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Pathmanathan S, Edgerley Harris G, Townsend G. A local review of section 17 leave forms in conjunction with the Mental Health Act Code of Practice: recommendations for future practice. BJPsych Bull 2024:1-5. [PMID: 39118253 DOI: 10.1192/bjb.2024.54] [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] [Indexed: 08/10/2024] Open
Abstract
AIMS AND METHOD The aim of this project was to set out recommendations for the section 17 leave form to reflect guidance provided in the Mental Health Act 1983: Code of Practice, following local Care Quality Commission feedback. We reviewed guidance in the Code and publicly available leave forms to identify items to include in the leave form. Then, we determined which publicly available leave forms included each item and reviewed whether the item should be included in the leave form and whether any reformulation was needed. RESULTS Using the method described, we identified a list of items that should be included in the leave form. When comparing the leave forms of different trusts, there was considerable variation with respect to which items were included in each form. CLINICAL IMPLICATIONS We provide some recommendations for future practice regarding section 17 leave forms to facilitate consistency with the Code and between different trusts.
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Affiliation(s)
| | | | - Giles Townsend
- Surrey and Borders Partnership NHS Foundation Trust, Leatherhead, UK
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2
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Garmendia P, Fernández-Salinero S, Holgueras González AI, Topa G. Social Support and Its Impact on Job Satisfaction and Emotional Exhaustion. Eur J Investig Health Psychol Educ 2023; 13:2827-2840. [PMID: 38131894 PMCID: PMC10742909 DOI: 10.3390/ejihpe13120195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 11/10/2023] [Accepted: 11/28/2023] [Indexed: 12/23/2023] Open
Abstract
Social support at work has demonstrated itself to be an important variable for predicting desirable outcomes and helping to buffer the effects of adverse events. The main objective of this research is to understand the impact of social support on job satisfaction on the one hand and emotional exhaustion on the other. Furthermore, in order to gain a deeper understanding of intricate organizational relationships, the mediating effects of work recovery experiences are taken into consideration. The sample was composed of 496 workers (41.5% men and 58.5% women). The mean age was 42 years (SD = 9.82). A cross-sectional design was used. The results, both direct (r = 0.43; R2 = 0.19; p < 0.001) and indirect (B = 0.04; SE = 0.02; 95% C.I. = 0.01, 0.09), of the model relating social support to job satisfaction were statistically significant. On the other hand, in the model that links social support to emotional exhaustion, we observed statistically significant direct (r = 0.26; R2 = 0.07; p < 0.001) and indirect effects (B = -0.05; SE = 0.02; 95% C.I. = -0.10, -0.01). Only the relaxation factor was a significant mediator of these variables. Implications, limitations, and future research recommendations are discussed.
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Affiliation(s)
- Pablo Garmendia
- Escuela Internacional de Doctorado de la UNED (EIDUNED), 28040 Madrid, Spain;
| | | | | | - Gabriela Topa
- Department of Social and Organizational Psychology, National Distance Education University (UNED), 28040 Madrid, Spain;
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Ngamaba KH, Webber M, Xanthopoulou P, Chevalier A, Giacco D. Participation in leisure activities and quality of life of people with psychosis in England: a multi-site cross-sectional study. Ann Gen Psychiatry 2023; 22:8. [PMID: 36915120 PMCID: PMC10009983 DOI: 10.1186/s12991-023-00438-1] [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: 09/02/2021] [Accepted: 02/15/2023] [Indexed: 03/14/2023] Open
Abstract
BACKGROUND Leisure activities can improve quality of life in the general population. For people with psychosis, negative symptoms (e.g. being unmotivated, difficulty in sticking with activities) are often a barrier to engaging in social leisure activities. However, we do not know if participation in leisure activities is associated with quality of life in this group and, whether psychosocial interventions should aim to increase leisure activities. AIM This study investigates participation in social leisure activities of people with psychosis and whether their participation is associated with better quality of life. METHODS A cross-sectional survey was conducted in 6 NHS mental health trusts. Adults aged 18-65 (N = 533) with a diagnosis of a psychosis-related condition (ICD-10 F20-29) were recruited from outpatient secondary mental health services. Several measures were used including an adapted version of the Time Use Survey (TUS), the Social contacts assessment (SCA) and Manchester Short Assessment of Quality of Life (MANSA). A Structural Equation Model (SEM) was used to explore the relationships between participation in leisure activities and quality of life, and whether social contacts mediated the link. RESULTS Participants attended an average of 2.42 (SD = 1.47) leisure activities in the last 7 days. Their quality of life increased with the number of leisure activities they attended. Participation in leisure activities was positively associated with quality of life in people with psychosis (B = 0.104, SE = 0.051, p = 0.042, 95% CI [0.003 to 0.204]). Leisure activities predicted social contacts, but the link between social contacts and the quality of life was not significant. After controlling for sociodemographic factors, being female and unemployed were negatively linked with quality of life (B = - 0.101, SE = 0.048, p = 0.036, 95% CI [- 0.196 to - 0.006; B = - 0.207, SE = 0.050, p = 0.001, 95% CI [- 0.305 to - 0.108, respectively]. CONCLUSION People with psychosis who attend more leisure activities have a higher quality of life. Quality of life was lower amongst female and unemployed participants who attended leisure activities. Intervention which helps improve participation in leisure activities may be beneficial for people with psychosis. Trial registration number ISRCTN15815862.
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Affiliation(s)
- Kayonda Hubert Ngamaba
- International Centre for Mental Health Social Research (ICMHSR), School for Business and Society, University of York, Heslington, York, YO10 5DD, UK.
| | - Martin Webber
- International Centre for Mental Health Social Research (ICMHSR), School for Business and Society, University of York, Heslington, York, YO10 5DD, UK
| | - Penny Xanthopoulou
- Mental Health Research Group, College of Medicine and Health, University of Exeter, College House (1.05), St. Luke's Campus, Exeter, EX1 2LU, Devon, UK
| | - Agnes Chevalier
- Unit for Social and Community Psychiatry, (WHO Collaborating Centre for Mental Health Service Development), Barts and the London School of Medicine, Newham Centre for Mental Health, Queen Mary University of London, London, E13 8SP, UK
| | - Domenico Giacco
- Unit for Social and Community Psychiatry, (WHO Collaborating Centre for Mental Health Service Development), Barts and the London School of Medicine, Newham Centre for Mental Health, Queen Mary University of London, London, E13 8SP, UK.,Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK
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Smith P, Simpson L, Madill A. Service user experiences of a novel in-reach rehabilitation and recovery service for people with profound and enduring mental health needs. Int J Ment Health Nurs 2021; 30:1106-1116. [PMID: 33772984 DOI: 10.1111/inm.12861] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/28/2021] [Indexed: 11/28/2022]
Abstract
This article provides an organizational case study using exploratory qualitative and visual research methods. We address the research question: What are the experiences of service users who use a novel in-reach rehabilitation and recovery service for people with severe and enduring mental health needs? Fifteen purposefully sampled service users were recruited from across a Service that is novel in embedding community sectors within inpatient provision. The sample reflects approximately the demographic of the Service and comprises: 10 men, 5 women; 12 white British, 3 ethnic minority; aged 18-60 years; and across inpatient care and supported community living. Photo-elicitation was used to enrich data collection through lightly structured interviews focused on the images brought by participants. Interview transcripts were analysed using interpretative phenomenological analysis. Analysis indicates that participants oriented towards four 'meta-questions': What does mental well-being mean to you? What difficulties have you encountered? What do you appreciate about the Service? What do you need for change to occur? We also identified six themes which told the story of a journey. The journey begins with challenge and moves towards making connections with others. Here, power dynamics are often experienced and addressed in the development of a greater sense of independence. This then provides opportunities for raised awareness around possibilities of recovery and a new-found hope. Our three main conclusions are all relevant to clinical practice: service users (a) place great importance on building relationships; (b) aspire to make informed choices throughout their recovery journey; and (c) desire greater transparency regarding treatment options.
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Affiliation(s)
- Penn Smith
- School of Psychology, University of Leeds, Leeds, UK
| | - Lisa Simpson
- Community Links part of the Inspire North Group, Leeds, UK
| | - Anna Madill
- School of Psychology, University of Leeds, Leeds, UK
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5
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Social Entrepreneurship in Professional Sports: Antecedents and Outcomes from the Consumer Perspective. SUSTAINABILITY 2021. [DOI: 10.3390/su13031045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study empirically explored antecedents and outcomes related to social entrepreneurship in the context of professional sports from the customer’s perspective. Two parent companies—FuBon and ChinaTrust, both financial holding firms—and two franchises—FuBon Guardians and ChinaTrust Elephants—in the Chinese Professional Baseball League were the research elements in this study to ensure generalizability of the findings of this study. The participants of this study were 268 spectators of a FuBon Guardians game and 201 spectators of a ChinaTrust Elephants game. Structural equation modeling was used for data analysis. Results indicated that innovation and corporate social responsibility positively correlated with social entrepreneurship. Moreover, social entrepreneurship was positively associated with affective commitment to the parent company and sports franchise. Finally, affective commitment to the parent company not only exerted a positive effect on the intention to purchase the products of the parent company but also promoted the intention to purchase licensed merchandise and attend games. Similarly, affective commitment to the sports franchise not only exerted a positive effect on the intention to purchase licensed merchandise and attend games but also promoted the intention to purchase the products of the parent company. Theoretical and managerial implications are discussed in this study.
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Morris D, Thomas P, Ridley J, Webber M. Community-Enhanced Social Prescribing: Integrating Community in Policy and Practice. ACTA ACUST UNITED AC 2020; 5:179-195. [PMID: 34723113 PMCID: PMC7709807 DOI: 10.1007/s42413-020-00080-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Accepted: 09/30/2020] [Indexed: 10/24/2022]
Abstract
The NHS Plan is introducing social prescribing link workers into GP surgeries in England. The link workers connect people to non-health resources in the community and voluntary sector, with the aim of meeting individual needs beyond the capacity of the NHS. Social prescribing models focus on enhancing individual wellbeing, guided by the policy of universal personalised care. However, they largely neglect the capacity of communities to meet individual need, particularly in the wake of a decade of austerity. We propose a model of community enhanced social prescribing (CESP) which has the potential to improve both individual and community wellbeing. CESP combines two evidence-informed models - Connected Communities and Connecting People - to address both community capacity and individual need. CESP requires a literacy of community which recognises the importance of communities to individuals and the importance of engaging with, and investing in, communities. When fully implemented the theory of change for CESP is hypothesised to improve both individual and community wellbeing.
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Affiliation(s)
- David Morris
- Centre for Citizenship and Community, University of Central Lancashire, Preston, UK
| | | | - Julie Ridley
- Centre for Citizenship and Community, University of Central Lancashire, Preston, UK
| | - Martin Webber
- International Centre for Mental Health Social Research, Department of Social Policy and Social Work, University of York, York, UK
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Cogan NA, MacIntyre G, Stewart A, Tofts A, Quinn N, Johnston G, Hamill L, Robinson J, Igoe M, Easton D, McFadden AM, Rowe M. "The biggest barrier is to inclusion itself": the experience of citizenship for adults with mental health problems. J Ment Health 2020; 30:358-365. [PMID: 32762384 DOI: 10.1080/09638237.2020.1803491] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Citizenship has been promoted within mental health for several decades however, its application in the field of mental health policy and practice is relatively novel. The voices of people who experience mental health problems (MHPs) are often absent in ongoing discourses about citizenship. AIMS To explore how adults with experience of MHPs and other life disruptions identify potential barriers to citizenship. METHOD A community based participatory research approach was adopted with peer researchers. Six focus groups (N = 40) using semi-structured interviews were conducted, consisting of participants who had experience of MHPs and other life disruption(s) within the last 5 years. The focus groups were audio recorded, transcribed verbatim and analysed in NVIVO using a thematic approach. RESULTS Three major themes associated with participants lived experiences of barriers to citizenship were identified: 'stigmatisation (internal & external) creates further divide'; 'being socially excluded leads to isolation'; and 'a sense of difference (as perceived by the self and others)'. CONCLUSIONS Those who have experienced major life disruption(s) face multi-level barriers to citizenship. An awareness of such barriers has important implications for mental health research, policy and practice. Citizenship-oriented implementation strategies that aim to address multi-level barriers merit further investigation.
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Affiliation(s)
| | - Gillian MacIntyre
- School of Social Work and Social Policy, University of Strathclyde, Glasgow, UK
| | - Ailsa Stewart
- School of Social Work and Social Policy, University of Strathclyde, Glasgow, UK
| | - Abigail Tofts
- School of Psychological Science and Health, Glasgow, UK
| | - Neil Quinn
- School of Social Work and Social Policy, University of Strathclyde, Glasgow, UK
| | - Gordon Johnston
- School of Social Work and Social Policy, University of Strathclyde, Glasgow, UK
| | - Linda Hamill
- School of Social Work and Social Policy, University of Strathclyde, Glasgow, UK
| | - John Robinson
- School of Social Work and Social Policy, University of Strathclyde, Glasgow, UK
| | - Michael Igoe
- School of Social Work and Social Policy, University of Strathclyde, Glasgow, UK
| | - Duncan Easton
- School of Social Work and Social Policy, University of Strathclyde, Glasgow, UK
| | - Anne Marie McFadden
- School of Social Work and Social Policy, University of Strathclyde, Glasgow, UK
| | - Michael Rowe
- Department of Psychiatry, Yale University, New Haven, CT, USA
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Smith-Frigerio S. Coping, Community and Fighting Stereotypes: An Exploration of Multidimensional Social Capital in Personal Blogs Discussing Mental Illness. HEALTH COMMUNICATION 2020; 35:410-418. [PMID: 30654651 DOI: 10.1080/10410236.2018.1564959] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Social capital has been identified as one of the ways in which mental health concerns may be mitigated - by ensuring that systems are in place at the micro (cognitive), meso (social interaction), and macro (institutional) levels to support individuals as they seek assistance with and recovery from mental health concerns. One area that deserves further research, however, is how social capital is created communicatively online for these purposes. This study outlines the creation of social capital through interviews with five personal bloggers, analysis of six additional personal blogs with mental health content, and analysis of 878 reader comments to blog posts. Social capital creation is found in three levels, with: (1) coping with mental illness present at the cognitive level, (2) fostering supportive community at the social interaction level, and (3) fighting against stereotypes at the institutional level.
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Lifszyc-Friedlander A, Honovich M, Stolerman I, Madjar B, Barnoy S. Family Health Clinics as a Source of Social Capital. J Pediatr Nurs 2019; 47:e2-e9. [PMID: 30878166 DOI: 10.1016/j.pedn.2019.02.038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Revised: 02/27/2019] [Accepted: 02/27/2019] [Indexed: 10/27/2022]
Abstract
PURPOSE To examine the extent to which Family Health Clinics (FHCs) contribute to the formation of social capital among mothers, and determine whether it is influenced by socioeconomic factors. In FHCs, social capital can be gained by relationships between mothers (bonding social capital), by relationships between mothers and FHCs team, or between mothers of different origins/culture (bridging social capital) and health services institutional bodies (linking social capital). DESIGN This is a mixed method study. For the quantitative part, data were collected from 673 mothers using a questionnaire. The qualitative part was conducted with six focus groups. RESULTS The FHC constitutes a source of social capital in all dimensions. Bridging social capital was most prominent and is formed by interactions between mothers and FHC nurses. The factors that explain the formation of social capital were: mothers' spoken language being Arabic, participation in group training, and lower level of education. The focus groups revealed that participation in group training increased the social capital. Mothers noted that FHC nurses supplied updated information about their children's care. Regarding linking social capital, mothers perceive FHC nurses as mediators between them and the local and national health services. CONCLUSIONS FHC clinics are a source for gaining social capital. The FHC services should be adapted to mother's needs. IMPLICATIONS FHC nurses should try to create conditions for mothers to meet to create bonding social capital, relate to mother's needs for the creation of bridging social capital, and provide culturally adapted care for the formation of linking social capital.
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Affiliation(s)
- Anabel Lifszyc-Friedlander
- Nursing Department, Sackler Faculty of Medicine, Tel-Aviv University, Israel; Gordon College of Education, Haifa, Israel
| | - Mira Honovich
- Public Health Services, Ministry of Health, Jerusalem, Israel
| | - Ilana Stolerman
- Public Health Services, Ministry of Health, Jerusalem, Israel
| | - Batya Madjar
- Haifa District Health Office, Ministry of Health, Haifa, Israel
| | - Sivia Barnoy
- Nursing Department, Sackler Faculty of Medicine, Tel-Aviv University, Israel.
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Pahwa R, Smith ME, Yuan Y, Padgett D. The Ties That Bind and Unbound Ties: Experiences of Formerly Homeless Individuals in Recovery From Serious Mental Illness and Substance Use. QUALITATIVE HEALTH RESEARCH 2019; 29:1313-1323. [PMID: 30499369 PMCID: PMC10276635 DOI: 10.1177/1049732318814250] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
This report explores the nature and quality of social ties of formerly homeless individuals in recovery from serious mental illness and substance abuse and how these ties relate to experiences of community. Using grounded theory and cross-case analysis techniques, we analyzed 34 qualitative interviews conducted with predominantly racial/ethnic minority individuals receiving mental health services. Participants described a range of involvement and experiences in the mental health service and mainstream communities indicating a combination of weak or strong ties in these communities. Across participants, two broad themes emerged: ties that bind and obstacles that "get in the way" of forming social ties. Salient subthemes included those related to family, cultural spaces, employment, substance abuse, stigma and mental health service providers and peers. The current study integrates our understanding of positive and negative aspects of social ties and provides a theoretical framework highlighting the complexity of social ties within mainstream and mental health service communities.
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Affiliation(s)
- Rohini Pahwa
- New York University, Silver School of Social Work, New York City, New York, USA
| | | | - Yeqing Yuan
- New York University, Silver School of Social Work, New York City, New York, USA
| | - Deborah Padgett
- New York University, Silver School of Social Work, New York City, New York, USA
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11
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Coffey M, Hannigan B, Meudell A, Jones M, Hunt J, Fitzsimmons D. Quality of life, recovery and decision-making: a mixed methods study of mental health recovery in social care. Soc Psychiatry Psychiatr Epidemiol 2019; 54:715-723. [PMID: 30470882 DOI: 10.1007/s00127-018-1635-6] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Accepted: 11/17/2018] [Indexed: 10/27/2022]
Abstract
PURPOSE Mental health care is a complex system that includes social care organisations providing support for people with continuing needs. The relationship over time between decisional conflict, social support, quality of life and recovery outcomes across two time periods for people experiencing mental health problems in receipt of social care was investigated. METHODS This is a mixed methods study comprised of a quantitative survey at two time points using measures of decisional conflict, social support, recovery and quality of life in a random sample (n = 122) using social care services in Wales, UK. In addition, 16 qualitative case studies were developed from data collected from individuals, a supportive other and a care worker (n = 41) to investigate trajectories of care. Survey responses were statistically analysed using SPSS and case study data were thematically analysed. RESULTS Participants reported increasing decisional conflict and decreasing social support, recovery and quality of life over the two time points. Linear regression indicated that higher recovery scores predict better quality of life ratings and as ratings for social support decline this is associated with lower quality of life. Correlational analysis indicated that lower decisional conflict is associated with higher quality of life. Thematic analysis indicated that 'connectedness and recovery' is a product of 'navigating the system of care' and the experience of 'choice and involvement' achieved by individuals seeking help. CONCLUSIONS These results indicate that quality of life for people experiencing mental health difficulties is positively associated with social support and recovery and negatively associated with decisional delay.
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Affiliation(s)
- Michael Coffey
- Department of Public Health, Policy and Social Sciences, Swansea University, Wales, UK.
| | | | | | - Mari Jones
- Swansea Centre for Health Economics, Swansea University, Wales, UK
| | - Julian Hunt
- Department of Public Health, Policy and Social Sciences, Swansea University, Wales, UK
| | - Deb Fitzsimmons
- Swansea Centre for Health Economics, Swansea University, Wales, UK
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Cummins I. The Impact of Austerity on Mental Health Service Provision: A UK Perspective. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15061145. [PMID: 29865157 PMCID: PMC6025145 DOI: 10.3390/ijerph15061145] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/07/2018] [Revised: 05/28/2018] [Accepted: 05/30/2018] [Indexed: 11/16/2022]
Abstract
This is a discussion paper which examines the impact of austerity policies on the provision of mental health services in the United Kingdom. Austerity is a shorthand for a series of policies introduced by the Conservative and Liberal Democrat Coalition government in the UK from 2010 onwards. In response to the fiscal crisis following the bail out of the banks in 2008, it was argued that significant reductions in public spending were required. The background to these policies is examined before a consideration of their impact on mental health services. These policies had a disproportionate impact on people living in poverty. People with health problems including mental problems are overrepresented in this group. At the same time, welfare and community services are under increasing financial pressures having to respond to increased demand within a context of reduced budgets. There is increasing recognition of the role that social factors and adverse childhood experiences have in the development and trajectory of mental health problems. Mental health social workers, alongside other professionals, seek to explain mental distress by the use of some variant of a biopsychosocial model. The extent of mental health problems as a one of their measures of the impact of inequality. More unequal societies create greater levels of distress. There is a social gradient in the extent of mental health problems—the impact of severe mental illness means that many individuals are unable to work or, if they can return to work, they find it difficult to gain employment because of discrimination. The paper concludes that austerity and associated policies have combined to increase the overall burden of mental distress and marginalisation within the UK.
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Affiliation(s)
- Ian Cummins
- School of Health and Society, University of Salford, Salford M5 4WT, UK.
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Sweet D, Byng R, Webber M, Enki DG, Porter I, Larsen J, Huxley P, Pinfold V. Personal well-being networks, social capital and severe mental illness: exploratory study. Br J Psychiatry 2018; 212:308-317. [PMID: 28982657 DOI: 10.1192/bjp.bp.117.203950] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Connectedness is a central dimension of personal recovery from severe mental illness (SMI). Research reports that people with SMI have lower social capital and poorer-quality social networks compared to the general population.AimsTo identify personal well-being network (PWN) types and explore additional insights from mapping connections to places and activities alongside social ties. METHOD We carried out 150 interviews with individuals with SMI and mapped social ties, places and activities and their impact on well-being. PWN types were developed using social network analysis and hierarchical k-means clustering of this data. RESULTS Three PWN types were identified: formal and sparse; family and stable; and diverse and active. Well-being and social capital varied within and among types. Place and activity data indicated important contextual differences within social connections that were not found by mapping social networks alone. CONCLUSIONS Place locations and meaningful activities are important aspects of people's social worlds. Mapped alongside social networks, PWNs have important implications for person-centred recovery approaches through providing a broader understanding of individual's lives and resources.Declaration of interestNone.
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Affiliation(s)
| | - Richard Byng
- Peninsula Schools of Medicine and Dentistry,Plymouth University,Plymouth
| | | | | | - Ian Porter
- Primary Care Research,Peninsula Schools of Medicine and Dentistry,Plymouth University,Plymouth
| | | | - Peter Huxley
- Centre for Mental Health and Society,School of Social Sciences,Bangor
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Saavedra J, Arias S, Crawford P, Pérez E. Impact of creative workshops for people with severe mental health problems: art as a means of recovery. Arts Health 2017. [DOI: 10.1080/17533015.2017.1381130] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Javier Saavedra
- Department of Experimental Psychology, Universidad de Sevilla, Sevilla, Spain
| | - Samuel Arias
- Department of Experimental Psychology, Universidad de Sevilla, Sevilla, Spain
| | - Paul Crawford
- School of Health Sciences, University of Nottingham, Nottingham, UK
| | - Elvira Pérez
- Horizon, University of Nottingham, Nottingham, UK
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Paton F, Wright K, Ayre N, Dare C, Johnson S, Lloyd-Evans B, Simpson A, Webber M, Meader N. Improving outcomes for people in mental health crisis: a rapid synthesis of the evidence for available models of care. Health Technol Assess 2016; 20:1-162. [PMID: 26771169 DOI: 10.3310/hta20030] [Citation(s) in RCA: 53] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
BACKGROUND Crisis Concordat was established to improve outcomes for people experiencing a mental health crisis. The Crisis Concordat sets out four stages of the crisis care pathway: (1) access to support before crisis point; (2) urgent and emergency access to crisis care; (3) quality treatment and care in crisis; and (4) promoting recovery. OBJECTIVES To evaluate the clinical effectiveness and cost-effectiveness of the models of care for improving outcomes at each stage of the care pathway. DATA SOURCES Electronic databases were searched for guidelines, reviews and, where necessary, primary studies. The searches were performed on 25 and 26 June 2014 for NHS Evidence, Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, NHS Economic Evaluation Database, and the Health Technology Assessment (HTA) and PROSPERO databases, and on 11 November 2014 for MEDLINE, PsycINFO and the Criminal Justice Abstracts databases. Relevant reports and reference lists of retrieved articles were scanned to identify additional studies. STUDY SELECTION When guidelines covered a topic comprehensively, further literature was not assessed; however, where there were gaps, systematic reviews and then primary studies were assessed in order of priority. STUDY APPRAISAL AND SYNTHESIS METHODS Systematic reviews were critically appraised using the Risk Of Bias In Systematic reviews assessment tool, trials were assessed using the Cochrane risk-of-bias tool, studies without a control group were assessed using the National Institute for Health and Care Excellence (NICE) prognostic studies tool and qualitative studies were assessed using the Critical Appraisal Skills Programme quality assessment tool. A narrative synthesis was conducted for each stage of the care pathway structured according to the type of care model assessed. The type and range of evidence identified precluded the use of meta-analysis. RESULTS AND LIMITATIONS One review of reviews, six systematic reviews, nine guidelines and 15 primary studies were included. There was very limited evidence for access to support before crisis point. There was evidence of benefits for liaison psychiatry teams in improving service-related outcomes in emergency departments, but this was often limited by potential confounding in most studies. There was limited evidence regarding models to improve urgent and emergency access to crisis care to guide police officers in their Mental Health Act responsibilities. There was positive evidence on clinical effectiveness and cost-effectiveness of crisis resolution teams but variability in implementation. Current work from the Crisis resolution team Optimisation and RElapse prevention study aims to improve fidelity in delivering these models. Crisis houses and acute day hospital care are also currently recommended by NICE. There was a large evidence base on promoting recovery with a range of interventions recommended by NICE likely to be important in helping people stay well. CONCLUSIONS AND IMPLICATIONS Most evidence was rated as low or very low quality, but this partly reflects the difficulty of conducting research into complex interventions for people in a mental health crisis and does not imply that all research was poorly conducted. However, there are currently important gaps in research for a number of stages of the crisis care pathway. Particular gaps in research on access to support before crisis point and urgent and emergency access to crisis care were found. In addition, more high-quality research is needed on the clinical effectiveness and cost-effectiveness of mental health crisis care, including effective components of inpatient care, post-discharge transitional care and Community Mental Health Teams/intensive case management teams. STUDY REGISTRATION This study is registered as PROSPERO CRD42014013279. FUNDING The National Institute for Health Research HTA programme.
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Affiliation(s)
- Fiona Paton
- Centre for Reviews and Dissemination, University of York, York, UK
| | - Kath Wright
- Centre for Reviews and Dissemination, University of York, York, UK
| | | | - Ceri Dare
- Department of Health Sciences, University of York, York, UK
| | - Sonia Johnson
- Division of Psychiatry, University College London, London, UK
| | | | - Alan Simpson
- School of Health Sciences, City University London, London, UK
| | - Martin Webber
- Department of Social Policy and Social Work, University of York, York, UK
| | - Nick Meader
- Centre for Reviews and Dissemination, University of York, York, UK
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Coffey M, Hannigan B, Meudell A, Hunt J, Fitzsimmons D. Study protocol: a mixed methods study to assess mental health recovery, shared decision-making and quality of life (Plan4Recovery). BMC Health Serv Res 2016; 16:392. [PMID: 27530510 PMCID: PMC4988045 DOI: 10.1186/s12913-016-1640-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2016] [Accepted: 08/06/2016] [Indexed: 01/21/2023] Open
Abstract
Background Recovery in mental health care is complex, highly individual and can be facilitated by a range of professional and non-professional support. In this study we will examine how recovery from mental health problems is promoted in non-medical settings. We hypothesise a relationship between involvement in decisions about care, social support and recovery and quality of life outcomes. Methods We will use standardised validated instruments of involvement in decision-making, social contacts, recovery and quality of life with a random sample of people accessing non-statutory mental health social care services in Wales. We will add to this important information with detailed one to one case study interviews with people, their family members and their support workers. We will use a series of these interviews to examine how people build recovery over time to help us understand more about their involvement in decisions and the social links they build. Discussion We want to see how being involved in decisions about care and the social links people have are related to recovery and quality of life for people with experience of using mental health support services. We want to understand the different perspectives of the people involved in making recovery possible. We will use this information to guide further studies of particular types of social interventions and their use in helping recovery from mental health problems.
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Affiliation(s)
- Michael Coffey
- Department of Public Health, Policy and Social Sciences, Swansea University, Swansea, SA2 8PP, UK.
| | - Ben Hannigan
- School of Healthcare Sciences, Cardiff University, Cardiff, UK
| | | | - Julian Hunt
- Department of Public Health, Policy and Social Sciences, Swansea University, Swansea, SA2 8PP, UK
| | - Deb Fitzsimmons
- Swansea Centre for Health Economics, Swansea University, Swansea, UK
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