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Agudelo-Hernández F, Guapacha Montoya M. Poetry in youth mutual aid groups for recovery in rural and semi-urban environments. Arts Health 2024; 16:340-357. [PMID: 37916791 DOI: 10.1080/17533015.2023.2273490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 10/16/2023] [Indexed: 11/03/2023]
Abstract
BACKGROUND For mental disorders Mutual Aid Groups (MAG) have been proposed, however, these have lack of methodologies that approach the needs of young people. The aim of the present study was to determine the impact of MAG in rural and semi-urban environments, developed through poetry, on the improvement of mental health. METHODS A quasi-experimental study was carried out in Caldas, Colombia. 171 adolescents participated, divided into 10 MAG. Child Behavior Checklist 4-18 (CBCL/4-18) was used and the nuclear components of the MAG were applied, adding elements of introduction to poetry, creation and group rituals. RESULTS Statistically significant associations (P < .001) were found between the number of sessions and the reduction of symptoms, as well as a decrease in Internalizing Problems and Social problems, after participating in the groups. CONCLUSION Poetry applied to the core components of the MAG can improve psychiatric symptoms in adolescents.
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Sharp P, Zhu P, Ogrodniczuk JS, McKenzie SK, Seidler ZE, Rice SM, Oliffe JL. Men's peer support for mental health challenges: future directions for research and practice. Health Promot Int 2024; 39:daae046. [PMID: 38770901 DOI: 10.1093/heapro/daae046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/22/2024] Open
Abstract
Peer support has a long history of helping people navigate mental health challenges and is increasingly utilized within men's mental health promotion initiatives. Despite considerable research conceptualizing and evaluating peer support in various contexts, little is known about the gendered dimensions of men's peer support and mutual help for mental health. This article provides an empirically informed commentary on men's peer support and informal help-seeking preferences to make recommendations for future directions for research and practice. Research examining men's peer support is emergent and the available evidence suggests that there is potential to conceptually align with many men's values and preferences for mental health help-seeking. Peer support offers a non-clinical, strength-based adjunct to professional support that may aid men in navigating a range of mental health challenges. Consideration must be given to the influence of gender socialization and men's diverse experiences with developing and maintaining peer relationships. It should not be assumed that authentic and supportive relationships will naturally form when men congregate together. As a growing number of interventions and programs emerge targeted at boys and men, there are important opportunities to leverage these health promotion efforts to encourage and coach men to engage in mutual help. Opportunities for research and practice are discussed to better understand and harness the health-promoting potential of peer support for men's mental health.
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Affiliation(s)
- Paul Sharp
- School of Health Sciences, Faculty of Medicine and Health, University of New South Wales, Wallance Wurth Building (C27), Sydney, NSW 2052, Australia
- School of Nursing, The University of British Columbia, 2211 Wesbrook Mall, Vancouver, BC V6T 2B5, Canada
- Department of Psychiatry, The University of British Columbia, 2255 Wesbrook Mall, Vancouver, BC V6T 2A1, Canada
| | - Patricia Zhu
- School of Nursing, The University of British Columbia, 2211 Wesbrook Mall, Vancouver, BC V6T 2B5, Canada
| | - John S Ogrodniczuk
- Department of Psychiatry, The University of British Columbia, 2255 Wesbrook Mall, Vancouver, BC V6T 2A1, Canada
| | - Sarah K McKenzie
- Department of Psychological Medicine, University of Otago, 23 Mein Street, Wellington 6021, New Zealand
| | - Zac E Seidler
- Movember, 4/21-31 Goodwood St, Richmond, Melbourne, VIC 3121, Australia
- Orygen, 35 Poplar Rd, Parkville, Melbourne,VIC 3052, Australia
- Centre for Youth Mental Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Grattan Street, Parkville, VIC 3010, Australia
| | - Simon M Rice
- Movember, 4/21-31 Goodwood St, Richmond, Melbourne, VIC 3121, Australia
- Orygen, 35 Poplar Rd, Parkville, Melbourne,VIC 3052, Australia
- Centre for Youth Mental Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Grattan Street, Parkville, VIC 3010, Australia
| | - John L Oliffe
- School of Nursing, The University of British Columbia, 2211 Wesbrook Mall, Vancouver, BC V6T 2B5, Canada
- Department of Nursing, Faculty of Medicine, Densitry and Health Sciences, The University of Melbourne, Grattan Street, Parkville, VIC 3010, Australia
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3
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Farrand P, Hamilton A, Strickland S. Development of a competency framework for the Assistant Wellbeing Practitioner (Renal) role. J Ren Care 2024; 50:63-75. [PMID: 36461879 DOI: 10.1111/jorc.12449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Revised: 10/12/2022] [Accepted: 11/09/2022] [Indexed: 12/04/2022]
Abstract
BACKGROUND Many people with kidney disease experience comorbid mental health difficulties that result in worse physical health outcomes alongside greater personal, treatment and societal costs. PROBLEM Workforce expansion to treat comorbid mental health difficulties has focussed on psychological practitioners. This fails to capitalise on benefits arising from embedding roles to address biopsychosocial outcomes directly within the renal specialty. A competency framework to inform development and training for such a role has not been developed. METHODS Five-phase process to develop a competency framework for an Assistant Wellbeing Practitioner (Renal) role. Following identification of competency frameworks for roles in psychological practice, health and social care, relevant competencies were synthesised to create a draft competency framework. This framework was revised through consultation events with professionals associated with the renal specialty and Kidney Patient Involvement Network with the framework informing a competency map. RESULTS The competency map comprised three categories-Knowledge, Values and Principles, Core Skills and Meta-Competencies with specific competencies for an assistant practitioner role to work within the renal specialty identified. Core knowledge and skills included awareness of kidney treatments and common psychosocial difficulties, collaborative care and supporting evidence-based prevention approaches. CONCLUSIONS Competencies associated with the Assistant Wellbeing Practitioner (Renal) role have the potential to promote mental wellbeing, better physical health and generate social and economic benefits. The competency map can inform training and role evaluation, although addressing implementation issues associated with commissioning physical and mental healthcare is required.
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Affiliation(s)
- Paul Farrand
- Clinical Education, Development and Research (CEDAR); Psychology, University of Exeter, Exeter, UK
| | - Alexander Hamilton
- Exeter Kidney Unit, Royal Devon and Exeter NHS Foundation Trust, University of Exeter Medical School, Exeter, UK
| | - Sam Strickland
- Clinical Education, Development and Research (CEDAR); Psychology, University of Exeter, Exeter, UK
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Martinez AB, Lau JYF, Morillo HM, Brown JSL. 'C'mon, let's talk: a pilot study of mental health literacy program for Filipino migrant domestic workers in the United Kingdom. Soc Psychiatry Psychiatr Epidemiol 2024; 59:385-401. [PMID: 36575338 PMCID: PMC9794465 DOI: 10.1007/s00127-022-02405-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Accepted: 12/12/2022] [Indexed: 12/29/2022]
Abstract
PURPOSE This pilot study of a culturally adapted online mental health literacy (MHL) program called 'Tara, Usap Tayo!' (C'mon, Let's Talk) aims to assess the acceptability, appropriateness, feasibility, and potential effectiveness in improving the help-seeking behavior of Filipino migrant domestic workers in the United Kingdom (UK). METHODS Using mixed methods, we conducted a non-randomized single-group study of the online MHL program with 21 participants. The development of this intervention was guided by the Medical Research Council Framework for developing complex interventions and utilized Heim & Kohrt's (2019) framework for cultural adaptation. Content materials from the WHO Mental Health Gap Action Program (mhGAP), WHO Problem Management Plus (PM +) and Adult Improving Access to Psychological Therapies (IAPT) were modified and translated into the Filipino language. The MHL program was delivered online in three sessions for two hours each session. Data were collected at three time points: (T1) pretest; (T2) posttest; and (3) follow-up test. Quantitative data on participants' attitudes towards help-seeking and level of mental health literacy as outcome measures of potential intervention effectiveness were collected at T1, T2 and T3, while focus group discussions (FGDs) to assess participants' feedback on the acceptability, feasibility, and appropriateness of the online MHL program were conducted immediately at T2. Data analysis was done using a thematic approach for qualitative data from the FGDs and descriptive statistics and repeated-measures ANOVA were used to assess the difference in the T1, T2, and T3 tests. Both quantitative and qualitative results were then integrated and triangulated to answer the research questions. RESULTS The online MHL program is generally acceptable, appropriate, and feasible for use among Filipino migrant domestic workers. Preliminary findings lend support for its possible effectiveness in improving mental health literacy and help-seeking propensity. The cultural adaptation made in the content, form, and delivery methods of the intervention was acceptable and feasible for this target subcultural group. CONCLUSION By improving their mental health literacy and help-seeking propensity, this online MHL program has the potential to provide support to the mental health and well-being of Filipino migrant domestic workers in the UK. Further feasibility study or large-scale randomized controlled trial is needed to confirm the preliminary findings of this study.
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Affiliation(s)
- Andrea B Martinez
- Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
- Department of Behavioral Science, College of Arts and Sciences, University of the Philippines Manila, Manila, Philippines.
| | - Jennifer Y F Lau
- Youth Resilience Unit, Centre for Psychiatry and Mental Health, Wolfson Institute of Population Health, Queen Mary University of London, London, UK
| | - Hannah Misha Morillo
- Department of Health Services and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - June S L Brown
- Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
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Jordan JA, Elliott A, Mongan D, Dyer KFW. Measuring the impact of therapy on medication use: data-linkage study. Br J Psychiatry 2024; 224:13-19. [PMID: 37850426 DOI: 10.1192/bjp.2023.130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2023]
Abstract
BACKGROUND The psychological therapies service (PTS) in the Northern Health and Social Care Trust, in Northern Ireland, provides therapies to adults with moderate or severe mental health difficulties. Psychometric outcomes data are routinely collected to assess if a patient demonstrates significant improvement in their main presenting problem area following therapy. The wider impact of therapy is not fully measured in the outcomes database as this would be disproportionately burdensome for both patient and therapist. The present study, to our knowledge, is the first to use data linkage to link patient therapy outcomes data with prescriptions data. AIMS To widen our understanding of patient medication use before and after therapy. METHOD Using Health and Care Number as a unique identifier, the Psychological Therapies Service - Routine Outcome Measurement Database (n = 3625) and data from 72 500 controls were linked with data from the Enhanced Prescribing Database (EPD). The EPD data were sourced from the Honest Broker Service. RESULTS Key findings from the study were: (a) the odds of PTS clients using antipsychotics in the year before therapy were 25 times greater compared with controls (odds ratio (OR) = 24.53, 95% CI 20.16-29.84); (b) in the 1st year post discharge, PTS clients who clinically improved post therapy discharge were more likely than 'non-engagers' and 'non-improvers' to come off antianxiety medication (OR = 0.61, 95%, CI 0.38-0.98); and (c) therapy did not have an impact on antidepressant use. CONCLUSIONS The results highlight the need for discussion between therapy services, GPs and psychiatry about whether more engagement and collaboration is needed to plan phased reduction in medication.
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Affiliation(s)
- Julie-Ann Jordan
- IMPACT Research Centre, Northern Health and Social Care Trust (HSCT), Northern Ireland
| | - Adam Elliott
- IMPACT Research Centre, Northern Health and Social Care Trust (HSCT), Northern Ireland
| | | | - Kevin F W Dyer
- IMPACT Research Centre, Northern Health and Social Care Trust (HSCT), Northern Ireland
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Lainas S. Self-help/mutual aid groups for health and psychosocial problems: Key features and their perspectives in the 21st century. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY 2023; 72:271-287. [PMID: 37931178 DOI: 10.1002/ajcp.12718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Revised: 10/12/2023] [Accepted: 10/15/2023] [Indexed: 11/08/2023]
Abstract
In this virtual special issue, a set of 26 papers previously published in the American Journal of Community Psychology (AJCP), focused on self-help/mutual aid groups (SH/MAGs), are being curated given their significant impact in this domain. SH/MAGs constitute an important component of the community psychology's proposal to address various psychosocial and health problems. The American Journal of Community Psychology has played an important role in exploring the characteristics of self-help/mutual aid groups in various fields. These articles cover important areas of the study of self-help/mutual-aid groups. More specifically, the selected articles address issues such as the definition and key characteristics of self-help/mutual aid groups, the main fields that are applied, such as mental health, addictions, and disabilities. The article also addresses important issues such as the place of self-help/mutual aid groups in health systems, the experiential knowledge generated within these groups and the relationship of health professionals with these groups. The aim is this VSI to contribute to contemporary discussion on self-help/mutual aid groups, their challenges, and their perspectives and to highlight the crucial role that community psychology has in this field.
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Affiliation(s)
- Sotiris Lainas
- Deputy Scientific Supervisor of Self-Help Promotion Programs, Self Help Promotion Program, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Boucher LM, Dodd Z, Young S, Shahid A, Bayoumi A, Firestone M, Kendall CE. "They have their security, we have our community": Mutual support among people experiencing homelessness in encampments in Toronto during the COVID-19 pandemic. SSM. QUALITATIVE RESEARCH IN HEALTH 2022; 2:100163. [PMID: 36060310 PMCID: PMC9425704 DOI: 10.1016/j.ssmqr.2022.100163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 08/23/2022] [Accepted: 08/25/2022] [Indexed: 01/12/2023]
Abstract
Unaffordable housing is a growing crisis in Canada, exacerbated by the COVID-19 pandemic, yet perspectives of people living outdoors in encampments have primarily gone unheard. We conducted qualitative interviews with encampment residents to explore how mutual support occurred within the social context of encampments. We found that mutually supportive interactions helped residents meet basic survival needs, as well as health and social needs, and reduced common health and safety risks related to homelessness. The homelessness sector should acknowledge that encampment residents form their own positive communities, and ensure policies and services do not isolate people from these beneficial social connections.
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Affiliation(s)
- Lisa M. Boucher
- School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Ottawa, ON, K1G 5Z3, Canada,C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, 43 Bruyère St, Annex E, Ottawa, ON, K1N 5C8, Canada,Corresponding author. School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Ottawa, ON, K1G 5Z3, Canada
| | - Zoë Dodd
- South Riverdale Community Health Centre, 955 Queen St E, Toronto, ON, M4M 3P3, Canada,MAP Centre for Urban Health Solutions, St. Michael's Hospital, Unity Health Toronto, 36 Queen St E, Toronto, ON, M5B 1W8, Canada
| | - Samantha Young
- Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College St 4th Floor, Toronto, ON, M5T 3M6, Canada,Division of General Internal Medicine, St. Michael's Hospital, Unity Health Toronto, 36 Queen St E, Toronto, ON, M5B 1W8, Canada
| | - Abeera Shahid
- University of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8M5, Canada
| | - Ahmed Bayoumi
- MAP Centre for Urban Health Solutions, St. Michael's Hospital, Unity Health Toronto, 36 Queen St E, Toronto, ON, M5B 1W8, Canada
| | - Michelle Firestone
- MAP Centre for Urban Health Solutions, St. Michael's Hospital, Unity Health Toronto, 36 Queen St E, Toronto, ON, M5B 1W8, Canada
| | - Claire E. Kendall
- School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Ottawa, ON, K1G 5Z3, Canada,C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, 43 Bruyère St, Annex E, Ottawa, ON, K1N 5C8, Canada,Department of Family Medicine, University of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8M5, Canada
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Scior K, Cooper R, Fenn K, Poole L, Colman S, Ali A, Baum S, Crabtree J, Doswell S, Jahoda A, Hastings R, Richardson L. 'Standing up for Myself' (STORM): Development and qualitative evaluation of a psychosocial group intervention designed to increase the capacity of people with intellectual disabilities to manage and resist stigma. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2022; 35:1297-1306. [PMID: 35785506 PMCID: PMC9795919 DOI: 10.1111/jar.13018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 04/21/2022] [Accepted: 04/28/2022] [Indexed: 12/30/2022]
Abstract
BACKGROUND People with intellectual disabilities are at risk of experiencing stigma and require the skills and confidence to deal with stigma in their daily lives. METHOD Development and piloting of a 5-session manualised psychosocial group intervention designed to increase the capacity of people with intellectual disabilities aged 16+ to manage and resist stigma. Ten pre-existing groups (N = 67) in third sector and education settings participated. Interviews with participants (n = 26), facilitators (n = 9) and significant others (n = 7) 2-4 months after the intervention assessed perceived impact. RESULTS Perceived benefits of the intervention for participants included increased understanding, improved connections with others, drive for advocacy, increased activity and self-efficacy, and opportunity to process difficult events and emotions. Differential impact depending on individuals' pre-existing self-advocacy skills was noted. CONCLUSIONS This early-stage study indicates that further evaluation is merited to examine feasibility and outcomes of the STORM intervention.
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Affiliation(s)
- Katrina Scior
- Research Department of Clinical, Educational and Health PsychologyUniversity College LondonLondonUK
| | - Rebecca Cooper
- Research Department of Clinical, Educational and Health PsychologyUniversity College LondonLondonUK
| | - Kristina Fenn
- Research Department of Clinical, Educational and Health PsychologyUniversity College LondonLondonUK
| | - Laurie Poole
- Research Department of Clinical, Educational and Health PsychologyUniversity College LondonLondonUK
| | - Sophie Colman
- Research Department of Clinical, Educational and Health PsychologyUniversity College LondonLondonUK
| | - Afia Ali
- Division of PsychiatryUniversity College LondonLondonUK
| | - Sandra Baum
- Psychological Services for People with Learning DisabilitiesOxleas NHS Foundation TrustLondonUK
| | - Jason Crabtree
- Community Learning Disability ServiceEast London NHS Foundation TrustLondonUK
| | - Sophie Doswell
- Neurodevelopmental pathwaySouth London and Maudsley NHS Foundation TrustLondonUK
| | - Andrew Jahoda
- Institute of Health and Wellbeing, University of GlasgowGlasgowUK
| | - Richard Hastings
- Centre for Educational Development Appraisal and ResearchUniversity of WarwickCoventryUK
| | - Lisa Richardson
- Research Department of Clinical, Educational and Health PsychologyUniversity College LondonLondonUK
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Hülquist J, Fangerau N, Thomasius R, Paschke K. Resource-Strengthening Training for Parents of Adolescents with Problematic Gaming (Res@t-P): A Clinical Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9495. [PMID: 35954846 PMCID: PMC9368433 DOI: 10.3390/ijerph19159495] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 07/29/2022] [Accepted: 07/31/2022] [Indexed: 02/04/2023]
Abstract
Background: Problematic gaming (PG) has become an increasing mental health issue among adolescents during the preceding years. The role of parents and the family environment in the development of PG has been repeatedly emphasized. However, the structured involvement of parents in the therapy is still largely insufficient. Resource-strengthening training for parents of adolescents with PG (Res@t-P) is a new parent-centered 8-week group intervention to fill this substantial gap. The present pilot study aimed to collect first information on its potential effectiveness in improving parental and family factors. Methods: The study was conducted in a clinical setting with N = 43 parents of adolescents with PG, applying a pre- and post-follow-up design. Standardized questionnaires on psychological stress perception, family communication, family functioning, media rules, and adolescent PG symptoms were applied at three measurement points (before, at the end of, and 6 weeks after the training). Conditional growth models were estimated. Results: Over time, an improvement in parental and family aspects as well as a reduction in adolescent PG symptoms could be observed. Conclusions: The results of the present pilot study on the effectiveness of Res@t-P are promising. No causal inferences can be drawn at this stage. A randomized-controlled intervention study is highly warranted.
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Affiliation(s)
| | | | | | - Kerstin Paschke
- German Center for Addiction Research in Childhood and Adolescence (DZSKJ), University Medical Center Hamburg-Eppendorf (UKE), Martinistraße 52, 20246 Hamburg, Germany; (J.H.); (N.F.); (R.T.)
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10
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Using codesign focus groups to develop an online COmmunity suPporting familiEs after Sudden Cardiac Death (COPE-SCD) in the young. BMJ Open 2022. [PMCID: PMC9362800 DOI: 10.1136/bmjopen-2021-053785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Objective To codesign an online support intervention for families after sudden cardiac death (SCD) in the young (<35 years). Design Codesign of an SCD family intervention by stakeholder focus groups. Setting Families and healthcare professionals with experience in SCD in the young. Participants Semistructured online focus groups were held with key stakeholders, that is, family members who had experienced young SCD, healthcare professionals and researchers based in New South Wales, Australia. Guided discussions were used to develop an online support intervention. Thematic analysis of discussions and iterative feedback on draft materials guided content development. Results Four focus groups were held (4–6 participants per group, 12 unique participants). Stakeholder involvement facilitated development of high-level ideas and priority issues. Creative content and materials were developed based on user preference for stories, narratives and information reflecting everyday experience of families navigating the legal and medical processes surrounding SCD, normalising and supporting grief responses in the context of family relationships and fostering hope. Emphasis on accessibility led to the overarching need for digital information and online engagement. These insights allowed development of an online intervention—COPE-SCD: A COmmunity suPporting familiEs after Sudden Cardiac Death—which includes a website and online support programme. Conclusion Using codesign with stakeholders we have developed a support intervention that addresses the needs of SCD families and aims to fill a large gap in existing healthcare. We will evaluate COPE-SCD to determine whether this is an effective intervention for support of families following a young SCD.
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11
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Tebes JK, Awad MN, Connors EH, Fineberg SK, Gordon DM, Jordan A, Kravitz R, Li L, Ponce AN, Prabhu M, Rubman S, Silva MA, Steinfeld M, Tate DC, Xu K, Krystal JH. The Stress and Resilience Town Hall: A systems response to support the health workforce during COVID-19 and beyond. Gen Hosp Psychiatry 2022; 77:80-87. [PMID: 35569322 PMCID: PMC9033303 DOI: 10.1016/j.genhosppsych.2022.04.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Revised: 04/13/2022] [Accepted: 04/19/2022] [Indexed: 12/16/2022]
Abstract
OBJECTIVE The COVID-19 pandemic is a traumatic stressor resulting in anxiety, depression, post-traumatic stress, and burnout among healthcare workers. We describe an intervention to support the health workforce and summarize results from its 40-week implementation in a large, tri-state health system during the COVID-19 pandemic. METHOD We conducted 121 virtual and interactive Stress and Resilience Town Halls attended by 3555 healthcare workers. Town hall participants generated 1627 stressors and resilience strategies that we coded and analyzed using rigorous qualitative methods (Kappa = 0.85). RESULTS We identify six types of stressors and eight types of resilience strategies reported by healthcare workers, how these changed over time, and how town halls were responsive to emerging health workforce needs. We show that town halls dedicated to groups working together yielded 84% higher mean attendance and more sharing of stressors and resilience strategies than those offered generally across the health system, and that specific stressors and strategies are reported consistently while others vary markedly over time. CONCLUSIONS The virtual and interactive Stress and Resilience Town Hall is an accessible, scalable, and sustainable intervention to build mutual support, wellness, and resilience among healthcare workers and within hospitals and health systems responding to emerging crises, pandemics, and disasters.
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Affiliation(s)
- Jacob K. Tebes
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,Child Study Center, Yale School of Medicine, New Haven, CT, USA,Yale School of Public Health (Social and Behavioral Sciences), New Haven, CT, USA,Connecticut Mental Health Center, New Haven, CT, USA,Corresponding author at: Department of Psychiatry, Yale School of Medicine, 389 Whitney Avenue, New Haven, CT 06511, USA
| | - Michael N. Awad
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA
| | - Elizabeth H. Connors
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,Child Study Center, Yale School of Medicine, New Haven, CT, USA,Connecticut Mental Health Center, New Haven, CT, USA
| | - Sarah K. Fineberg
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,Connecticut Mental Health Center, New Haven, CT, USA
| | - Derrick M. Gordon
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,Connecticut Mental Health Center, New Haven, CT, USA
| | - Ayana Jordan
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,NYU Grossman School of Medicine, New York, NY, USA
| | - Richard Kravitz
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,Veterans Administration Medical Center, West Haven, CT, USA
| | - Luming Li
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,Now at Menninger Department of Psychiatry and Behavioral Sciences, Baylor School of Medicine, Houston, TX, USA,Now at Louis A. Faillace, M.D. Department of Psychiatry and Behavioral Sciences, McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA,Now at The Harris Center for Mental Health & IDD, Houston, TX, USA
| | - Allison N. Ponce
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,Connecticut Mental Health Center, New Haven, CT, USA
| | - Maya Prabhu
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,Connecticut Mental Health Center, New Haven, CT, USA
| | - Susan Rubman
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,Department of Psychiatry and Behavioral Health, Yale-New Haven Hospital, New Haven, CT, USA
| | - Michelle A. Silva
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,Connecticut Mental Health Center, New Haven, CT, USA
| | - Matthew Steinfeld
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,Connecticut Mental Health Center, New Haven, CT, USA
| | - David C. Tate
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,Connecticut Mental Health Center, New Haven, CT, USA
| | - Ke Xu
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,Veterans Administration Medical Center, West Haven, CT, USA
| | - John H. Krystal
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA,Department of Neuroscience, Yale School of Medicine, New Haven, CT, USA,Department of Psychology, Yale University, New Haven, CT, USA,Department of Psychiatry and Behavioral Health, Yale-New Haven Hospital, New Haven, CT, USA,Yale Medicine, New Haven, CT, USA
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12
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Crowe M, Sheppard L. Scoping review of health outcomes for people with disabilities in user-led organisations. Aust J Prim Health 2021; 27:339-349. [PMID: 34649643 DOI: 10.1071/py20193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Accepted: 05/25/2021] [Indexed: 11/23/2022]
Abstract
A user-led organisation (ULO) may be defined as an organisation that is run and controlled by the people who use the services provided by that organisation. ULOs provide services to their members, such as information, advice, support, treatment and training. ULOs may also be involved in advocacy, influencing local service provision, government policy and public perceptions of disability. This scoping review concentrated on health outcomes achieved by ULOs for people with disabilities, including physical, sensory, cognitive, intellectual, neurological or mental health impairments. Based on a search of the academic literature up to 30 June 2020, 26 articles were included. Twenty-four articles were on ULOs for mood disorders, schizophrenia or psychosis, and there was one article each on ULOs for cross-disability and chronic non-malignant pain. There was some evidence that peer-run and inclusive ULOs for members with mood disorders, schizophrenia or psychosis can reduce the number of times people with these illnesses access traditional mental health services. There was no evidence that ULOs can replace traditional mental health services. Therefore, ULOs for mood disorders, schizophrenia or psychosis could be considered an adjunct to traditional mental health services, not a replacement. For other disabilities, a lack of evidence means that no recommendation can be made. However, the organisational structure of ULOs may be as important as the support and services offered.
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Affiliation(s)
- Michael Crowe
- College of Healthcare Sciences (Physiotherapy), James Cook University, Townsville, Qld 4811, Australia; and Corresponding author.
| | - Lorraine Sheppard
- School of Health Sciences (Physiotherapy), University of South Australia, Adelaide, SA 5001, Australia
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13
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Bowersox NW, Jagusch J, Garlick J, Chen JI, Pfeiffer PN. Peer-based interventions targeting suicide prevention: A scoping review. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY 2021; 68:232-248. [PMID: 33720444 PMCID: PMC9165581 DOI: 10.1002/ajcp.12510] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Peers of individuals at risk for suicide may be able to play important roles in suicide prevention. The aim of the current study is to conduct a scoping review to characterize the breadth of peer-delivered suicide prevention services and their outcomes to inform future service delivery and research. Articles were selected based on search terms related to peers, suicide, or crisis. After reviews of identified abstracts (N = 2681), selected full-text articles (N = 286), and additional references (N = 62), a total of 84 articles were retained for the final review sample. Types of suicide prevention services delivered by peers included being a gatekeeper, on-demand crisis support, crisis support in acute care settings, and crisis or relapse prevention. Peer relationships employed in suicide prevention services included fellow laypersons; members of the same sociodemographic subgroup (e.g., racial minority), workplace, or institution (e.g., university, correctional facility); and the shared experience of having a mental condition. The majority of published studies were program descriptions or uncontrolled trials, with only three of 84 articles qualifying as randomized controlled trials. Despite a lack of methodological rigor in identified studies, peer support interventions for suicide prevention have been implemented utilizing a diverse range of peer provider types and functions. New and existing peer-delivered suicide prevention services should incorporate more rigorous evaluation methods regarding acceptability and effectiveness.
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Affiliation(s)
- Nicholas W. Bowersox
- Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA
- VA Center for Clinical Management Research, Ann Arbor, MI, USA
| | - Jennifer Jagusch
- Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA
- VA Center for Clinical Management Research, Ann Arbor, MI, USA
| | - James Garlick
- Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA
- VA Center for Clinical Management Research, Ann Arbor, MI, USA
| | - Jason I. Chen
- VA Center to Improve Veteran Involvement in Care, Portland, OR, USA
| | - Paul N. Pfeiffer
- Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA
- VA Center for Clinical Management Research, Ann Arbor, MI, USA
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Orsi JA, Malinowski FRL, Kagan S, Weingarten R, Villares CC, Bressan RA, de Oliveira WF, Andrade MCR, Gadelha A. Evaluation of Ongoing Participation of People with Schizophrenia in a Mutual Support Group as a Complementary Intervention to Outpatient Psychiatric Treatment. Psychiatr Q 2021; 92:1283-1296. [PMID: 33761085 DOI: 10.1007/s11126-021-09893-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/31/2021] [Indexed: 10/21/2022]
Abstract
This study aims to evaluate a group of people with schizophrenia undergoing outpatient treatment and who participate in a mutual support intervention, compared to another group of people with the same diagnosis, but attending only the usual outpatient treatment. This is a prospective study, with two measurements between six months. The mutual support group was initially composed of 16 people and the treatment as usual group was composed of 15 people. Clinical (medication adherence and functioning) and Recovery (hope, well-being, recovery and internalized stigma) outcomes were assessed. Nonparametric tests were used to verify differences in measurements between groups and between two moments. A higher level of internalized stigma and a decrease in the adherence to drug treatment in the treatment as usual group were verified. When comparing the pre-post difference between groups, there was a greater increase in adherence to drug treatment in the mutual support group. Our data point to more favorable results in the mutual support group, showing that ongoing participation in these groups is an important tool for the recovery process and for the treatment itself.
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Affiliation(s)
- José Alberto Orsi
- Interdisciplinary Laboratory of Clinical Neurosciences (LiNC), Schizophrenia Program (Proesq), Department of Psychiatry, Universidade Federal de São Paulo, R. Maj. Maragliano, 241 - Vila Mariana, São Paulo, SP, CEP 04017-030, Brazil. .,Brazilian Schizophrenia Association (ABRE), São Paulo, SP, Brazil.
| | - Fernando Rocha Loures Malinowski
- Interdisciplinary Laboratory of Clinical Neurosciences (LiNC), Schizophrenia Program (Proesq), Department of Psychiatry, Universidade Federal de São Paulo, R. Maj. Maragliano, 241 - Vila Mariana, São Paulo, SP, CEP 04017-030, Brazil
| | - Simão Kagan
- Interdisciplinary Laboratory of Clinical Neurosciences (LiNC), Schizophrenia Program (Proesq), Department of Psychiatry, Universidade Federal de São Paulo, R. Maj. Maragliano, 241 - Vila Mariana, São Paulo, SP, CEP 04017-030, Brazil
| | - Richard Weingarten
- Formerly, Yale University School of Medicine, Yale University, New Haven, CT, USA
| | - Cecília Cruz Villares
- Brazilian Schizophrenia Association (ABRE), São Paulo, SP, Brazil.,NOOS Institute, São Paulo, SP, Brazil
| | - Rodrigo Affonseca Bressan
- Interdisciplinary Laboratory of Clinical Neurosciences (LiNC), Schizophrenia Program (Proesq), Department of Psychiatry, Universidade Federal de São Paulo, R. Maj. Maragliano, 241 - Vila Mariana, São Paulo, SP, CEP 04017-030, Brazil
| | | | | | - Ary Gadelha
- Interdisciplinary Laboratory of Clinical Neurosciences (LiNC), Schizophrenia Program (Proesq), Department of Psychiatry, Universidade Federal de São Paulo, R. Maj. Maragliano, 241 - Vila Mariana, São Paulo, SP, CEP 04017-030, Brazil
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15
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Lyons N, Cooper C, Lloyd-Evans B. A systematic review and meta-analysis of group peer support interventions for people experiencing mental health conditions. BMC Psychiatry 2021; 21:315. [PMID: 34162340 PMCID: PMC8220835 DOI: 10.1186/s12888-021-03321-z] [Citation(s) in RCA: 38] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Accepted: 06/08/2021] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Peer support is being integrated within mental health services to further the development of a recovery approach. However, the most effective models and formats of intervention delivery are unknown. We conducted this systematic review and meta-analysis to determine the effectiveness of peer support for improving outcomes for people with lived experience of mental health conditions, when delivered as group interventions. METHODS Studies reporting randomised controlled trials of group peer support interventions for people experiencing mental health conditions were identified by searching MEDLINE, PsycINFO, Embase and Cochrane CENTRAL, from inception until July 12th 2019 and undertaking supplementary searches. Included studies were assessed for risk of bias and meta-analyses were conducted if three or more trials provided usable data. RESULTS Eight trials met eligibility criteria, providing data from 2131 participants. Six trials had either high or unclear risk of bias. Interventions were categorised as mutual support groups, or peer support groups, sub-categorised as anti-stigma or self-management interventions. Meta-analyses were only possible for peer support groups and five outcomes. We found evidence that group peer support may make small improvements to overall recovery but not hope or empowerment individually, or to clinical symptoms. Evidence for effectiveness for outcomes which could not be meta-analysed was mixed. CONCLUSIONS Findings from the few eligible trials suggest group peer support interventions may be specifically effective for supporting personal recovery and have a limited impact on other outcomes, though there were some risks of bias to study findings. Interventions were heterogeneous and most social outcomes were absent in the literature, highlighting further limitations to the current evidence-base. There is insufficient evidence available from trials of group peer support torecommend the routine implementation of these interventions across mainstream mental health services at present. More high-quality trials of peer-developed, group peer support interventions are needed in order tomake firm conclusions about intervention effectiveness.
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Affiliation(s)
- Natasha Lyons
- Division of Psychiatry, University College London, Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK.
| | - Chris Cooper
- Department of Clinical, Educational and Health Psychology, University College London, London, WC1E 7HB, UK
| | - Brynmor Lloyd-Evans
- Division of Psychiatry, University College London, Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK
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16
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Time Effects of Supportive Interaction and Facilitator Input Variety on Treatment Adherence of Young People with Chronic Health Conditions: A Dynamic Mechanism in Mutual Aid Groups. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18063061. [PMID: 33809686 PMCID: PMC8002342 DOI: 10.3390/ijerph18063061] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 03/12/2021] [Accepted: 03/12/2021] [Indexed: 11/30/2022]
Abstract
This study aims to examine the mechanism of how supportive interaction and facilitator input variety in mutual aid groups impact treatment adherence of young people with chronic health conditions, with consideration of time effects, which have been rarely studied in the existing literature. A stratified random sample of 391 individuals aged 12–45 years with chronic health conditions were recruited from mutual aid groups in Hong Kong and completed both the baseline and 12-month follow-up surveys. The results of the structural equation modeling indicated that supportive interaction and facilitator input variety positively predicted treatment adherence in a delayed condition, whereas members’ treatment adherence in the baseline survey had reversed effects on members’ supportive interaction in the follow-up survey. The findings of this study shed light on the dynamic mechanism of the mutual aid groups and provide important implications to promote better rehabilitation outcomes of young people with chronic health conditions.
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Gold JA, Jia L, Bentzley JP, Bonnet KA, Franciscus AM, Denduluri MS, Zappert LT. WISE: A Support Group for Graduate and Post-Graduate Women in STEM. Int J Group Psychother 2021; 71:81-115. [PMID: 38449140 DOI: 10.1080/00207284.2020.1722674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Women remain underrepresented in many science, technology, engineering, and mathematics (STEM) fields. Women in Science and Engineering (WISE) support groups were developed in 2001 as an intervention to foster community in graduate and postgraduate women in STEM at a large academic research institution. Since the WISE program's inception, over 1,500 women have participated. From 2011 to 2018, anonymous, voluntary surveys were distributed at the end of every academic year to WISE group members. Surveys consisted of quantitative and qualitative data regarding participants' perceptions of and experiences in the WISE groups. From 2011 to 2018, 76.4% of survey respondents (n = 416) reported that WISE groups were an excellent experience overall. Thematic analysis of the qualitative data demonstrated four major benefits of WISE group participation: creation of community, having a safe space, emotional support, and peer mentorship. Suggestions for improvement included increasing access to groups. The WISE group program was a well-liked intervention that may support graduate and postgraduate women in STEM. Study limitations, as well as implications for future research, practice, and advocacy are noted.
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Krystal JH, Alvarado J, Ball SA, Fortunati FG, Hu M, Ivy ME, Kapo J, Olson KD, Rohrbaugh RM, Sinha R, Tebes JK, Vender RJ, Yonkers KA, Mayes LC. Mobilizing an institutional supportive response for healthcare workers and other staff in the context of COVID-19: The Yale experience. Gen Hosp Psychiatry 2021; 68:12-18. [PMID: 33254081 PMCID: PMC7680059 DOI: 10.1016/j.genhosppsych.2020.11.005] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 10/29/2020] [Accepted: 11/02/2020] [Indexed: 12/13/2022]
Abstract
The burden of the COVID-19 pandemic upon healthcare workers necessitates a systematic effort to support their resilience. This article describes the Yale University and Yale New Haven Health System effort to unite several independent initiatives into a coherent integrated model for institutional support for healthcare workers. Here, we highlight both opportunities and challenges faced in attempting to support healthcare workers during this pandemic.
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Affiliation(s)
- John H. Krystal
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, United States of America,Department of Neuroscience, Yale School of Medicine, New Haven, CT, United States of America,Department of Psychology, Yale University, New Haven, CT, United States of America,Department of Psychiatry and Behavioral Health, Yale-New Haven Hospital, New Haven, CT, United States of America,Yale Medicine, New Haven, CT, United States of America,Corresponding author at: Department of Psychiatry, Yale School of Medicine, 300 George St #901, New Haven, CT 06511, United States of America
| | - Javier Alvarado
- Department of Social Work, Yale-New Haven Hospital, New Haven, CT, United States of America
| | - Samuel A. Ball
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, United States of America,Office of the Dean, Yale School of Medicine, New Haven, CT, United States of America,Silver Hill Hospital, New Canaan, CT, United States of America
| | - Frank G. Fortunati
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, United States of America,Department of Psychiatry and Behavioral Health, Yale-New Haven Hospital, New Haven, CT, United States of America,Yale Medicine, New Haven, CT, United States of America
| | - Mary Hu
- Office of the Dean, Yale School of Medicine, New Haven, CT, United States of America
| | - Michael E. Ivy
- Office of the Chief Medical Officer, Yale New Haven Health, New Haven, CT, United States of America
| | - Jennifer Kapo
- Yale Medicine, New Haven, CT, United States of America,Palliative Medicine, Yale School of Medicine and Yale-New Haven Hospital, New Haven, CT, United States of America
| | - Kristine D. Olson
- Office of the Chief Wellness Officer, Yale-New Haven Hospital, New Haven, CT, United States of America,Department of Internal Medicine, Yale School of Medicine, United States of America
| | - Robert M. Rohrbaugh
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, United States of America,Yale Medicine, New Haven, CT, United States of America,Office of the Dean, Yale School of Medicine, New Haven, CT, United States of America
| | - Rajita Sinha
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, United States of America,Department of Neuroscience, Yale School of Medicine, New Haven, CT, United States of America,Yale Medicine, New Haven, CT, United States of America,Child Study Center, Yale School of Medicine, New Haven, CT, United States of America
| | - Jacob K. Tebes
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, United States of America,Department of Internal Medicine, Yale School of Medicine, United States of America,Department of Epidemiology (Chronic Diseases), Yale School of Public Health, New Haven, CT, United States of America
| | - Ronald J. Vender
- Yale Medicine, New Haven, CT, United States of America,Office of the Dean, Yale School of Medicine, New Haven, CT, United States of America,Department of Internal Medicine, Yale School of Medicine, United States of America
| | - Kimberly A. Yonkers
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, United States of America,Yale Medicine, New Haven, CT, United States of America,Department of Epidemiology (Chronic Diseases), Yale School of Public Health, New Haven, CT, United States of America,Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, CT, United States of America
| | - Linda C. Mayes
- Department of Psychology, Yale University, New Haven, CT, United States of America,Yale Medicine, New Haven, CT, United States of America,Office of the Dean, Yale School of Medicine, New Haven, CT, United States of America,Child Study Center, Yale School of Medicine, New Haven, CT, United States of America,Department of Pediatrics, Yale School of Medicine, New Haven, CT, United States of America
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19
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Marshall E, Glazebrook C, Robbins-Cherry S, Nicholson S, Thorne N, Arcelus J. The quality and satisfaction of romantic relationships in transgender people: A systematic review of the literature. INTERNATIONAL JOURNAL OF TRANSGENDER HEALTH 2020; 21:373-390. [PMID: 34993516 PMCID: PMC8726697 DOI: 10.1080/26895269.2020.1765446] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
INTRODUCTION Romantic relationships are often a significant area of individuals' lives and can have a positive impact on wellbeing. There is often a belief within society of romantic relationships ending upon the start of gender affirming transition, however this is often not reflected within clinical work or research studies. Despite this, currently not enough is known about romantic relationships for transgender individuals and their partners, and the impact gender affirming transition can have on the quality and satisfaction of these relationships. AIM To critically and systematically review the available literature examining quality and satisfaction of romantic relationships for transgender individuals and their partners. METHODS Using PRISMA guidelines, major databases (Pubmed, PsycINFO and Web of Science) and relevant reference lists were searched for suitable articles up to January 2020. Each included article was assessed for methodological quality and the demographic data, methods and findings linked to relationship quality and satisfaction was extracted for analysis. RESULTS From 151 potentially relevant articles, 14 studies (six quantitative, eight qualitative) were included within the review. Most studies displayed moderate risk of bias due to cross-sectional designs and lack of reflexivity. Findings from quantitative studies suggest a bi-directional relationship between transition, relationship quality and satisfaction and wellbeing. Qualitative studies suggest transition can cause personal challenges for both transgender individuals and partners. Maintenance activities help buffer the impact of these challenges on relationship satisfaction and ensure positives are possible from relationships. DISCUSSION Gender affirming transition can impact on the quality and satisfaction of romantic relationships. Due to additional challenges transgender individuals and their partners may face, adequate support is required at personal, community and clinical level. There is a paucity of research in this area and current studies lack methodological rigor. Future research is essential to gain a further understanding of transgender relationships and the support required.
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Affiliation(s)
- Ellen Marshall
- Institute of Mental Health, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK
| | - Cris Glazebrook
- Institute of Mental Health, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK
| | - Sally Robbins-Cherry
- Nottingham Centre for Transgender Health, Nottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK
| | | | - Nat Thorne
- Institute of Mental Health, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK
| | - Jon Arcelus
- Institute of Mental Health, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK
- Nottingham Centre for Transgender Health, Nottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK
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20
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Landstad BJ, Hedlund M, Kendall E. Practicing in a person-centred environment - self-help groups in psycho-social rehabilitation. Disabil Rehabil 2020; 44:1067-1076. [PMID: 32673133 DOI: 10.1080/09638288.2020.1789897] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
AIM The increasing prevalence of chronic conditions and impairments in the population is putting new demands on health and rehabilitation services. Research on self-help groups suggest that participation in these groups might have a positive impact on people who are struggling with chronic illnesses or disabilities. In this study, we explore person-centred support in which participants in self-help groups are undergoing rehabilitation to develop their knowledge, skills and confidence necessary to handle life's challenges. METHOD The design is exploratory, analysing data from informant interviews and focus groups (a total of 32 participants) using a Grounded Theory inspired approach to analyse. The participants were rehabilitation clients aged between 20 and 60 years; eight were men and twenty-six were women. RESULTS Three main categories emerged as being important self-help processes that were likely to promote positive rehabilitation outcomes: (1) Learning and practicing safely, (2) A refuge from expectations, (3) Internal processes that accentuate the positives. CONCLUSION Peer support delivered through the structured self-help environment can facilitate the development of new self-awareness, promote acceptance and adjustment, facilitate the establishment of new skills and enable transfer of learning to new environments, including the workplace.IMPLICATIONS FOR REHABILITATIONSelf-help groups may support the process of rehabilitation.Participating in self-help groups provides an enabling context for individuals to address challenges and limitations.Peer support delivered through the structured self-help environment can facilitate the development of new self-awareness, promote adjustment, and facilitate the establishment of new skills.Participating in peer led self-help groups can assist with the transfer of learning to new environments, including development of potential work capacity.
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Affiliation(s)
- Bodil J Landstad
- Department of Health Sciences, Mid Sweden University, Östersund, Sweden.,Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway
| | - Marianne Hedlund
- Faculty of Health Science, Nord University, Levanger, Norway.,Department of Social Work and Health Science, Norwegian University of Technology and Science, Trondheim, Norway
| | - Elizabeth Kendall
- The Hopkins Centre, Disability, Rehabilitation & Resilience Program, Menzies Health Institute Qld, Griffith University, Logan Campus, Australia
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21
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Petrini F, Graziani E, Caputo MA, Meringolo P. Continuum between Relational and Therapeutic Models of Self-help in Mental Health: A Qualitative Approach. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY 2020; 65:290-304. [PMID: 31587311 DOI: 10.1002/ajcp.12399] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Self-help groups are generally described as "group[s] composed of individuals who meet on a regular basis to help one another cope with a life problem" (APA, 2019). Yet, it is challenging to find a univocal definition of self-help groups. Scholars usually use different labels to highlight various features of self-help groups, suggesting the need for further inquiry regarding commonalities and differences. The level of professional involvement is one of the most disputed factors influencing whether a group is considered to belong to the "self-help family." The present qualitative study aimed to understand how professional support in Tuscany, Italy can influence the organizational choices of these groups (place for meetings, admission criteria, timing, etc.), as well as the personal beliefs of members. The study included 17 self-help groups. During 13 focus groups meetings, 92 participants were interviewed; then, we individually interviewed 19 facilitators and six additional key informants from mental health settings. We used a grounded theory approach, and we discussed the emerging models with participants at a public event. Results show the emergence of two theoretical models to define self-help groups, not to be interpreted as mutually exclusive. The "relational model" refers to self-help groups whose main feature is to guarantee the acquisition of specific skills (social comparison skills, active listening, and empathy), while the "therapeutic model" seems to represent a kind of assimilation of other types of interventions.
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Affiliation(s)
- Fausto Petrini
- Dipartimento di Psicologia, Università degli Studi di Firenze, Firenze, Italy
| | - Elena Graziani
- Dipartimento di Psicologia, Università degli Studi di Firenze, Firenze, Italy
| | - Maria Angela Caputo
- Dipartimento di Psicologia, Università degli Studi di Firenze, Firenze, Italy
| | - Patrizia Meringolo
- Dipartimento di Psicologia, Università degli Studi di Firenze, Firenze, Italy
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22
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Psychoeducation and Problem-Solving Therapy as an Integrative Model of Mutual-Help Groups for People with Severe Mental Disorders: A Report from Brazil. Community Ment Health J 2020; 56:489-497. [PMID: 31732825 DOI: 10.1007/s10597-019-00505-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2019] [Accepted: 11/12/2019] [Indexed: 10/25/2022]
Abstract
This case study describes the "Entrelaços" Peer Support Program, a psychoeducational program of a psychiatric institution in the city of Rio de Janeiro that admitted, between 2011 and 2019, 246 people comprising family members and patients to participate in eight educational seminars followed by multifamily problem-solving groups in cycles that were 18 months in duration. Ninety percent of the participants who completed the program decided to create 7 mutual-help groups in the community independent of technicians and the institution. Community groups have already served spontaneously more than 214 families. They have organized scientific, social and anti-stigma events, expanded their social support network and demonstrated empowerment by switching from service users to peer providers to receive new families. This work is based on a pioneering model in Brazil that integrates psychoeducation with problem-solving therapy, spreading the benefits of education and peer-support with lower cost and greater representativeness.
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Gillard S, Bremner S, Foster R, Gibson SL, Goldsmith L, Healey A, Lucock M, Marks J, Morshead R, Patel A, Priebe S, Repper J, Rinaldi M, Roberts S, Simpson A, White S. Peer support for discharge from inpatient to community mental health services: Study protocol clinical trial (SPIRIT Compliant). Medicine (Baltimore) 2020; 99:e19192. [PMID: 32150057 PMCID: PMC7478470 DOI: 10.1097/md.0000000000019192] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2020] [Accepted: 01/15/2020] [Indexed: 12/30/2022] Open
Abstract
INTRODUCTION In the period shortly after discharge from inpatient to community mental health care, people are at increased risk of self-harm, suicide, and readmission to hospital. Discharge interventions including peer support have shown potential, and there is some evidence that community-based peer support reduces readmissions. However, systematic reviews of peer support in mental health services indicate poor trial quality and a lack of reporting of how peer support is distinctive from other mental health support. This study is designed to establish the clinical and cost effectiveness of a peer worker intervention to support discharge from inpatient to community mental health care, and to address issues of trial quality and clarity of reporting of peer support interventions. METHODS This protocol describes an individually randomized controlled superiority trial, hypothesizing that people offered a peer worker discharge intervention in addition to usual follow-up care in the community are less likely to be readmitted in the 12 months post discharge than people receiving usual care alone. A total of 590 people will be recruited shortly before discharge from hospital and randomly allocated to care as usual plus the peer worker intervention or care as usual alone. Manualized peer support provided by trained peer workers begins in hospital and continues for 4 months in the community post discharge. Secondary psychosocial outcomes are assessed at 4 months post discharge, and service use and cost outcomes at 12 months post discharge, alongside a mixed methods process evaluation. DISCUSSION Clearly specified procedures for sequencing participant allocation and for blinding assessors to allocation, plus full reporting of outcomes, should reduce risk of bias in trial findings and contribute to improved quality in the peer support evidence base. The involvement of members of the study team with direct experience of peer support, mental distress, and using mental health services, in coproducing the intervention and designing the trial, ensures that we theorize and clearly describe the peer worker intervention, and evaluate how peer support is related to any change in outcome. This is an important methodological contribution to the evidence base. TRIAL REGISTRATION This study was prospectively registered as ISRCTN 10043328 on November 28, 2016.
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Affiliation(s)
- Steve Gillard
- Population Health Research Institute, St George's, University of London, Cranmer Terrace, London
| | - Stephen Bremner
- Brighton & Sussex Medical School, University of Brighton, Brighton
| | - Rhiannon Foster
- Population Health Research Institute, St George's, University of London
| | | | - Lucy Goldsmith
- Population Health Research Institute, St George's, University of London
| | - Andrew Healey
- Health Services & Population Research Department, King's College London, London
| | - Mike Lucock
- School of Human & Health Sciences, University of Huddersfield, Huddersfield
| | - Jacqueline Marks
- Population Health Research Institute, St George's, University of London
| | - Rosaleen Morshead
- Population Health Research Institute, St George's, University of London
| | | | - Stefan Priebe
- Unit for Social and Community Psychiatry, Queen Mary, University of London, London
| | - Julie Repper
- Nottinghamshire Healthcare NHS Foundation Trust, Nottingham
| | - Miles Rinaldi
- South West London & St George's Mental Health NHS Trust
| | - Sarah Roberts
- Health Services & Population Research Department, King's College London, London
| | - Alan Simpson
- Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK
| | - Sarah White
- Population Health Research Institute, St George's, University of London
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Fox SD, Griffin RH, Pachankis JE. Minority stress, social integration, and the mental health needs of LGBTQ asylum seekers in North America. Soc Sci Med 2020; 246:112727. [DOI: 10.1016/j.socscimed.2019.112727] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2019] [Revised: 11/28/2019] [Accepted: 12/06/2019] [Indexed: 11/29/2022]
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Champine RB, Lang JM, Nelson AM, Hanson RF, Tebes JK. Systems Measures of a Trauma-Informed Approach: A Systematic Review. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY 2019; 64:418-437. [PMID: 31469452 PMCID: PMC7003149 DOI: 10.1002/ajcp.12388] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Interest in trauma-informed approaches has grown substantially. These approaches are characterized by integrating understanding of trauma throughout a program, organization, or system to enhance the quality, effectiveness, and delivery of services provided to individuals and groups. However, variation in definitions of trauma-informed approaches, coupled with underdeveloped research on measurement, poses challenges for evaluating the effectiveness of models designed to support a trauma-informed approach. This systematic review of peer-reviewed and gray literature identified 49 systems-based measures that were created to assess the extent to which relational, organizational, and community/system practices were trauma-informed. Measures were included if they assessed at least one component of a trauma-informed approach, were not screening or diagnostic instruments, were standardized, were relevant to practices addressing the psychological impacts of trauma, were printed in English, and were published between 1988 and 2018. Most (77.6%) measures assessed organizational-level staff and climate characteristics. There remain several challenges to this emerging field, including inconsistently reported psychometric data, redundancy across measures, insufficient evidence of a link to stakeholder outcomes, and limited information about measurement development processes. We discuss these opportunities and challenges and their implications for future research and practice.
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Affiliation(s)
- Robey B. Champine
- Child Health and Development Institute of Connecticut,
Farmington, CT 06032
- Yale School of Medicine, Division of Prevention and
Community Research, New Haven, CT 06511
- Michigan State University, College of Human Medicine,
Division of Public Health, Flint, MI 48502
| | - Jason M. Lang
- Child Health and Development Institute of Connecticut,
Farmington, CT 06032
- UCONN Health, Department of Psychiatry, Farmington, CT
06032
- Child Study Center, Yale Schools of Medicine, New Haven, CT
06511
| | - Ashley M. Nelson
- Child Health and Development Institute of Connecticut,
Farmington, CT 06032
| | - Rochelle F. Hanson
- Medical University of South Carolina, Department of
Psychiatry and Behavioral Sciences, Charleston, SC 29425
| | - Jacob K. Tebes
- Yale School of Medicine, Division of Prevention and
Community Research, New Haven, CT 06511
- Yale School of Public Health, New Haven, CT 06511
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[Participation in self-help groups: impact on self-management and knowledge]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2019; 62:10-16. [PMID: 30478487 DOI: 10.1007/s00103-018-2850-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
BACKGROUND Self-help groups (SHGs) are an inherent part of patient involvement and play an important role in the healthcare system. Until now, however, there has been a lack of systematic investigations and quantitative data about the individual impact of self-help for patients and relatives. OBJECTIVES This study presents the results of a comparison between members of SHGs and non-members. Thereby, the effects of self-help shall be described in terms of empowerment and self-management. The study is part of the project "Health-related Collective Self-Help in Germany" (Gesundheitsbezogene Selbsthilfe in Deutschland-SHILD) funded by the Federal Ministry of Health. MATERIALS AND METHODS The study was conducted with patients from five therapeutic areas (diabetes mellitus type 2, prostate cancer, multiple sclerosis, tinnitus, relatives of dementia patients). Participants administered a multidimensional questionnaire (paper-and-pencil or online). Of the 2870 participants in this analysis, 49% were active members of SHGs. RESULTS Statistical analysis showed some significant, but small differences between the two groups in five out of seven scales of the Health Education Impact Questionnaire (heiQ) in favour of the SHG members. Furthermore, SHG members performed better in specific knowledge tests. Members see the importance of their group especially in social inclusion, psychosocial relief, coping with the disease and new insights in dealing with the disease. CONCLUSIONS With respect to the study design we cannot rule out that differences might be based on personal characteristics influencing the decision to participate in a SHG or not. But as the results are controlled for confounders, the hypothesis that SHG participation has a positive impact on the outcomes rather than vice versa seems supported.
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Gillard S. Peer support in mental health services: where is the research taking us, and do we want to go there? J Ment Health 2019; 28:341-344. [PMID: 31070066 DOI: 10.1080/09638237.2019.1608935] [Citation(s) in RCA: 39] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Chien WT, Clifton AV, Zhao S, Lui S. Peer support for people with schizophrenia or other serious mental illness. Cochrane Database Syst Rev 2019; 4:CD010880. [PMID: 30946482 PMCID: PMC6448529 DOI: 10.1002/14651858.cd010880.pub2] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
BACKGROUND Peer support provides the opportunity for peers with experiential knowledge of a mental illness to give emotional, appraisal and informational assistance to current service users, and is becoming an important recovery-oriented approach in healthcare for people with mental illness. OBJECTIVES To assess the effects of peer-support interventions for people with schizophrenia or other serious mental disorders, compared to standard care or other supportive or psychosocial interventions not from peers. SEARCH METHODS We searched the Cochrane Schizophrenia Group's Study-Based Register of Trials on 27 July 2016 and 4 July 2017. There were no limitations regarding language, date, document type or publication status. SELECTION CRITERIA We selected all randomised controlled clinical studies involving people diagnosed with schizophrenia or other related serious mental illness that compared peer support to standard care or other psychosocial interventions and that did not involve 'peer' individual/group(s). We included studies that met our inclusion criteria and reported useable data. Our primary outcomes were service use and global state (relapse). DATA COLLECTION AND ANALYSIS The authors of this review complied with the Cochrane recommended standard of conduct for data screening and collection. Two review authors independently screened the studies, extracted data and assessed the risk of bias of the included studies. Any disagreement was resolved by discussion until the authors reached a consensus. We calculated the risk ratio (RR) and 95% confidence interval (CI) for binary data, and the mean difference and its 95% CI for continuous data. We used a random-effects model for analyses. We assessed the quality of evidence and created a 'Summary of findings' table using the GRADE approach. MAIN RESULTS This review included 13 studies with 2479 participants. All included studies compared peer support in addition to standard care with standard care alone. We had significant concern regarding risk of bias of included studies as over half had an unclear risk of bias for the majority of the risk domains (i.e. random sequence generation, allocation concealment, blinding, attrition and selective reporting). Additional concerns regarding blinding of participants and outcome assessment, attrition and selective reporting were especially serious, as about a quarter of the included studies were at high risk of bias for these domains.All included studies provided useable data for analyses but only two trials provided useable data for two of our main outcomes of interest, and there were no data for one of our primary outcomes, relapse. Peer support appeared to have little or no effect on hospital admission at medium term (RR 0.44, 95% CI 0.11 to 1.75; participants = 19; studies = 1, very low-quality evidence) or all-cause death in the long term (RR 1.52, 95% CI 0.43 to 5.31; participants = 555; studies = 1, very low-quality evidence). There were no useable data for our other prespecified important outcomes: days in hospital, clinically important change in global state (improvement), clinically important change in quality of life for peer supporter and service user, or increased cost to society.One trial compared peer support with clinician-led support but did not report any useable data for the above main outcomes. AUTHORS' CONCLUSIONS Currently, very limited data are available for the effects of peer support for people with schizophrenia. The risk of bias within trials is of concern and we were unable to use the majority of data reported in the included trials. In addition, the few that were available, were of very low quality. The current body of evidence is insufficient to either refute or support the use of peer-support interventions for people with schizophrenia and other mental illness.
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Affiliation(s)
- Wai Tong Chien
- The Chinese University of Hong KongNethersole School of Nursing8/F., Esther Lee Building, Chung Chi CampusThe Chinese University of Hong KongShatinNew TerritoriesHong Kong
| | - Andrew V Clifton
- De Montfort UniversityFaculty of Health and Life Sciences3.10 Edith Murphy HouseThe GatewayLeicesterUKLE1 9BH
| | - Sai Zhao
- The Ingenuity Centre, The University of NottinghamSystematic Review Solutions LtdTriumph RoadNottinghamUKNG7 2TU
| | - Steve Lui
- University of HuddersfieldSchool of Human and Health SciencesHarold Wilson BuildingQueensgateHuddersfieldUKHD1 3DH
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Abstract
As grassroots user/survivor movements gained traction across the Global North, mental health activists have provided mutual aid for those who consider themselves to be negatively affected by their psychiatrization experiences and for those in search of alternative (non-biopsychiatric) frameworks for understanding mental diversity. In addition to in-person support groups, digital communication has become an integral organizing mechanism for mutual aid actions to support those in mental distress. However, activists have often found both digital and face-to-face communication to be quite taxing to their own well-being-as they negotiate personal capacity to respond to collective needs and practice self-care through limiting their engagements in radical mental health communities. While engaging in an ethnography with a mutual aid community in the United States, I explored the use of "boundary formation" to set parameters for social engagement within digital support and face-to-face encounters. Semi-structured interviews with 14 participants, focus group discussions, participatory observation, and an analysis of digital communication revealed that group members often discussed setting personal boundaries as an act of self-care, a recognition of the pitfalls associated with engaging in group dynamics during times of mental distress, and as a practice to ensure communal longevity. The ways that participants discussed and enacted boundary formation are analyzed in this paper as a way of blocking, redirecting, and restructuring digital and in-person engagements within mutual aid assemblages.
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Affiliation(s)
- Erica Hua Fletcher
- Hope and Healing Center & Institute, 717 Sage Rd, Houston, TX, 77056, USA.
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Chien WT, Bressington D, Chan SWC. A Randomized Controlled Trial on Mutual Support Group Intervention for Families of People With Recent-Onset Psychosis: A Four-Year Follow-Up. Front Psychiatry 2018; 9:710. [PMID: 30618880 PMCID: PMC6305581 DOI: 10.3389/fpsyt.2018.00710] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 12/03/2018] [Indexed: 12/04/2022] Open
Abstract
Introduction: Recent research in Western countries has indicated that family interventions in schizophrenia and other psychotic disorders can reduce patient relapse and improve medication compliance. Few studies have addressed Chinese and Asian populations. This study tested the long-term effects of a 9-month family-led mutual support group for Chinese people with schizophrenia in Hong Kong, compared with psycho-education and standard psychiatric care. Methods: A randomized controlled trial of Chinese families of patients with recent-onset psychosis (≤5 years of illness) was conducted between August 2012 and January 2017, with a 4-year follow-up. Two hundred and one Chinese families of adult outpatients with recent-onset psychosis were randomly selected from the computerized patient lists and randomly assigned to either mutual support, psycho-education, or standard care group (n = 70 per group). Family caregivers were mainly the parent, spouse, or child of the patients. Mutual support and psycho-education group consisted of 16 two-hour group sessions and patients participated in three sessions. The standard care group and the two treatment groups received the routine psychiatric outpatient care. Results: Patients and families in the mutual support group reported consistently greater improvements in overall functioning [family functioning, F (2, 203) = 8.13, p = 0.003; patient functioning, F (2, 203) = 6.01, p = 0.008] and reductions in duration of hospitalizations [F (2, 203) = 6.51, p = 0.005] over the 4-year follow-up. There were not any significant increases of medication dosages or service use by both the family support and psycho-education groups over time. Conclusions: The peer-led family support group can be an effective psychosocial intervention in early psychosis indicating long-term benefits on both patient and family functioning and re-hospitalizations. Clinical Trial Registration: NCT00940394: https://register.clinicaltrials.gov.
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Affiliation(s)
- Wai Tong Chien
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong
| | - Daniel Bressington
- School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong
| | - Sally W. C. Chan
- School of Nursing and Midwifery, University of Newcastle, Callaghan, NSW, Australia
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Ascenso S, Perkins R, Atkins L, Fancourt D, Williamon A. Promoting well-being through group drumming with mental health service users and their carers. Int J Qual Stud Health Well-being 2018; 13:1484219. [PMID: 29989487 PMCID: PMC6041820 DOI: 10.1080/17482631.2018.1484219] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
Purpose: Music has been linked with well-being across clinical and community settings. Yet, research has focused on assessment of single dimensions of well-being and on the typical receiver of support services. Acknowledging the burden that a caring role encompasses and integrating recent proposals for a multifaceted definition of well-being, we explore the extent to which group drumming interventions translate into multidimensional well-being change for both mental health service users and carers. Method: Thirty-nine participants engaged in one of a series of community drumming programmes were assessed via semi-structured interviews (n = 11) and focus groups (n = 28) at the end of each programme. Data were analysed using IPA. Results and Conclusion: Emotional, psychological and social dimensions of well-being emerged for both patients and carers, accounted for through six themes: (1) hedonia: positive affect and pleasant physical effects of drumming; (2) agency: initiative and sense of control; (3) accomplishment: non-specific and in relation to musical goals; (4) engagement, through focus and flow; (5) a redefinition of self, through self-awareness, construction of a positive identity, self-prospection and incorporation of a musical identity; and (6) social well-being, through connectedness and positive relationships. The potential of such interventions for clinical contexts is discussed.
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Affiliation(s)
- Sara Ascenso
- a Centre for Performance Science , Royal College of Music , London , UK
| | - Rosie Perkins
- a Centre for Performance Science , Royal College of Music , London , UK.,b Faculty of Medicine , Imperial College , London , UK
| | - Louise Atkins
- a Centre for Performance Science , Royal College of Music , London , UK
| | - Daisy Fancourt
- a Centre for Performance Science , Royal College of Music , London , UK.,b Faculty of Medicine , Imperial College , London , UK
| | - Aaron Williamon
- a Centre for Performance Science , Royal College of Music , London , UK.,b Faculty of Medicine , Imperial College , London , UK
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Kofahl C. Associations of collective self-help activity, health literacy and quality of life in patients with tinnitus. PATIENT EDUCATION AND COUNSELING 2018; 101:2170-2178. [PMID: 30029811 DOI: 10.1016/j.pec.2018.07.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2017] [Revised: 06/04/2018] [Accepted: 07/02/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVE About 800 of the 13,000 members of the German Tinnitus Association (DTL) are active in self-help groups (SHGs). This study analyzes whether SHG-participation is associated with tinnitus-related Health Literacy (HLit) and Quality of Life (QoL). METHODS In a cross-sectional study 1108 tinnitus patients in- and outside of SHGs administered a questionnaire containing tinnitus-related burden, QoL, tinnitus knowledge, self-management, assessment of SHGs, and socio-demographics. Participants were divided into four subgroups: (1) active SHG-members (19.6%), (2) former SHG-members (10.6%), (3) DTL-members, but not in SHG (57.9%), (4) neither DTL- nor SHG-members (11.9%). RESULTS Participant were 59.7% male and 61.3 years on average. SHG-attendees are on average 5 years older than non-attendees, and have a lower education, while there are no differences in gender-distribution. Regression analyses show significant associations between SHG-participation and tinnitus knowledge, coping and self-esteem. QoL, however, is not associated with SHG-participation. SHG-members report considerable further benefits from SHG-membership. CONCLUSIONS Despite the limitations through the cross-sectional design, it seems more likely that tinnitus-related HLit and other benefits are a result of SHG-participation than vice versa. PRACTICE IMPLICATIONS Health care providers should inform their patients about SHGs and encourage them to consider a SHG as a possible option for their self-management.
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Affiliation(s)
- Christopher Kofahl
- Institute of Medical Sociology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
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Cook FJ, Langford L, Ruocco K. Evidence- and practice-informed approach to implementing peer grief support after suicide systematically in the USA. DEATH STUDIES 2017; 41:648-658. [PMID: 28557695 DOI: 10.1080/07481187.2017.1335552] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The landmark report, Responding to Grief, Trauma, and Distress After a Suicide: U.S. National Guidelines, identifies the suicide bereaved as an underserved population and recommends systematic development of peer grief support to help meet the needs of survivors of suicide loss. A widespread array of peer grief support after suicide (PGSS) services exists nationally, but only as a decentralized network of autonomous programs. Some research indicates that peer support is generally helpful to the suicide bereaved, a finding that is reinforced by a large body of emerging research showing that peer support is effective in mental illness and substance abuse recovery. The practice, study, growth, and refinement of peer support in those fields have generated viable ideas about the elements and principles of effective peer support-for individual practitioners and for programs and organizations-that could be used to guide the systematic implementation of PGSS. In addition, a comprehensive PGSS program (Tragedy Assistance Program for Survivors) that currently serves a large population-survivors of suicide in the military-could be a model for national PGSS systems development. Finally, there are several frameworks for systems development-zero suicide, consumer-operated services, recovery-oriented systems of care, and the consumer action research model-that could guide the expansion and increased effectiveness of PGSS in keeping with the Guidelines' recommendation.
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Affiliation(s)
| | - Linda Langford
- b Suicide Prevention Resource Center at EDC , Waltham , Massachusetts
| | - Kim Ruocco
- c TAPS (Tragedy Assistance Program for Survivors) , Washington
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Bond B, Wright J, Bacon A. What helps in self-help? A qualitative exploration of interactions within a borderline personality disorder self-help group. J Ment Health 2017; 28:640-646. [PMID: 28857639 DOI: 10.1080/09638237.2017.1370634] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Background: Self-help groups can have a large impact on individuals well-being and could reduce costs for healthcare services. Previous research supports the effectiveness of self-help groups, but explanations for this are lacking. Identifying the active ingredients which encourage positive change could inform effectiveness of these groups producing the best outcomes for members.Aim: This research investigated how members and facilitators of a borderline personality disorder self-help group (BPD SHG)interacted and made sense of their experiences in group meetings, to determine what aspects of interaction were helpful.Method: Naturalistic data was collected from 10 participants via audio recording and analysed using interpretative phenomenological analysis.Results: Three emergent themes are discussed: humour, praise and experiential knowledge.Conclusion: These are suggested to be active ingredients which are critical for the effectiveness of this BPD SHG, with particular focus on the facilitator's contribution.
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Affiliation(s)
- Briony Bond
- Psychotherapy Department, Livewell Southwest, Plymouth, United Kingdom of Great Britain and Northern Ireland and.,School of Psychology, Plymouth University, Plymouth, United Kingdom of Great Britain and Northern Ireland
| | - John Wright
- Psychotherapy Department, Livewell Southwest, Plymouth, United Kingdom of Great Britain and Northern Ireland and
| | - Alison Bacon
- School of Psychology, Plymouth University, Plymouth, United Kingdom of Great Britain and Northern Ireland
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Gammage RJ, Foster JL. Leadership in community mutual support groups for mental health: A qualitative case study from the leaders' perspective. JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY 2017. [DOI: 10.1002/casp.2327] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Rebecca J. Gammage
- Department of Psychology; University of Cambridge; Cambridge UK
- Doctorate Programme in Clinical Psychology, Department of Psychology; University of Hertfordshire; Hatfield UK
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Haynes TF, Cheney AM, Sullivan JG, Bryant K, Curran GM, Olson M, Cottoms N, Reaves C. Addressing Mental Health Needs: Perspectives of African Americans Living in the Rural South. Psychiatr Serv 2017; 68:573-578. [PMID: 28142389 PMCID: PMC5646233 DOI: 10.1176/appi.ps.201600208] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
OBJECTIVE Rural African Americans are disproportionately affected by social stressors that place them at risk of developing psychiatric disorders. This study aimed to understand mental health, mental health treatment, and barriers to treatment from the perspective of rural African-American residents and other stakeholders in order to devise culturally acceptable treatment approaches. METHODS Seven focus groups (N=50) were conducted with four stakeholder groups: primary care providers, faith community representatives, college students and administrators, and individuals living with mental illness. A semistructured interview guide was used to elicit perspectives on mental health, mental health treatment, and ways to improve mental health in rural African-American communities. Inductive analysis was used to identify emergent themes and develop a conceptual model grounded in the textual data. RESULTS Stressful living environments (for example, impoverished communities) and broader community-held beliefs (for example, religious beliefs and stigma) had an impact on perceptions of mental health and contributed to barriers to help seeking. Participants identified community-level strategies to improve emotional wellness in rural African-American communities, such as providing social support, improving mental health literacy, and promoting emotional wellness. CONCLUSIONS Rural African Americans experience several barriers that impede treatment use. Strategies that include conceptualizing mental illness as a normal reaction to stressful living environments, the use of community-based mental health services, and provision of mental health education to the general public may improve use of services in this population.
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Affiliation(s)
- Tiffany F Haynes
- Dr. Haynes and Dr. Bryant are with the Department of Health Behavior and Health Education, College of Public Health, University of Arkansas for Medical Sciences (UAMS), Little Rock (e-mail: ). Dr. Cheney, Dr. Sullivan, and Ms. Reaves are with the Center for Healthy Communities, School of Medicine, University of California, Riverside. Dr. Curran is with the Department of Pharmacy Practices, College of Pharmacy, UAMS, Little Rock. Dr. Curran is also with Health Services Research and Development, Central Arkansas Healthcare Systems, Department of Veterans Affairs, Little Rock. Dr. Olson and Ms. Cottoms are with Tri-County Rural Health Network, Helena, Arkansas
| | - Ann M Cheney
- Dr. Haynes and Dr. Bryant are with the Department of Health Behavior and Health Education, College of Public Health, University of Arkansas for Medical Sciences (UAMS), Little Rock (e-mail: ). Dr. Cheney, Dr. Sullivan, and Ms. Reaves are with the Center for Healthy Communities, School of Medicine, University of California, Riverside. Dr. Curran is with the Department of Pharmacy Practices, College of Pharmacy, UAMS, Little Rock. Dr. Curran is also with Health Services Research and Development, Central Arkansas Healthcare Systems, Department of Veterans Affairs, Little Rock. Dr. Olson and Ms. Cottoms are with Tri-County Rural Health Network, Helena, Arkansas
| | - J Greer Sullivan
- Dr. Haynes and Dr. Bryant are with the Department of Health Behavior and Health Education, College of Public Health, University of Arkansas for Medical Sciences (UAMS), Little Rock (e-mail: ). Dr. Cheney, Dr. Sullivan, and Ms. Reaves are with the Center for Healthy Communities, School of Medicine, University of California, Riverside. Dr. Curran is with the Department of Pharmacy Practices, College of Pharmacy, UAMS, Little Rock. Dr. Curran is also with Health Services Research and Development, Central Arkansas Healthcare Systems, Department of Veterans Affairs, Little Rock. Dr. Olson and Ms. Cottoms are with Tri-County Rural Health Network, Helena, Arkansas
| | - Keneshia Bryant
- Dr. Haynes and Dr. Bryant are with the Department of Health Behavior and Health Education, College of Public Health, University of Arkansas for Medical Sciences (UAMS), Little Rock (e-mail: ). Dr. Cheney, Dr. Sullivan, and Ms. Reaves are with the Center for Healthy Communities, School of Medicine, University of California, Riverside. Dr. Curran is with the Department of Pharmacy Practices, College of Pharmacy, UAMS, Little Rock. Dr. Curran is also with Health Services Research and Development, Central Arkansas Healthcare Systems, Department of Veterans Affairs, Little Rock. Dr. Olson and Ms. Cottoms are with Tri-County Rural Health Network, Helena, Arkansas
| | - Geoffrey M Curran
- Dr. Haynes and Dr. Bryant are with the Department of Health Behavior and Health Education, College of Public Health, University of Arkansas for Medical Sciences (UAMS), Little Rock (e-mail: ). Dr. Cheney, Dr. Sullivan, and Ms. Reaves are with the Center for Healthy Communities, School of Medicine, University of California, Riverside. Dr. Curran is with the Department of Pharmacy Practices, College of Pharmacy, UAMS, Little Rock. Dr. Curran is also with Health Services Research and Development, Central Arkansas Healthcare Systems, Department of Veterans Affairs, Little Rock. Dr. Olson and Ms. Cottoms are with Tri-County Rural Health Network, Helena, Arkansas
| | - Mary Olson
- Dr. Haynes and Dr. Bryant are with the Department of Health Behavior and Health Education, College of Public Health, University of Arkansas for Medical Sciences (UAMS), Little Rock (e-mail: ). Dr. Cheney, Dr. Sullivan, and Ms. Reaves are with the Center for Healthy Communities, School of Medicine, University of California, Riverside. Dr. Curran is with the Department of Pharmacy Practices, College of Pharmacy, UAMS, Little Rock. Dr. Curran is also with Health Services Research and Development, Central Arkansas Healthcare Systems, Department of Veterans Affairs, Little Rock. Dr. Olson and Ms. Cottoms are with Tri-County Rural Health Network, Helena, Arkansas
| | - Naomi Cottoms
- Dr. Haynes and Dr. Bryant are with the Department of Health Behavior and Health Education, College of Public Health, University of Arkansas for Medical Sciences (UAMS), Little Rock (e-mail: ). Dr. Cheney, Dr. Sullivan, and Ms. Reaves are with the Center for Healthy Communities, School of Medicine, University of California, Riverside. Dr. Curran is with the Department of Pharmacy Practices, College of Pharmacy, UAMS, Little Rock. Dr. Curran is also with Health Services Research and Development, Central Arkansas Healthcare Systems, Department of Veterans Affairs, Little Rock. Dr. Olson and Ms. Cottoms are with Tri-County Rural Health Network, Helena, Arkansas
| | - Christina Reaves
- Dr. Haynes and Dr. Bryant are with the Department of Health Behavior and Health Education, College of Public Health, University of Arkansas for Medical Sciences (UAMS), Little Rock (e-mail: ). Dr. Cheney, Dr. Sullivan, and Ms. Reaves are with the Center for Healthy Communities, School of Medicine, University of California, Riverside. Dr. Curran is with the Department of Pharmacy Practices, College of Pharmacy, UAMS, Little Rock. Dr. Curran is also with Health Services Research and Development, Central Arkansas Healthcare Systems, Department of Veterans Affairs, Little Rock. Dr. Olson and Ms. Cottoms are with Tri-County Rural Health Network, Helena, Arkansas
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Siller H, Renner W, Juen B. Turkish Migrant Women with Recurrent Depression: Results from Community-based Self-help Groups. Behav Med 2017; 43:129-141. [PMID: 26651367 DOI: 10.1080/08964289.2015.1111858] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The study focuses on psychosocial functioning of female Turkish immigrants in Austria with recurrent depressive disorder participating in self-help groups. Self-help groups guided by group leaders of Turkish descent should increase autonomy in participants, providing the opportunity to follow their ethnic health beliefs. Turkish immigrant women (n = 43) with recurrent depressive disorder participated in self-help groups over four months. Qualitative data of participants and group leaders, containing interviews, group protocols and supervision protocols of group leaders were analyzed using the qualitative content analysis for effects on psychosocial function, such as interaction with others, illness beliefs and benefit from self-help group. Women reported feelings of being neglected and violated by their husbands. They stated that they had gained strength and had emancipated themselves from their husbands. Self-help groups functioned as social resources and support for changes in participants' lives. Further interventions should integrate the functional value of depressive symptoms and focus on social support systems and social networks.
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Affiliation(s)
- Heidi Siller
- a Women's Health Centre , Medical University of Innsbruck
| | | | - Barbara Juen
- c Department of Psychology , University of Innsbruck
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Geenen S, Powers LE, Phillips LA, Nelson M, McKenna J, Winges-Yanez N, Blanchette L, Croskey A, Dalton LD, Salazar A, Swank P. Better futures: a randomized field test of a model for supporting young people in foster care with mental health challenges to participate in higher education. J Behav Health Serv Res 2016; 42:150-71. [PMID: 25502222 DOI: 10.1007/s11414-014-9451-6] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
The purpose of the study was to conduct a preliminary efficacy evaluation of the Better Futures model, which is focused on improving the postsecondary preparation and participation of youth in foster care with mental health challenges. Sixty-seven youth were randomized to either a control group that received typical services or an intervention group, which involved participation in a Summer Institute, individual peer coaching, and mentoring workshops. Findings indicate significant gains for the intervention group on measures of postsecondary participation, postsecondary and transition preparation, hope, self-determination, and mental health empowerment, as compared to the control group. Youth in the intervention group also showed positive trends in the areas of mental health recovery, quality of life, and high school completion. Implications for future research and practice are discussed, while emphasizing the capacities of youth in foster care with mental health conditions to successfully prepare for and participate fully in high education.
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Affiliation(s)
- Sarah Geenen
- Pathways to Positive Futures Research and Training Center, Portland State University, PO Box 751, Portland, OR, 97207-0751, USA,
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Gold KJ, Normandin MM, Boggs ME. Are participants in face-to-face and internet support groups the same? Comparison of demographics and depression levels among women bereaved by stillbirth. Arch Womens Ment Health 2016; 19:1073-1078. [PMID: 27562824 DOI: 10.1007/s00737-016-0657-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2016] [Accepted: 08/12/2016] [Indexed: 10/21/2022]
Abstract
Support groups can help individuals cope with difficult health situations but have been understudied for women with perinatal bereavement. An early study suggested those using internet support groups had high rates of positive depression screens, raising the question whether these users were more symptomatic than those in similar face-to-face support groups. We therefore conducted two convenience sample surveys of women bereaved by perinatal loss, one looking at use of online support groups and the other in-person support groups. The surveys identified demographics, use of peer support, potential confounders, and current depression symptoms using the Edinburgh Postnatal Depression Scale (EPDS). Four hundred sixteen women from 18 internet groups and 60 women from 13 in-person groups met inclusion criteria. Participants in both groups were predominantly Caucasian, highly educated, and had private insurance. Severe depression symptoms were similar in the two groups despite the different modalities. Women in both face-to-face or internet groups for pregnancy and perinatal loss demonstrated similar scores on depression screens. Women of color, poor, and less-educated women were starkly underrepresented in both types of groups, raising questions about knowledge of support options, barriers to use, preferences for bereavement support, and optimization of groups for a broader population.
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Affiliation(s)
- Katherine J Gold
- Department of Family Medicine, University of Michigan, 1018 Fuller Street, Ann Arbor, MI, 48104-1213, USA. .,Department of Obstetrics and Gynecology, University of Michigan, 1018 Fuller Street, Ann Arbor, MI, 48104-1213, USA.
| | | | - Martha E Boggs
- Department of Family Medicine, University of Michigan, 1018 Fuller Street, Ann Arbor, MI, 48104-1213, USA
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Burrage RL, Gone JP, Momper SL. Urban American Indian Community Perspectives on Resources and Challenges for Youth Suicide Prevention. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY 2016; 58:136-149. [PMID: 27576308 DOI: 10.1002/ajcp.12080] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
American Indian (AI) youth have some of the highest rates of suicide of any group in the United States, and the majority of AI youth live in urban areas away from tribal communities. As such, understanding the resources available for suicide prevention among urban AI youth is critical, as is understanding the challenges involved in accessing such resources. Pre-existing interview data from 15 self-identified AI community members and staff from an Urban Indian Health Organization were examined to understand existing resources for urban AI youth suicide prevention, as well as related challenges. A thematic analysis was undertaken, resulting in three principal themes around suicide prevention: formal resources, informal resources, and community values and beliefs. Formal resources that meet the needs of AI youth were viewed as largely inaccessible or nonexistent, and youth were seen as more likely to seek help from informal sources. Community values of mutual support were thought to reinforce available informal supports. However, challenges arose in terms of the community's knowledge of and views on discussing suicide, as well as the perceived fit between community values and beliefs and formal prevention models.
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Affiliation(s)
- Rachel L Burrage
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA.
- School of Social Work, University of Michigan, Ann Arbor, MI, USA.
| | - Joseph P Gone
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | - Sandra L Momper
- School of Social Work, University of Michigan, Ann Arbor, MI, USA
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Campos F, Sousa A, Rodrigues V, Marques A, Queirós C, Dores A. Directrices prácticas para programas de apoyo entre personas con enfermedad mental. REVISTA DE PSIQUIATRIA Y SALUD MENTAL 2016; 9:97-110. [DOI: 10.1016/j.rpsm.2014.06.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2013] [Revised: 05/14/2014] [Accepted: 06/16/2014] [Indexed: 11/28/2022]
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Campos F, Sousa A, Rodrigues V, Marques A, Queirós C, Dores A. Practical guidelines for peer support programmes for mental health problems. ACTA ACUST UNITED AC 2016. [DOI: 10.1016/j.rpsmen.2016.04.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Stickley T, Higgins A, Meade O, Sitvast J, Doyle L, Ellilä H, Jormfeldt H, Keogh B, Lahti M, Skärsäter I, Vuokila-Oikkonen P, Kilkku N. From the rhetoric to the real: A critical review of how the concepts of recovery and social inclusion may inform mental health nurse advanced level curricula - The eMenthe project. NURSE EDUCATION TODAY 2016; 37:155-163. [PMID: 26687142 DOI: 10.1016/j.nedt.2015.11.015] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/20/2015] [Revised: 09/29/2015] [Accepted: 11/16/2015] [Indexed: 06/05/2023]
Abstract
OBJECTIVES This critical review addresses the question of how the concepts of recovery and social inclusion may inform mental health nurse education curricula at Master's level in order to bring about significant and positive change to practice. DESIGN This is a literature-based critical review incorporating a rapid review. It has been said that if done well, this approach can be highly relevant to health care studies and social interventions, and has substantial claims to be as rigorous and enlightening as other, more conventional approaches to literature (Rolfe, 2008). DATA SOURCES In this review, we have accessed contemporary literature directly related to the concepts of recovery and social inclusion in mental health. REVIEW METHODS We have firstly surveyed the international literature directly related to the concepts of recovery and social inclusion in mental health and used the concept of emotional intelligence to help consider educational outcomes in terms of the required knowledge, skills and attitudes needed to promote these values-based approaches in practice. RESULTS A number of themes have been identified that lend themselves to educational application. International frameworks exist that provide some basis for the developments of recovery and social inclusion approaches in mental health practice, however the review identifies specific areas for future development. CONCLUSIONS This is the first article that attempts to scope the knowledge, attitudes and skills required to deliver education for Master's level mental health nurses based upon the principles of recovery and social inclusion. Emotional intelligence theory may help to identify desired outcomes especially in terms of attitudinal development to promote the philosophy of recovery and social inclusive approaches in advanced practice. Whilst recovery is becoming enshrined in policy, there is a need in higher education to ensure that mental health nurse leaders are able to discern the difference between the rhetoric and the reality.
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Affiliation(s)
- Theodore Stickley
- School of Health Sciences, Faculty of Medicine & Health Sciences, University of Nottingham, Institute of Mental Health Building, Triumph Road, Innovation Park, Nottingham, NG7 2TU, United Kingdom.
| | - Agnes Higgins
- School of Nursing and Midwifery, Trinity College Dublin, Ireland.
| | - Oonagh Meade
- School of Health Sciences, Faculty of Medicine & Health Sciences, University of Nottingham, Nottingham NG7 2UH, United Kingdom.
| | - Jan Sitvast
- University of Applied Sciences HU, Bolognalaan 101, 3584CJ Utrecht, The Netherlands.
| | - Louise Doyle
- School of Nursing and Midwifery, Trinity College Dublin, Ireland.
| | - Heikki Ellilä
- Dep. Health and Wellbeing, Turku University of Applied Sciences, Ruiskatu 2, 20720 Turku, Finland.
| | | | - Brian Keogh
- School of Nursing and Midwifery, Trinity College Dublin 2, Ireland.
| | - Mari Lahti
- University of Applied Science Turku, Ruiskatu 8, 20810 Turku, Finland.
| | | | | | - Nina Kilkku
- Tampere University of Applied Sciences, Kuntokatu 3, 33520 Tampere, Finland.
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Schreiber JK, Sands DC, Jordan JR. The Perceived Experience of Children Bereaved by Parental Suicide. OMEGA-JOURNAL OF DEATH AND DYING 2015; 75:184-206. [DOI: 10.1177/0030222815612297] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Children whose parent died by suicide are a vulnerable and underserved population. This phenomenon will be described, as well as implications for practice and research. “Double Whammy,” a conceptualization of the overall experience of this marginalized group, emerged through two in-depth interviews from a phenomenological qualitative study with professionals who facilitate support groups for children bereaved by parental suicide. It was corroborated with current literature and practice experiences of the authors and their colleagues. Stigma was the largest contributor to the “Double Whammy,” and the following themes emerged as well: feeling isolated, feeling abandoned, and feeling responsible. The self-volition of suicide challenges how bereaved children make meaning and internalize feelings about the deceased parent, one’s self, and others. Developmentally appropriate education about suicide grief, depression, and normalizing the grief process is pivotal in helping children to effectively cope and manage their feelings.
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Affiliation(s)
- Jennifer K. Schreiber
- Simmons College School of Social Work, Boston, MA, USA
- Jeff’s Place Children’s Bereavement Center, Framingham, MA, USA
- Experience Camps, CA, ME, NY, USA
| | - Diana C. Sands
- Bereaved by Suicide Centre for Intense Grief, Sydney, Australia
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Priebe S, Omer S, Giacco D, Slade M. Resource-oriented therapeutic models in psychiatry: conceptual review. Br J Psychiatry 2015; 204:256-61. [PMID: 24692752 DOI: 10.1192/bjp.bp.113.135038] [Citation(s) in RCA: 76] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Like other medical specialties, psychiatry has traditionally sought to develop treatments targeted at ameliorating a deficit of the patient. However, there are different therapeutic models that focus on utilising patients' personal and social resources instead of ameliorating presumed deficits. A synopsis of such models might help to guide further research and improve therapeutic interventions. AIMS To conduct a conceptual review of resource-oriented therapeutic models in psychiatry, in order to identify their shared characteristics. METHOD The literature was searched to identify a range of resource-oriented therapeutic models, particularly for patients with severe mental illness. Key texts for each model were analysed using a narrative approach to synthesise the concepts and their characteristics. RESULTS Ten models were included: befriending, client-centred therapy, creative music therapy, open dialogue, peer support workers, positive psychotherapy, self-help groups, solution-focused therapy, systemic family therapy and therapeutic communities. Six types of resources were utilised: social relationships, patients' decision-making ability, experiential knowledge, patients' individual strengths, recreational activities and self-actualising tendencies. Social relationships are a key resource in all the models, including relationships with professionals, peers, friends and family. Two relationship dimensions - reciprocity and expertise - differed across the models. CONCLUSIONS The review suggests that a range of different therapeutic models in psychiatry address resources rather than deficits. In various ways, they all utilise social relationships to induce therapeutic change. A better understanding of how social relationships affect mental health may inform the development and application of resource-oriented approaches.
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Affiliation(s)
- Stefan Priebe
- Stefan Priebe, FRCPsych, Serif Omer, BSc, Domenico Giacco, MD, Unit for Social and Community Psychiatry, Barts' and the London School of Medicine and Dentistry, Queen Mary College, University of London; Mike Slade, PhD, PsychD, Health Service and Population Research Department, King's College London, Institute of Psychiatry, London, UK
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Markowitz FE. Involvement in mental health self-help groups and recovery. HEALTH SOCIOLOGY REVIEW : THE JOURNAL OF THE HEALTH SECTION OF THE AUSTRALIAN SOCIOLOGICAL ASSOCIATION 2015; 24:199-212. [PMID: 27570477 PMCID: PMC5000855 DOI: 10.1080/14461242.2015.1015149] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Fred E. Markowitz
- Department of Sociology, Northern Illinois University, DeKalb, IL, USA
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Latham K, Clarke PJ, Pavela G. Social Relationships, Gender, and Recovery From Mobility Limitation Among Older Americans. J Gerontol B Psychol Sci Soc Sci 2015; 70:769-81. [PMID: 25583597 DOI: 10.1093/geronb/gbu181] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2013] [Accepted: 12/03/2014] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Evidence suggests social relationships may be important facilitators for recovery from functional impairment, but the extant literature is limited in its measurement of social relationships including an over emphasis on filial social support and a paucity of nationally representative data. METHODS Using data from Waves 4-9 (1998-2008) of the Health and Retirement Study (HRS), this research examines the association between social relationships and recovery from severe mobility limitation (i.e., difficulty walking one block or across the room) among older Americans. Using a more nuanced measure of recovery that includes complete and partial recovery, a series of discrete-time event history models with multiple competing recovery outcomes were estimated using multinomial logistic regression. RESULTS Providing instrumental support to peers increased the odds of complete and partial recovery from severe mobility limitation, net of numerous social, and health factors. Having relatives living nearby decreased the odds of complete recovery, while being engaged in one's neighborhood increased the odds of partial recovery. The influence of partner status on partial and complete recovery varied by gender, whereby partnered men were more likely to experience recovery relative to partnered women. The effect of neighborhood engagement on partial recovery also varied by gender. Disengaged women were the least likely to experience partial recovery compared with any other group. DISCUSSION The rehabilitative potential of social relationships has important policy implications. Interventions aimed at encouraging older adults with mobility limitation to be engaged in their neighborhoods and/or provide instrumental support to peers may improve functional health outcomes.
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Affiliation(s)
- Kenzie Latham
- Department of Sociology, Indiana University-Purdue University Indianapolis, Indianapolis.
| | | | - Greg Pavela
- The Nutrition Obesity Research Center, University of Alabama at Birmingham
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Kit PL, Wong SS, D’Rozario V, Teo CT. Exploratory Findings on Novice Group Counselors’ Initial Co-facilitating Experiences in In-Class Support Groups With Adjunct Online Support Groups. JOURNAL FOR SPECIALISTS IN GROUP WORK 2014. [DOI: 10.1080/01933922.2014.954737] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Baldwin DS, Anderson IM, Nutt DJ, Allgulander C, Bandelow B, den Boer JA, Christmas DM, Davies S, Fineberg N, Lidbetter N, Malizia A, McCrone P, Nabarro D, O'Neill C, Scott J, van der Wee N, Wittchen HU. Evidence-based pharmacological treatment of anxiety disorders, post-traumatic stress disorder and obsessive-compulsive disorder: a revision of the 2005 guidelines from the British Association for Psychopharmacology. J Psychopharmacol 2014; 28:403-39. [PMID: 24713617 DOI: 10.1177/0269881114525674] [Citation(s) in RCA: 377] [Impact Index Per Article: 37.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
This revision of the 2005 British Association for Psychopharmacology guidelines for the evidence-based pharmacological treatment of anxiety disorders provides an update on key steps in diagnosis and clinical management, including recognition, acute treatment, longer-term treatment, combination treatment, and further approaches for patients who have not responded to first-line interventions. A consensus meeting involving international experts in anxiety disorders reviewed the main subject areas and considered the strength of supporting evidence and its clinical implications. The guidelines are based on available evidence, were constructed after extensive feedback from participants, and are presented as recommendations to aid clinical decision-making in primary, secondary and tertiary medical care. They may also serve as a source of information for patients, their carers, and medicines management and formulary committees.
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Affiliation(s)
- David S Baldwin
- 1Faculty of Medicine, University of Southampton, Southampton, UK
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