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Fakhrou AA, Adawi TR, Ghareeb SA, Elsherbiny AM, AlFalasi MM. Role of family in supporting children with mental disorders in Qatar. Heliyon 2023; 9:e18914. [PMID: 37636376 PMCID: PMC10447922 DOI: 10.1016/j.heliyon.2023.e18914] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2023] [Revised: 07/17/2023] [Accepted: 08/02/2023] [Indexed: 08/29/2023] Open
Abstract
Background Mental disorders can significantly impact children's lives and affect their emotional, cognitive, and behavioral development. Family support and care is critical to the well-being of children, particularly children with mental disorders. However, given the "gap" between research and practice"," there have been very few studies in the Arab region that focus on the role of the family in supporting children with mental disorders. The study also examines how families cope with caring for a person with mental disorders and what behaviors may influence the patient's distress. In addition, the study will examine the importance of family rehabilitation and integration of people with mental disorders into society. Methods The study adopts the descriptive-analytical method and uses a questionnaire to gather data from the participants. The 350-parents sample (with 113 boys, 237 girls) was selected from the Shafallah Center for Integrating People with Disability. Morgan's law is used to determine the sample size. Results The results show that there are statistically significant differences in the role of family members in supporting people with mental disorders due to two variables: Gender and Work. Age has no statistically significant effect on the role of family members in supporting people with mental disorders. Conclusion This study is the first study conducted to investigate the role of family in supporting children with mental disorders in the Gulf Cooperation Council (GCC) in general and Qatar in particular. The results show that families should cope with the needs of a person with a mental disorder. Family rehabilitation is important in the care of people with mental disorders. There are certain behaviors of family members that can increase or decrease stress for the person. The results suggest that the family plays an essential role in supporting and promoting the lives of people with mental disorders and recommending effective ways to cope with them.
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Lauzier-Jobin F, Houle J. Caregiver Support in Mental Health Recovery: A Critical Realist Qualitative Research. QUALITATIVE HEALTH RESEARCH 2021; 31:2440-2453. [PMID: 34420469 PMCID: PMC8579328 DOI: 10.1177/10497323211039828] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Support from caregivers is an important element of mental health recovery. However, the mechanisms by which social support influences the recovery of persons with depressive, anxiety, or bipolar disorders are less understood. In this study, we describe the social support mechanisms that influence mental health recovery. A cross-sectional qualitative study was undertaken in Québec (Canada) with 15 persons in recovery and 15 caregivers-those having played the most significant role in their recovery. A deductive thematic analysis allowed for the identification and description of different mechanisms through a triangulation of perspectives from different actors. Regarding classic social support functions, several of the support mechanisms for mental health recovery were identified (emotional support, companionship, instrumental support, and validation). However, informational support was not mentioned. New mechanisms were also identified: presence, communication, and influence. Social support mechanisms evoke a model containing a hierarchy as well as links among them.
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Affiliation(s)
| | - Janie Houle
- Université du Québec à Montréal, Montréal, Québec, Canada
- Janie Houle, Department of Psychology, Université du Québec à Montréal, 100 Rue Sherbrooke Ouest, Montréal, Québec, Canada H2X 3P2.
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Ong JQL, Lim LJH, Ho RCM, Ho CSH. Depression, anxiety, and associated psychological outcomes in living organ transplant donors: A systematic review. Gen Hosp Psychiatry 2021; 70:51-75. [PMID: 33721612 DOI: 10.1016/j.genhosppsych.2021.03.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 02/24/2021] [Accepted: 03/01/2021] [Indexed: 12/23/2022]
Abstract
With increasing demands for living organ donations, understanding the prevalence of depression and anxiety, which are the commonest psychiatric disorders in donors following organ transplantation, will serve to improve psychiatric care to safeguard donors' mental wellbeing. This descriptive systematic review examines all observational studies in English investigating prevalence of depression and anxiety in adult transplant donors using bibliographic databases. Sixty-two papers were included (kidney, n = 25; liver, n = 25; bone marrow, n = 7; uterus, n = 2; lung, n = 1; kidney and lung concurrently, n = 2). Post-transplantation depression and anxiety prevalence rates (Depression: 0-46.9%, Anxiety: 0-66.7%) did not differ significantly from pre-transplantation and were largely comparable to the general population. Other psychiatric disorders observed included bipolar disorder, conversion disorder, adjustment disorder and sleep disorder. Other psychological outcomes observed included lower quality of life, lower satisfaction of life and regret after donation. Pre-donation risk factors such as poor physical/psychological health status, and post-donation risk factors such as complicated post-surgical recovery and poor physical/psychological health in recipients were identified, predisposing donors to poor psychological outcomes. Individuals with risk factors should be monitored and provided with social support, psychoeducation, psychotherapy and long-term follow up. Future studies should adopt consistent methodological approaches to improve comparability between various studies. More research investigating poor psychological outcomes in other organ donors besides kidney and liver donors, donors who have past psychiatric history, unrelated and parent donors is warranted.
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Affiliation(s)
- Jun Q L Ong
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | | | - Roger C M Ho
- Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Institute of Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore
| | - Cyrus S H Ho
- Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
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Vera San Juan N, Aceituno D, Djellouli N, Sumray K, Regenold N, Syversen A, Mulcahy Symmons S, Dowrick A, Mitchinson L, Singleton G, Vindrola-Padros C. Mental health and well-being of healthcare workers during the COVID-19 pandemic in the UK: contrasting guidelines with experiences in practice. BJPsych Open 2020; 7:e15. [PMID: 33298229 PMCID: PMC7844154 DOI: 10.1192/bjo.2020.148] [Citation(s) in RCA: 65] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Substantial evidence has highlighted the importance of considering the mental health of healthcare workers during the COVID-19 pandemic, and several organisations have issued guidelines with recommendations. However, the definition of well-being and the evidence base behind such guidelines remain unclear. AIMS The aims of the study are to assess the applicability of well-being guidelines in practice, identify unaddressed healthcare workers' needs and provide recommendations for supporting front-line staff during the current and future pandemics. METHOD This paper discusses the findings of a qualitative study based on interviews with front-line healthcare workers in the UK (n = 33), and examines them in relation to a rapid review of well-being guidelines developed in response to the COVID-19 pandemic (n = 14). RESULTS The guidelines placed greater emphasis on individual mental health and psychological support, whereas healthcare workers placed greater emphasis on structural conditions at work, responsibilities outside the hospital and the invaluable support of the community. The well-being support interventions proposed in the guidelines did not always respond to the lived experiences of staff, as some reported not being able to participate in these interventions because of understaffing, exhaustion or clashing schedules. CONCLUSIONS Healthcare workers expressed well-being needs that aligned with socio-ecological conceptualisations of well-being related to quality of life. This approach to well-being has been highlighted in literature on support of healthcare workers in previous health emergencies, but it has not been monitored during this pandemic. Well-being guidelines should explore the needs of healthcare workers, and contextual characteristics affecting the implementation of recommendations.
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Affiliation(s)
- Norha Vera San Juan
- Department of Health Service and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; and Rapid Research Evaluation and Appraisal Lab, University College London, UK
| | - David Aceituno
- Department of Health Service and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; and Department of Psychiatry, School of Medicine, Pontifical Catholic University of Chile, Chile
| | - Nehla Djellouli
- Institute for Global Health, University College London, UK; and Rapid Research Evaluation and Appraisal Lab, University College London, UK
| | - Kirsi Sumray
- Institute of Epidemiology and Health Care, University College London, UK
| | - Nina Regenold
- Department of Anthropology, University College London, UK
| | - Aron Syversen
- Institute of Epidemiology and Health Care, University College London, UK
| | | | - Anna Dowrick
- Institute of Population Health Science, Queen Mary University of London, UK
| | - Lucy Mitchinson
- Marie Curie Palliative Care Research Department, University College London, UK
| | - Georgina Singleton
- Health Services Research Centre, National Institute of Academic Anaesthesia, London, UK; and Rapid Research Evaluation and Appraisal Lab, University College London, UK
| | - Cecilia Vindrola-Padros
- Department of Targeted Intervention, University College London, UK; and Rapid Research Evaluation and Appraisal Lab, University College London, UK
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Gunnarsson AB, Brunt D, Tjörnstrand C, Argentzell E, Bejerholm U, Eklund M. Navigating in a Misty Landscape - Perceptions of Supporting a Relative Residing in Supported Housing for People with a Psychiatric Disability. Issues Ment Health Nurs 2020; 41:1038-1046. [PMID: 32605419 DOI: 10.1080/01612840.2020.1756012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The aim was to explore informal carers' perceptions of supporting the everyday life of a relative who has a psychiatric disability and resides in supported housing (SH). A qualitative study based on interviews with 12 informal carers was performed, and the data was analyzed with qualitative content analysis. The theme "Navigating in a misty landscape when striving to support a relative with a psychiatric disability" was identified, encompassing four categories pertaining to residents' needs, collaboration, environmental issues and the carer's situation. SH services can be enhanced by addressing informal carers' experiences and developing greater collaboration involving informal carers, residents and staff.
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Affiliation(s)
- A Birgitta Gunnarsson
- Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.,Department of Research and Development, Region Kronoberg, Växjö Sweden
| | - David Brunt
- Faculty of Health and Life Sciences, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden
| | | | | | | | - Mona Eklund
- Department of Health Sciences, Lund University, Lund, Sweden
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Rapisarda F, Felx A, Gagnon S, De Benedictis L, Luyet A, Boutin M, Corbière M, Lesage A. Housing Orientations and Needs of Above-Average Length of Stay Hospitalized Psychiatric Patients. Front Psychiatry 2020; 11:231. [PMID: 32317990 PMCID: PMC7155141 DOI: 10.3389/fpsyt.2020.00231] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Accepted: 03/10/2020] [Indexed: 11/23/2022] Open
Abstract
A small number of severely and persistently mentally ill in-patients awaiting residential or long-stay facilities represent an obstacle to the efficient utilization of acute care beds. These facilities are costly and currently reputed to be contrary to recovery principles. In 2013, all acute psychiatric care wards in Montreal identified 194 in-patients who could be discharged to residential or long-term nursing care facilities. Program clinical professionals of regional residential facilities sent adapted standardized questionnaires to ward staff. Evaluators also collected the residential preferences of both staff and patients, and then made their own assessments. The 194 in-patients were mostly middle-aged single men. Over 80% had a psychosis diagnosis and half had judicial constraints. The staff evaluated that 71.1% could be discharged from hospital within 24 h. Of these, 55% could be referred to group resources with continuous 24 h, 7 days a week staff presence, 32% could be transferred to apartments with 7-day continuous or non-continuous staff presence, 12% could be transferred to institutional care and only 2% could be moved to an apartment of their own. Evaluator and ward staff residential preferences were highly similar, but differed with patient preferences, half of whom prefer their own apartment. Discrepancy between staff evaluations and patient preferences were higher for longer stay patients with more severe symptoms and comorbidity of personality disorders.
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Affiliation(s)
| | - Amélie Felx
- Institut universitaire en santé mentale de Montréal (IUSMM), Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest-de-l'Île-de-Montréal, Montréal, QC, Canada
| | - Stéphane Gagnon
- Institut universitaire en santé mentale de Montréal (IUSMM), Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest-de-l'Île-de-Montréal, Montréal, QC, Canada
| | - Luigi De Benedictis
- Institut universitaire en santé mentale de Montréal (IUSMM), Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest-de-l'Île-de-Montréal, Montréal, QC, Canada
| | - André Luyet
- Institut universitaire en santé mentale de Montréal (IUSMM), Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest-de-l'Île-de-Montréal, Montréal, QC, Canada
| | - Marc Boutin
- Douglas Mental Health University Institute, Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest-de-l'Île-de-Montréal, Montréal, QC, Canada
| | - Marc Corbière
- Département d'éducation et pédagogie, Université du Québec à Montréal, Montréal, QC, Canada
| | - Alain Lesage
- Institut universitaire en santé mentale de Montréal (IUSMM), Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest-de-l'Île-de-Montréal, Montréal, QC, Canada
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Green R, Mitchell PF, Lee K, Svensson E, Toh JW, Barentsen C, Copeland M, Newton JR, Hawke KC, Brophy L. Key features of an innovative sub-acute residential service for young people experiencing mental ill health. BMC Psychiatry 2019; 19:311. [PMID: 31646990 PMCID: PMC6813091 DOI: 10.1186/s12888-019-2303-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2019] [Accepted: 09/23/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Numerous studies across international settings have highlighted a need to improve the appropriateness and continuity of services for young people experiencing mental ill health. This paper examines key features of a sub-acute youth mental health residential service model, Youth Prevention and Recovery Care (Y-PARC) service. Y-PARC provides up to 4 weeks care to 16 to 25 year-olds at risk of hospitalisation and to those transitioning out of hospital inpatient units. The research was conducted at one of three Y-PARCs located in Victoria, Australia. METHODS This paper presents findings from analysis of two data sources collected during evaluation of a Y-PARC service in 2015-17. Routinely collected administrative data of Y-PARC residents (n = 288) were analysed and semi-structured interviews were conducted with 38 participants: a) former residents (n = 14); b) family members of group a) (n = 5); key stakeholders (n = 9); and, Y-PARC staff (n = 10 respondents in 3 group interviews). Analysis of the qualitative data was thematic and structured by the interview guide, which covered the key service aims. RESULTS Consistent with the aims of the service, respondents described practice at Y-PARC that aligns with recovery-oriented care. Key features emphasised were: a safe and welcoming environment for residents and families; provision of person-centred care; promotion of autonomy and self-help; informal interactions with staff allowing for formation of naturalistic relationships; time spent with other young people with similar experiences; and, assurance upon exit that the 'door is always open.' High levels of satisfaction were reported. Outcomes described included: improved resilience; better understanding of mental health; the importance of seeking help; and, stronger connections to therapeutic services. Longer and multiple stays were associated with progressive and sustained change. Family members and stakeholders widely reported that the service fills a gap between community services and acute inpatient mental health hospital wards. Some challenging areas of practice identified included: integration of evidence-based psychosocial interventions; provision of care within a model that blends clinical and psychosocial support services; and, negotiation of family-inclusive practice. CONCLUSIONS The Y-PARC service model shows promise with young people experiencing mental ill health, particularly in improving the range and availability of options across a spectrum of need.
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Affiliation(s)
- Rachael Green
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Carlton, Victoria 3053 Australia
| | - Penelope Fay Mitchell
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Carlton, Victoria 3053 Australia
| | - Kira Lee
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Carlton, Victoria 3053 Australia
| | - Ella Svensson
- Orygen, the National Centre of Excellence in Youth Mental Health, 35 Poplar Roadd, Parkville, Victoria 3052 Australia
| | - Jia-Wern Toh
- Orygen, the National Centre of Excellence in Youth Mental Health, 35 Poplar Roadd, Parkville, Victoria 3052 Australia
| | - Carolyn Barentsen
- Peninsula Health, 2 Hastings Road, Frankston, Victoria 3199 Australia
| | - Michala Copeland
- Mind Australia, 86-92 Mount Street, Heidelberg, Victoria 3084 Australia
| | - J. Richard Newton
- Peninsula Health, 2 Hastings Road, Frankston, Victoria 3199 Australia
| | | | - Lisa Brophy
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Carlton, Victoria 3053 Australia
- Mind Australia, 86-92 Mount Street, Heidelberg, Victoria 3084 Australia
- School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria Australia
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Strudwick G, Kuziemsky C, Booth RG, Collins S, Chyjek A, Sakal M, Harris A, Strauss J. Engaging patients and family members in the evaluation of a mental health patient portal: protocol for a mixed-methods study. BMJ Open 2018; 8:e025508. [PMID: 30139909 PMCID: PMC6112388 DOI: 10.1136/bmjopen-2018-025508] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2018] [Revised: 07/30/2018] [Accepted: 07/31/2018] [Indexed: 01/08/2023] Open
Abstract
INTRODUCTION Twenty per cent of Canadians will experience a mental illness in any year. Mental health patient portals have been developed to support these individuals in taking more control over their own mental health and care. This may be done through electronic access to their health records and other supportive functions like completion of online self-assessments. To date, there has been limited research into the value that these portals may provide within mental health contexts. This study will identify what value mental health patient portals may offer to patients and their family members. METHODS AND ANALYSIS This study will use a mixed-methods design. Patients will complete a survey consisting of validated instruments at the time of enrolment in the portal, and at 3 and 6 months of portal use. Patient and family member focus groups will be conducted. Portal usage data will be collected to identify if there are differences in outcomes based on usage. The study will be done at Canada's largest mental health and addiction teaching hospital, and will be conducted using a patient and family-oriented research approach, engaging these important representatives in all stages of the research process. The primary data analysis for the survey portion of the study will be done using linear mixed-effect models, assessing the differences between patients with different portal usage levels. A thematic analysis will be conducted of the focus group transcripts. ETHICS AND DISSEMINATION Approval from the study site's Research Ethics Board has been obtained. The dissemination of findings of this study will be done through presentations at conferences, as well as a formal peer-reviewed journal article. Additionally, the research team will work with a group of patients and family members to identify opportunities to complete knowledge translation and dissemination activities in non-traditional venues.
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Affiliation(s)
| | - Craig Kuziemsky
- Telfer School of Management, University of Ottawa, Ottawa, Canada
| | - Richard G Booth
- Arthur Labatt Family School of Nursing, Western University, London, Ontario, Canada
| | - Sarah Collins
- Department of Biomedical Informatics and Nursing, Columbia University, New York, USA
| | - Anna Chyjek
- Centre for Addiction and Mental Health, Toronto, Ontario, Canada
| | - Moshe Sakal
- Hong Fook Mental Health Association, Toronto, Ontario, Canada
| | | | - John Strauss
- Centre for Addiction and Mental Health, Toronto, Ontario, Canada
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Abstract
BACKGROUND Two discourses exist in mental health research and practice. The first focuses on the limitations associated with disability arising from mental disorder. The second focuses on the possibilities for living well with mental health problems. DISCUSSION This article was prompted by a review to inform disability policy. We identify seven findings from this review: recovery is best judged by experts or using standardised assessment; few people with mental health problems recover; if a person no longer meets criteria for a mental illness, they are in remission; diagnosis is a robust basis for characterising groups and predicting need; treatment and other supports are important factors for improving outcome; the barriers to receiving effective treatment are availability, financing and client awareness; and the impact of mental illness, in particular schizophrenia, is entirely negative. We selectively review a wider range of evidence which challenge these findings, including the changing understanding of recovery, national mental health policies, systematic review methodology and undertainty, epidemiological evidence about recovery rates, reasoning biased due to assumptions about mental illness being an illness like any other, the contested nature of schizophrenia, the social construction of diagnoses, alternative explanations for psychosis experiences including the role of trauma, diagnostic over-shadowing, stigma, the technological paradigm, the treatment gap, social determinants of mental ill-health, the prevalence of voice-hearing in the general population, and the sometimes positive impact of psychosis experience in relation to perspective and purpose. CONCLUSION We propose an alternative seven messages which are both empirically defensible and more helpful to mental health stakeholders: Recovery is best judged by the person living with the experience; Many people with mental health problems recover; If a person no longer meets criteria for a mental illness, they are not ill; Diagnosis is not a robust foundation; Treatment is one route among many to recovery; Some people choose not to use mental health services; and the impact of mental health problems is mixed.
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Affiliation(s)
- Mike Slade
- King's College London, Health Service and Population Research Department (Box P029), Institute of Psychiatry, Psychology & Neuroscience, Denmark Hill, London, SE5 8AF, UK.
| | - Eleanor Longden
- Institute of Psychology, Health and Society, University of Liverpool, Block B, 2nd Floor, Waterhouse Building, Liverpool, L69 3GL, UK.
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Al-Sagarat A, Moxham L, Curtis J, Crooke P. The perceptions of the ward atmosphere in four Jordanian psychiatric hospitals from the perspective of patients' relatives. Perspect Psychiatr Care 2014; 50:287-93. [PMID: 24383814 DOI: 10.1111/ppc.12057] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2013] [Revised: 11/07/2013] [Accepted: 11/07/2013] [Indexed: 11/28/2022] Open
Abstract
PURPOSE To describes the perceptions of the ward atmosphere of psychiatric hospitals from the perspective of the relatives of people who were inpatients in those hospitals. DESIGN AND METHODS A nonexperimental descriptive survey was used. Data were collected using the Arabic version of Moos Ward Atmosphere Scale Ideal and Real forms. FINDINGS Data indicate that even though relatives of Jordanian mental health patients were generally positive about the ward atmosphere, they would like to see changes. PRACTICE IMPLICATIONS By describing their current and ideal treatment environments, participants have provided information that can guide interventions to change the ward atmosphere and thus help foster better patient treatment outcomes.
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Affiliation(s)
- Ahmad Al-Sagarat
- Department of Community Health and Mental Health Nursing, Faculty of Nursing, Mu'tah University, AL-Karak, Jordan
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11
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Green CA, Estroff SE, Yarborough BJH, Spofford M, Solloway MR, Kitson RS, Perrin NA. Directions for future patient-centered and comparative effectiveness research for people with serious mental illness in a learning mental health care system. Schizophr Bull 2014; 40 Suppl 1:S1-S94. [PMID: 24489078 PMCID: PMC3911266 DOI: 10.1093/schbul/sbt170] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Lavoie-Tremblay M, Bonin JP, Bonneville-Roussy A, Briand C, Perreault M, Piat M, Lesage A, Racine H, Laroche D, Cyr G. Families' and decision makers' experiences with mental health care reform: the challenge of collaboration. Arch Psychiatr Nurs 2012; 26:e41-50. [PMID: 22835756 DOI: 10.1016/j.apnu.2012.04.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2011] [Revised: 04/11/2012] [Accepted: 04/25/2012] [Indexed: 11/19/2022]
Abstract
Family-driven collaboration is fundamental to developing a new model of health care and eliminating fragmented services in mental health. The province of Québec (Canada) recently undertook major transformations of its mental health care system. These transformations represent an opportunity to improve collaboration between families and health care practitioners and to understand which factors facilitate this collaboration. This article describes how families and decision makers perceive collaboration in the context of a major transformation of mental health services and identifies the factors that facilitate and hinder family collaboration.
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Affiliation(s)
- Melanie Lavoie-Tremblay
- School of Nursing, McGill University and Researcher at the Research Center Fernand Seguin Hopital Louis-H Lafontaine, Quebec, Canada.
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