recovery and maintaining their health and well-being. Twenty qualitative studies were selected which identify self-care behaviours and strategies that support the management of and recovery from mental health problems. The methods used in these studies are critically appraised and the key themes extracted. The findings highlight challenges to this approach in mental health. It is important for services to provide the right balance between providing care, support and treatment when required and the autonomy of the individual. The findings are used to develop a conceptual framework of the relationships between self-care support, self-care behaviours and strategies, and well-being for the individual.
Service users' views of self-help strategies and research in the UK
- Authors:
- LUCOCK Mike, et al
- Journal article citation:
- Journal of Mental Health, 16(6), December 2007, pp.795-805.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Self-help approaches for mental health problems are a research and service development priority within the UK. The aim was to engage service users in the research process through a consultation exercise, seek their views on the strategies they use to manage their lives and priorities for research into self-help Service users were involved in planning and conducting a consultation event and in analysing, interpreting and disseminating the findings. Forty nine service users attended the consultation event. Notes and key points from focus groups discussions were analysed to identify main theme Five themes for service user self-help strategies were identified; managing and structuring the day; empowerment; engaging others to help yourself; physical health and well being; and spirituality. Four research priority areas in self-help were identified: the importance of user-led research; research into self-help strategies to improve physical health and well being; mapping of available services and self-help approaches; and what works and why self-help research and developments should take account of these service users' views of research priorities and the strategies they use to manage their lives.