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Raeside C, McQueen J. Getting back to work: Experiences of the individual placement and support model from those with mental health conditions, an interpretative phenomenological analysis. Work 2021; 70:973-983. [PMID: 34744044 DOI: 10.3233/wor-213617] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Evidence continues to build on the value of Individual Placement and Support (IPS), enabling those with long-term mental health conditions to find mainstream employment. Many of these individuals would like to work; however, unemployment for this population remains high. IPS research thus far has targeted the effectiveness of the model, with less emphasis on how individuals perceive and experience IPS and the return to work. OBJECTIVE This study explores the barriers, enablers, meaning and personal experience of being supported to find work through IPS, for individuals with long-term mental health conditions. Findings based on lived experiences of nine participants from two Scottish centres running IPS, should be useful to enhance and develop services. METHODS This study involves qualitative data collection, using semi-structured interviews and Interpretative Phenomenological Analysis (IPA). RESULTS Transcript analysis revealed three master themes: 1) "Working is good for me": positive aspects to working; 2) "Rome wasn't built in a day": time-unlimited supported journey and 3) "My inner critic": negative aspects to working. Participants praised IPS for the on-going practical and emotional support in overcoming self-identified occupational barriers. CONCLUSION Paid employment was greatly associated with financial freedom, social inclusion, increased self-esteem and alleviation of depressive symptoms. Participants described the person-centred, time-unlimited approach taken by the employment specialists (ESs) or occupational therapists (OTs), as the main enabler to maintaining paid employment. Barriers, such as anxiety and work-related stress were identified, however, participants felt supported to overcome some of these negative symptoms.
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Fadyl JK, Anstiss D, Reed K, Levack WMM. Living with a long-term health condition and seeking paid work: qualitative systematic review and thematic synthesis. Disabil Rehabil 2020; 44:2186-2196. [DOI: 10.1080/09638288.2020.1826585] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Joanna K. Fadyl
- Centre for Person Centred Research, Auckland University of Technology, Auckland, New Zealand. Auckland
| | - David Anstiss
- Centre for Person Centred Research, Auckland University of Technology, Auckland, New Zealand. Auckland
| | - Kirk Reed
- Centre for Person Centred Research, Auckland University of Technology, Auckland, New Zealand. Auckland
- School of Health and Social Development, Deakin University, Melbourne, Australia
| | - William M. M. Levack
- Rehabilitation Research and Teaching Unit, University of Otago, Wellington, New Zealand
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Zhong S, Guo H, Wang Y, Cook S, Chen Y, Luo C, Peng K, Wang F, Liang X, Chen H, Li Q, Zhou J, Wang X, Chen R. The experience of long-stay patients in a forensic psychiatric hospital in China: a qualitative study. BMC Health Serv Res 2019; 19:617. [PMID: 31477102 PMCID: PMC6721342 DOI: 10.1186/s12913-019-4458-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2019] [Accepted: 08/25/2019] [Indexed: 12/02/2022] Open
Abstract
Background Long stay in forensic psychiatric hospitals is common in patients who are defined as “not criminally responsible on account of mental disorder”. However, little is known about how these patients experience and perceive the long stay within these settings. The aim of this study is to explore the perception and needs of long-stay patients in forensic psychiatric hospitals in China. Methods In-depth semi-structured interviews were conducted with 21 participants who had lived in the forensic psychiatry hospital for more than 8 years. We used thematic analysis strategies to analyse the qualitative data. Results Participants’ perceptions clustered seven themes: hopelessness, loneliness, worthlessness, low mood, sleep disturbances, lack of freedom, and lack of mental health intervention. Conclusions The views and opinions expressed by long-stay patients showed that psychological distress is prevailing in forensic psychiatric hospitals. Adequate and effective care and mental health interventions are recommended to be tailored for their special needs. Electronic supplementary material The online version of this article (10.1186/s12913-019-4458-6) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Shaoling Zhong
- Department of Psychiatry of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders; China National Technology Institute on Mental Disorders; Hunan Key Laboratory of Psychiatry and Mental Health, Mental Health Institute of Central South University, Changsha, 410011, Hunan, China
| | - Huijuan Guo
- Department of Psychiatry of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders; China National Technology Institute on Mental Disorders; Hunan Key Laboratory of Psychiatry and Mental Health, Mental Health Institute of Central South University, Changsha, 410011, Hunan, China
| | - Yuanyuan Wang
- Division of Psychology, Faculty of Health and Life Sciences, De Montfort University, Leicester, UK
| | - Stephanie Cook
- Division of Psychology, Faculty of Health and Life Sciences, De Montfort University, Leicester, UK
| | - Yanan Chen
- Department of Psychiatry of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders; China National Technology Institute on Mental Disorders; Hunan Key Laboratory of Psychiatry and Mental Health, Mental Health Institute of Central South University, Changsha, 410011, Hunan, China
| | - Chenyuli Luo
- Department of Psychiatry of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders; China National Technology Institute on Mental Disorders; Hunan Key Laboratory of Psychiatry and Mental Health, Mental Health Institute of Central South University, Changsha, 410011, Hunan, China
| | - Ke Peng
- The George Institute for Global Health, UNSW, Sydney, Australia.,School of Public Health, The University of Sydney, Sydney, Australia
| | - Fanglan Wang
- Department of Psychiatry of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders; China National Technology Institute on Mental Disorders; Hunan Key Laboratory of Psychiatry and Mental Health, Mental Health Institute of Central South University, Changsha, 410011, Hunan, China
| | - Xiaoxi Liang
- Department of Psychiatry of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders; China National Technology Institute on Mental Disorders; Hunan Key Laboratory of Psychiatry and Mental Health, Mental Health Institute of Central South University, Changsha, 410011, Hunan, China
| | - Hui Chen
- Department of Psychiatry of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders; China National Technology Institute on Mental Disorders; Hunan Key Laboratory of Psychiatry and Mental Health, Mental Health Institute of Central South University, Changsha, 410011, Hunan, China
| | - Qiguang Li
- Department of Psychiatry of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders; China National Technology Institute on Mental Disorders; Hunan Key Laboratory of Psychiatry and Mental Health, Mental Health Institute of Central South University, Changsha, 410011, Hunan, China
| | - Jiansong Zhou
- Department of Psychiatry of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders; China National Technology Institute on Mental Disorders; Hunan Key Laboratory of Psychiatry and Mental Health, Mental Health Institute of Central South University, Changsha, 410011, Hunan, China
| | - Xiaoping Wang
- Department of Psychiatry of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders; China National Technology Institute on Mental Disorders; Hunan Key Laboratory of Psychiatry and Mental Health, Mental Health Institute of Central South University, Changsha, 410011, Hunan, China.
| | - Runsen Chen
- Department of Psychiatry of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders; China National Technology Institute on Mental Disorders; Hunan Key Laboratory of Psychiatry and Mental Health, Mental Health Institute of Central South University, Changsha, 410011, Hunan, China. .,The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China. .,Department of Psychiatry, University of Oxford, Oxford, UK.
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Hitch D, Hii QK, Davey I. Occupational therapy in forensic psychiatry: Recent developments in our understandings (2007–2013). Br J Occup Ther 2015. [DOI: 10.1177/0308022615591018] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Introduction Occupational therapy in forensic settings has developed in recent decades, leading to an increasing amount of research being conducted in this field. There have been two previous attempts to provide overviews of this body of evidence and future directions for research; however, the rate of research has accelerated in recent years. This critical review addresses the following question: what evidence has been published about occupational therapy in forensic psychiatry over the past 7 years? Method A mixed methods approach was adopted, with four databases and a search engine consulted (OTDBase, CINAHL, AMED, PSYCHInfo, Google Scholar). The inclusion criteria were: (a) articles published in peer reviewed journals since 2007 and (b) authored by at least one occupational therapist. Twenty-five studies were identified for review, and the four dimensions of occupation – doing, being, becoming and belonging – were used to provide a theoretical context for the subsequent discussion. Findings The recent evidence base in forensic psychiatry focuses on doing and being, with fewer articles addressing becoming and belonging. Conclusion This review has identified increasing numbers of studies about forensic occupational therapy, which may reflect growth in both interest and the worldwide workforce.
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Affiliation(s)
- Danielle Hitch
- Lecturer in Occupational Therapy, Deakin University, Australia
| | - QK Hii
- Occupational Therapist, Secure Mental Health Rehabilitation Unit, The Park – Centre for Mental Health, Treatment, Research and Education, Australia
| | - Ian Davey
- Chief Occupational Therapist, Forensicare, Victoria, Australia; Clinical Associate, School of Health, Arts and Design, Swinburne University of Technology, Australia
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Harris DM, Happell B, Manias E. Working with people who have killed: the experience and attitudes of forensic mental health clinicians working with forensic patients. Int J Ment Health Nurs 2015; 24:130-8. [PMID: 25522179 DOI: 10.1111/inm.12113] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Forensic mental health (FMH) clinicians sometimes feel unsupported and unprepared for their work. This article explores their experiences of working in a FMH setting in Australia. The research examined the clinical context of clinicians working with forensic patients (FP), particularly those individuals who have killed while experiencing a mental illness. A qualitative, exploratory design was selected. Data were collected through focus groups and individual interviews with hospital and community-based forensic clinicians from all professional groups: psychiatric medicine, social work, psychology, mental health nursing, occupational therapy, and psychiatric service officers. The main themes identified were orientation and adjustment to FMH, training in FMH, vicarious traumatization, clinical debriefing and clinical supervision, and therapeutic relationships. Participants described being frustrated and unsupported in making the transition to working with FP and felt conflicted by the emotional response that was generated when developing therapeutic relationships. Recommendations include the development of programmes that might assist clinicians and address gaps in service delivery, such as clinical governance, targeted orientation programmes, and clinical supervision.
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Affiliation(s)
- Derith M Harris
- School of Nursing and Midwifery, University of Tasmania, Hobart, Tasmania, Australia
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Barnao M, Ward T, Casey S. Looking beyond the illness: forensic service users' perceptions of rehabilitation. JOURNAL OF INTERPERSONAL VIOLENCE 2015; 30:1025-1045. [PMID: 25049033 DOI: 10.1177/0886260514539764] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
The aim of this qualitative study was to explore perspectives on rehabilitation of those detained in a New Zealand forensic hospital setting. Twenty forensic service users participated in individual interviews, which were audio-taped, transcribed verbatim, and subjected to thematic analysis. The analysis identified seven themes that were broadly categorized into those that concerned the rehabilitation context (external) and those that more directly reflected the forensic service user's personal experience (internal). External themes highlighted a person-centered approach, the nature of relationships with staff, consistency of care, and awareness of the rehabilitation pathway. Internal themes related to forensic service users' self-evaluations, agency, and coping strategies. These findings are discussed within the broader context in which rehabilitation took place.
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Affiliation(s)
| | - Tony Ward
- Victoria University of Wellington, New Zealand
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