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Hogan LM, Björklund Carlstedt A, Wagman P. Occupational therapy and stress-related exhaustion - a scoping review. Scand J Occup Ther 2023; 30:1047-1063. [PMID: 37289185 DOI: 10.1080/11038128.2023.2207802] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 03/06/2023] [Accepted: 04/23/2023] [Indexed: 06/09/2023]
Abstract
BACKGROUND Sick leave due to long-term stress is increasing in Finland and other Western countries. Occupational therapists might contribute to the prevention of and/or recovery from stress-related exhaustion. AIMS/OBJECTIVES To describe what is known about occupational therapy for stress-related exhaustion. MATERIAL AND METHODS A five-step scoping review included papers published in six databases from 2000 to 2022. Extracted data was summarized to show the occupational therapy contribution within the literature. RESULTS There were 29 papers meeting the inclusion criteria, of which a limited number described preventive interventions. Most articles described recovery-oriented occupational therapy with group interventions. The occupational therapists contributed with prevention measures, mostly targeting recovery in multi-professional interventions in terms of stress reduction or return-to-work. CONCLUSIONS Occupational therapy involving stress management both prevents stress and supports recovery from stress-related exhaustion. Occupational therapists internationally use craft, nature activities or gardening as stress management measures. SIGNIFICANCE Occupational therapy appears to be a potential treatment option for stress-related exhaustion internationally in conditions that could also work in Finland, for example in occupational healthcare.
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Affiliation(s)
| | - Anita Björklund Carlstedt
- School of Health and Welfare, Department of Rehabilitation, A.D.U.L.T research group, Jönköping University, Jönköping, Sweden
| | - Petra Wagman
- School of Health and Welfare, Department of Rehabilitation, A.D.U.L.T research group, Jönköping University, Jönköping, Sweden
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Mlay JP, Jamieson L, Ntlantsana V, Naidu T, Bhengu BS, Paruk S, Burns JK, Chiliza B, Lessells R, Tomita A. Developing and testing unconditional cash transfer strategies among young adults with first-episode psychosis in South Africa: a study protocol for a pilot randomised control trial (PRS-FEP trial). BMJ Open 2022; 12:e067026. [PMID: 36576187 PMCID: PMC9723892 DOI: 10.1136/bmjopen-2022-067026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Accepted: 11/21/2022] [Indexed: 12/12/2022] Open
Abstract
INTRODUCTION Access to mental health services is a challenge, especially for young people who are over-represented in the unemployment and poverty index in South Africa. Therefore, continuing care is a problem after hospital discharge for young people with first-episode psychosis (FEP) due to a lack of clinical engagement and follow-up, for which they need support, including financial, to improve their outcomes. This pilot randomised control trial (RCT) aims to assess the feasibility and acceptability of financial support, in the form of an unconditional cash transfer (UCT), among young patients with FEP to prevent relapse. METHODS AND ANALYSIS This study will use a 1:1 ratio two-arm open-label pilot RCT of 60 young participants (18-29 years) with FEP in remission, who will be recruited from specialised psychiatric facilities in KwaZulu-Natal Province, South Africa. This study will implement an UCT and assess its feasibility, acceptability and preliminary clinical outcomes (ie, medication adherence, relapse, quality of life, personal and social function). The follow-up time will be 3 months, the outcomes being measured at baseline, months 1 and 3. Descriptive and conventional content analysis will be done for quantitative and qualitative data, respectively. ETHICS AND DISSEMINATION The study obtained provisional approval from the Biomedical Research Ethics Committee at the University of KwaZulu-Natal(#BREC/00004117/2022). Also is registered on the South African National clinical trial registry (#DOH-27-092022-5894) and approved by the KwaZulu-Natal department of health (#NHRD Ref: KZ_2002209_033). The results from this investigation will be actively disseminated through peer-reviewed journal publications, conference presentations and stakeholder engagement. TRIAL REGISTRATION NUMBER DOH-27-092022-5894.
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Affiliation(s)
- Joyce Protas Mlay
- Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa
- Health Economics and HIV and AIDS Research Division (HEARD), University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa
| | - Lise Jamieson
- Health Economics and Epidemiology Research Office, Department of Internal Medicine, School of Clinical Medicine, University of the Witwatersrand Johannesburg Faculty of Health Sciences, Johannesburg, Gauteng, South Africa
| | - Vuyokazi Ntlantsana
- Discipline of Psychiatry, University of KwaZulu-Natal Nelson R Mandela School of Medicine, Durban, KwaZulu-Natal, South Africa
| | - Thirusha Naidu
- Discipline of Behavioural Medicine, University of KwaZulu-Natal School of Nursing and Public Health, Durban, KwaZulu-Natal, South Africa
| | - Busisiwe Siphumelele Bhengu
- Discipline of Psychiatry, University of KwaZulu-Natal Nelson R Mandela School of Medicine, Durban, KwaZulu-Natal, South Africa
| | - Saeeda Paruk
- Discipline of Psychiatry, University of KwaZulu-Natal Nelson R Mandela School of Medicine, Durban, KwaZulu-Natal, South Africa
| | - Jonathan K Burns
- Discipline of Psychiatry, University of KwaZulu-Natal Nelson R Mandela School of Medicine, Durban, KwaZulu-Natal, South Africa
- Institute of Health Research, University of Exeter, Exeter, UK
| | - Bonginkosi Chiliza
- Discipline of Psychiatry, University of KwaZulu-Natal Nelson R Mandela School of Medicine, Durban, KwaZulu-Natal, South Africa
| | - Richard Lessells
- Centre for the Aids Programme of Research in South Africa, Durban, KwaZulu-Natal, South Africa
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), College of Health Sciences, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa
| | - Andrew Tomita
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), College of Health Sciences, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa
- Centre for Rural Health, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa
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Tomás MAR, Rebelo MTDS. Everyday Life after the First Psychiatric Admission: A Portuguese Phenomenological Research. J Pers Med 2022; 12:1938. [PMID: 36422114 PMCID: PMC9692884 DOI: 10.3390/jpm12111938] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 11/09/2022] [Accepted: 11/15/2022] [Indexed: 01/14/2024] Open
Abstract
Returning to daily life after psychiatric admission can be difficult and complex. We aimed to explore, describe and interpret the lived experience of returning to everyday life after the first psychiatric admission. We designed this research as a qualitative study, using van Manen's phenomenology of practice. We collected experiential material through phenomenological interviews with 12 participants, from 5 June 2018 to 18 December 2018. From the thematic and hermeneutic analysis, we captured seven themes: (1) (un)veiling the imprint within the self; (2) the haunting memories within the self; (3) from disconnection to the assimilation of the medicated body in the self; (4) from recognition to overcoming the fragility within the self; (5) the relationship with health professionals: from expectation to response; (6) the relationship with others: reformulating the bonds of alterity; (7) the relationship with the world: reconnecting as a sense of self. The results allow us to establish the phenomenon as a difficult, complex, demanding and lengthily transitional event that calls into question the person's stability and ability for well-being and more-being. Thus, implementing structured transitional interventions by health services seems crucial. Mental health specialist nurses can present a pivotal role in establishing a helping relationship with recovery-oriented goals, coordinating patients' transitional care, and assuring continuity of care sensitive to the person's subjective experiences, volitions, and resources.
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Affiliation(s)
- Margarida Alexandra Rodrigues Tomás
- Escola Superior de Saúde Atlântica, 2730-036 Barcarena, Portugal
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon (ESEL), 1600-096 Lisbon, Portugal
| | - Maria Teresa dos Santos Rebelo
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon (ESEL), 1600-096 Lisbon, Portugal
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Khalil H, McInerney P, Pollock D, Alexander L, Munn Z, Tricco AC, Godfrey CM, Peters MDJ. Practical guide to undertaking scoping reviews for pharmacy clinicians, researchers and policymakers. J Clin Pharm Ther 2021; 47:129-134. [PMID: 34714560 DOI: 10.1111/jcpt.13558] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 10/09/2021] [Accepted: 10/17/2021] [Indexed: 11/27/2022]
Abstract
WHAT IS KNOWN AND OBJECTIVE Scoping reviews are a valuable evidence synthesis methodology. They can be used to map the evidence related to any topic to allow examination of practice, methods, policy and where (and how) future research could be undertaken. As such, they are a useful form of evidence synthesis for pharmacy clinicians, researchers and policymakers to review a broad range of evidence sources. COMMENT This commentary presents the most comprehensive and up to date methodology for scoping reviews published by Joanna Briggs Institute (JBI). This approach builds upon two older approaches by Arksey and O'Malley, and Levac. To assist reviewers working in the field of pharmacy with planning and conducting scoping reviews, this paper describes how to undertake scoping reviews from inception to publication with specific examples related to pharmacy topics. WHAT IS NEW AND CONCLUSION The JBI scoping review methodology is a valuable evidence synthesis approach to the field of pharmacy and therapeutics. This approach can assist pharmacy clinicians, researchers and policymakers to gain an understanding of the extant literature, to identify gaps, to explore concepts, characteristics and to examine current practice.
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Affiliation(s)
- Hanan Khalil
- Department of Public Health, La Trobe University, Melbourne, Victoria, Australia.,Queensland Centre for Evidence Based Nursing and Midwifery: A JBI Centre of Excellence, Brisbane, Australia
| | - Patricia McInerney
- Wits-JBI Centre for Evidence-Based Practice: A JBI Affiliated Centre, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Danielle Pollock
- JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia
| | - Lindsay Alexander
- School of Health Sciences, Robert Gordon University, Aberdeen, UK.,Scottish Centre for Evidence-Based Multi-Professional Practice: A JBI Centre of Excellence, Aberdeen, UK
| | - Zac Munn
- JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia
| | - Andrea C Tricco
- Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.,Epidemiology Division and Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.,Queen's Collaboration for Health Care Quality Joanna Briggs Institute Centre of Excellence, Queen's University, Kingston, Canada
| | - Christina M Godfrey
- Queen's Collaboration for Health Care Quality Joanna Briggs Institute Centre of Excellence, Queen's University, Kingston, Canada
| | - Micah D J Peters
- Clinical and Health Sciences, Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, Australia.,Faculty of Health and Medical Sciences, Adelaide Nursing School, University of Adelaide, Adelaide, Australia.,The Centre for Evidence-Based Practice South Australia (CEPSA): A JBI Centre of Excellence, Adelaide, Australia
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5
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Davies EL, Gordon AL, Hooper KJ, Laing RE, Lynch EA, Pelentsov LJ, Esterman AJ, Harvey G. Introducing the Needs in Recovery Assessment (NiRA) into clinical practice: protocol for a pilot study investigating the formal and systematic assessment of clinical and social needs experienced by service users at a tertiary, metropolitan mental health service. Pilot Feasibility Stud 2021; 7:181. [PMID: 34593044 PMCID: PMC8482663 DOI: 10.1186/s40814-021-00919-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Accepted: 09/17/2021] [Indexed: 11/14/2022] Open
Abstract
Background The Needs in Recovery Assessment (NiRA) is a newly developed needs assessment tool, designed to identify the needs of people recovering from mental illness. This tool has been evaluated outside of the clinical context for validity and reliability. The aim of this study is to introduce the NiRA into clinical practice and to evaluate the value of the NiRA as an adjunct to service delivery from the perspectives of stakeholders and to evaluate the barriers and facilitators of embedding the NiRA in a mental health service. Methods The establishment of the NiRA in a tertiary mental health unit over a 6-month period will be evaluated using a multi-methods approach. Quantitative data will be collected using the NiRA itself and the Recovery Self-Assessment (RSA). Face-to-face interviews with service users and clinicians will be conducted following the initial completion of the NiRA, with a follow-up interview for service users on discharge from the service. Regular informal follow-up with clinicians throughout the study will support the introduction of the NiRA. Descriptive statistics will be used to analyse quantitative data, and descriptive qualitative methods will be used to analyse data from interviews. Discussion Aligning mental health services with recovery-oriented frameworks of care is imperative. The NiRA is a tool that has been designed in accordance with recovery principles and may assist services to be more recovery-oriented. If the NiRA is able to achieve the aims and objectives of this project, a larger implementation study will be conducted. Trial registration Australian and New Zealand Clinical Trial Registry (ANZCTR), ACTRN12621000316808 Supplementary Information The online version contains supplementary material available at 10.1186/s40814-021-00919-8.
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Affiliation(s)
- Ellen L Davies
- Adelaide Nursing School, The University of Adelaide, Level 4 AHMS Building, 5 North Terrace, Adelaide, South Australia, 5001, Australia.
| | - Andrea L Gordon
- School of Biomedicine, The University of Adelaide, Level 3 Helen Mayo South, Frome Street, Adelaide, South Australia, 5001, Australia
| | - Kenneth J Hooper
- Youth Mental Health Service, SALHN, GP Plus Marion, 10 Milham St., Oaklands Part, South Australia, 5046, Australia
| | - Robert E Laing
- Adelaide Nursing School, The University of Adelaide, Level 4 AHMS Building, 5 North Terrace, Adelaide, South Australia, 5001, Australia
| | - Elizabeth A Lynch
- Caring Futures Institute, Flinders University, Sturt Rd, Bedford Park, South Australia, 5042, Australia
| | - Lemuel J Pelentsov
- Clinical and Health Services, University of South Australia, Centenary Building, North Terrace, Adelaide, South Australia, 5001, Australia
| | - Adrian J Esterman
- Clinical and Health Services, University of South Australia, Centenary Building, North Terrace, Adelaide, South Australia, 5001, Australia
| | - Gillian Harvey
- Caring Futures Institute, Flinders University, Sturt Rd, Bedford Park, South Australia, 5042, Australia
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Davies EL, Gordon AL, Hooper KJ, Pelentsov LJ, Esterman AJ. Evaluating the Reliability of the Needs in Recovery Assessment (NiRA) with Simulated Patients. Issues Ment Health Nurs 2021; 42:845-854. [PMID: 33759706 DOI: 10.1080/01612840.2021.1894618] [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: 10/21/2022]
Abstract
The Needs in Recovery Assessment (NiRA) is a tool designed to support recovery-oriented and person-centred approaches in mental health services through facilitating the identification and prioritisation of needs. The aim of this study was to evaluate the interrater reliability of the NiRA. Method: Ten mental health clinicians from various professional backgrounds used the NiRA to facilitate assessment interviews with Simulated Patients. Completed and semi-completed NiRA forms, questionnaires, and audio-visual recordings of assessment interviews were collected for analysis. The interrater reliability of the NiRA was calculated using percent agreement and Gwet's Agreement Coefficient (AC)1. Results: Percent agreement across all items of the finalised tool was 0.84 (item range: 0.55 to 1.0). Overall interrater reliability (Gwet's AC1) was 0.70 (95% CI 0.64-0.76) with items ranging from -0.08 to 1.0. Conclusion: The NiRA is a reliable tool and is ready to be trialled in a feasibility study in clinical settings. It is anticipated that the NiRA will facilitate a deeper understanding of service users' needs and a more targeted approach to meeting unmet needs.
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Affiliation(s)
- Ellen L Davies
- Adelaide Nursing School, The University of Adelaide, Adelaide, South Australia.,Clinical and Health Services, University of South Australia, Adelaide, South Australia
| | - Andrea L Gordon
- Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia
| | - Kenneth J Hooper
- Youth Mental Health Service, Southern Adelaide Local Health Network, Oaklands Park, South Australia
| | - Lemuel J Pelentsov
- Clinical and Health Services, University of South Australia, Adelaide, South Australia
| | - Adrian J Esterman
- Clinical and Health Services, University of South Australia, Adelaide, South Australia
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Pollock D, Davies EL, Peters MDJ, Tricco AC, Alexander L, McInerney P, Godfrey CM, Khalil H, Munn Z. Undertaking a scoping review: A practical guide for nursing and midwifery students, clinicians, researchers, and academics. J Adv Nurs 2021; 77:2102-2113. [PMID: 33543511 PMCID: PMC8049063 DOI: 10.1111/jan.14743] [Citation(s) in RCA: 238] [Impact Index Per Article: 79.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 12/02/2020] [Accepted: 12/14/2020] [Indexed: 02/06/2023]
Abstract
AIM The aim of this study is to discuss the available methodological resources and best-practice guidelines for the development and completion of scoping reviews relevant to nursing and midwifery policy, practice, and research. DESIGN Discussion Paper. DATA SOURCES Scoping reviews that exemplify best practice are explored with reference to the recently updated JBI scoping review guide (2020) and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review extension (PRISMA-ScR). IMPLICATIONS FOR NURSING AND MIDWIFERY Scoping reviews are an increasingly common form of evidence synthesis. They are used to address broad research questions and to map evidence from a variety of sources. Scoping reviews are a useful form of evidence synthesis for those in nursing and midwifery and present opportunities for researchers to review a broad array of evidence and resources. However, scoping reviews still need to be conducted with rigour and transparency. CONCLUSION This study provides guidance and advice for researchers and clinicians who are preparing to undertake an evidence synthesis and are considering a scoping review methodology in the field of nursing and midwifery. IMPACT With the increasing popularity of scoping reviews, criticism of the rigour, transparency, and appropriateness of the methodology have been raised across multiple academic and clinical disciplines, including nursing and midwifery. This discussion paper provides a unique contribution by discussing each component of a scoping review, including: developing research questions and objectives; protocol development; developing eligibility criteria and the planned search approach; searching and selecting the evidence; extracting and analysing evidence; presenting results; and summarizing the evidence specifically for the fields of nursing and midwifery. Considerations for when to select this methodology and how to prepare a review for publication are also discussed. This approach is applied to the disciplines of nursing and midwifery to assist nursing and/or midwifery students, clinicians, researchers, and academics.
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Affiliation(s)
- Danielle Pollock
- JBIFaculty of Health and Medical SciencesThe University of AdelaideAdelaideSAAustralia
| | - Ellen L. Davies
- Adelaide Nursing SchoolFaculty of Health and Medical SciencesThe University of AdelaideAdelaideSAAustralia
| | - Micah D. J. Peters
- Adelaide Nursing SchoolFaculty of Health and Medical SciencesThe University of AdelaideAdelaideSAAustralia
- Rosemary Bryant AO Research CentreClinical & Health SciencesUniversity of South AustraliaAdelaideSAAustralia
- The Centre for Evidence‐based Practice South Australia (CEPSA): A JBI Centre of ExcellenceAdelaideSAAustralia
| | - Andrea C. Tricco
- Li Ka Shing Knowledge Institute of St. Michael's HospitalUnity Health TorontoTorontoONCanada
- Epidemiology Division and Institute of Health Management, Policy, and EvaluationDalla Lana School of Public HealthUniversity of TorontoTorontoONCanada
- Queen's Collaboration for Health Care Quality: A JBI Centre of ExcellenceKingstonONCanada
| | - Lyndsay Alexander
- School of Health SciencesRobert Gordon UniversityAberdeenUK
- The Scottish Centre for Evidence‐based Multi‐professional Practice: A JBI Centre of ExcellenceAberdeenUK
| | - Patricia McInerney
- Faculty of Health SciencesUniversity of the WitwatersrandJohannesburgSouth Africa
- The Wits‐JBI Centre for Evidence‐Based Practice: A JBI Affiliated GroupJohannesburgSouth Africa
| | - Christina M. Godfrey
- Queen's Collaboration for Health Care Quality: A JBI Centre of ExcellenceKingstonONCanada
- School of NursingQueen's UniversityKingstonONCanada
| | - Hanan Khalil
- School of Psychology and Public HealthDepartment of Public HealthLa Trobe UniversityMelbourneVicAustralia
| | - Zachary Munn
- JBIFaculty of Health and Medical SciencesThe University of AdelaideAdelaideSAAustralia
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Davies EL, Hooper KJ, Pelentsov LJ, Gordon AL, Esterman AJ. Development and validation of the Needs in Recovery Assessment (NiRA): A clinical tool for assessing the needs of individuals recovering from a first episode of mental illness. Int J Ment Health Nurs 2020; 29:639-651. [PMID: 32048399 DOI: 10.1111/inm.12697] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2019] [Revised: 01/08/2020] [Accepted: 01/13/2020] [Indexed: 11/29/2022]
Abstract
Recovering from a first episode of mental illness entails unique challenges and often includes experiencing unmet needs. The availability of a formal, structured and valid means of assessing the needs of individuals recovering from a first episode of mental illness may improve mental health service delivery. This article describes the development of a new needs assessment tool, the Needs in Recovery Assessment (NiRA), and presents the results of processes used to validate the tool. The NiRA was developed using data collected in a previous literature review and focus groups with mental health service users. It contains three sections for the identification, prioritization, planning and re-evaluation of a broad array of needs. It was presented in two workshops, where mental health service users and clinicians evaluated its validity, acceptability and usability. Items of need and the format of the NiRA were evaluated using Likert-scale questions, open-ended short answer and closed questions. Each item of need was evaluated for its validity by a panel of experts via an online survey. Descriptive statistics were used to analyse data, including means, percentages and the Content Validity Index (CVI).Streiner and Kottner's scale development and testing guidelines were used in the reporting of this study. 48 items of need were evaluated as valid by mental health service users, clinicians and academics. Most items received an I-CVI of greater than .93. The scale CVI/Avg was .96. The NiRA is perceived as a valid and acceptable tool for assessing the needs of people recovering from a first episode of mental illness.
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Affiliation(s)
- Ellen L Davies
- School of Nursing and Midwifery, University of South Australia, Adelaide, South Australia, Australia
| | - Kenneth J Hooper
- Youth Mental Health Service, Southern Adelaide Local Health Network, Oaklands Park, South Australia, Australia
| | - Lemuel J Pelentsov
- School of Nursing and Midwifery, University of South Australia, Adelaide, South Australia, Australia
| | - Andrea L Gordon
- Australian Center for Child Protection, University of South Australia, Adelaide, South Australia, Australia
| | - Adrian J Esterman
- School of Nursing and Midwifery, University of South Australia, Adelaide, South Australia, Australia
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Davies EL, Pelentsov LJ, Hooper KJ, Gordon AL, Esterman AJ. Needs of Individuals Recovering from a First-Episode of Mental Illness: A Qualitative Descriptive Analysis of Focus Group Discussions. Issues Ment Health Nurs 2019; 40:737-746. [PMID: 31241376 DOI: 10.1080/01612840.2019.1609637] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
A broad array of needs often arise for individuals when significant physical or mental illness occurs. The aim of this study was to investigate the needs experienced by individuals recovering from a first-episode of mental illness, to explore how these needs have been assessed and to gauge the acceptability of participating in formal, systematic needs assessments in the future. Fifteen individuals who had presented to a tertiary mental health service within the previous 3 years, and who were considered to be recovering from a first-episode of mental illness discussed their current and previous needs in small focus groups. A qualitative descriptive methodology was adopted to analyse data. Three themes incorporating the broad range of inter-related and often complex needs were identified as being: the need for safety, stability and security; the need to be understood and to understand and; the need for support networks and services. Participants reported a lack of involvement in discussions with mental health clinicians regarding their needs, and were in favour of participating in formal, systematic needs assessments in the future.
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Affiliation(s)
- Ellen L Davies
- School of Nursing and Midwifery, University of South Australia , Adelaide , South Australia , Australia
| | - Lemuel J Pelentsov
- School of Nursing and Midwifery, University of South Australia , Adelaide , South Australia , Australia
| | - Kenneth J Hooper
- Youth Mental Health Service, Southern Adelaide Local Health Network , Oaklands Park , South Australia , Australia
| | - Andrea L Gordon
- Australian Centre for Child Protection, University of South Australia , Adelaide , South Australia , Australia
| | - Adrian J Esterman
- School of Nursing and Midwifery, University of South Australia , Adelaide , South Australia , Australia.,The Australian Institute for Tropical Health and Medicine, James Cook University , Cairns , Queensland , Australia
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