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Happell B, Gordon S, Hurley J, Foster K, Hazelton M, Lakeman R, Moxham L, Warner T. It takes it out of the textbook: Benefits of and barriers to expert by experience involvement in pre-registration mental health nursing education. J Psychiatr Ment Health Nurs 2024; 31:945-955. [PMID: 38509738 DOI: 10.1111/jpm.13042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Revised: 12/22/2023] [Accepted: 02/27/2024] [Indexed: 03/22/2024]
Abstract
WHAT IS KNOWN ON THE SUBJECT?: Service user involvement in mental health nursing education is beneficial in terms of attitudinal change to reduce stigma, clinical skill development and enhancing understandings of recovery-oriented practice. Service users as experts by experience have not been embedded within pre-registration nursing programs. Consequently, they remain limited in number, ad hoc and frequently tokenistic. Nurse academics responsible for the design and delivery of pre-registration mental health nursing curricula have a potentially important role in facilitating expert by experience involvement in mental health nursing education. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE Nurse academics teaching mental health nursing have generally favourable views about the importance of expert by experience involvement. Nurse academics experience significant barriers in supporting the implementation of academic positions for experts by experience, particularly in obtaining funding. The experts by experience could contribute to mental health nursing education does not appear to be clearly understood by nurse academics. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Mental health services aspire to adopt a recovery-oriented approach to practice. Involving experts by experience in mental health nursing education can facilitate increased understanding and appreciation of recovery-oriented practice. Nurse academics could play an important role in supporting the implementation of experts by experience positions in nursing academia. To do so, they require an understanding of the benefits of EBE involvement in academia and the barriers that can be encountered when attempting to facilitate the implementation of such positions. Experts by experience contribute unique expertise, essential to the development of quality mental health services. Conveying this expertise through the educating the future nursing workforce in mental health is essential. ABSTRACT INTRODUCTION: Involving service users in mental health nursing education is ad hoc and minimal, despite growing evidence of its benefits. Insights and experiences of nurse academics teaching mental health to pre-registration students have been underrepresented in the research to date. AIM To seek insights and experiences of nurse academics involved in designing and delivering pre-registration mental health nursing education in Australian universities regarding involving service users in mental health nursing education. METHODS A descriptive qualitative study involving 19 nurse academics from 13 Australian universities, involved in pre-registration mental health nursing education. Data were analysed thematically. RESULTS Participants reported minimal service user involvement. Most sought an increase and identified barriers. Data analysis resulted in five identified themes: (1) value-rich, (2) resource-poor, (3) imperfect processes, (4) 'part, but not all' and (5) unrecognised worth. CONCLUSIONS Increasing meaningful involvement of service-users in mental health nursing education requires support and investment from multiple stakeholders. Nurse academics are crucial stakeholders in understanding the unique expertise service users bring. IMPLICATIONS FOR PRACTICE Service users being central to all aspects of mental health services requires their active participation in the education of health professionals. Nurse academics have an important role in realising this goal.
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Affiliation(s)
- Brenda Happell
- Faculty of Health, Southern Cross University, Lismore, New South Wales, Australia
| | - Sarah Gordon
- Department of Psychological Medicine, School of Medicine and Health Sciences, University of Otago, Wellington South, Wellington, New Zealand
| | - John Hurley
- Faculty of Health, Southern Cross University, Coffs Harbour, New South Wales, Australia
| | - Kim Foster
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia
| | - Mike Hazelton
- School of Nursing and Midwifery, College of Medicine, Health and Well-being, University of Newcastle, Callaghan, New South Wales, Australia
- School of Nursing and Midwifery, University of Newcastle, Callaghan, New South Wales, Australia
| | - Richard Lakeman
- Faculty of Health, Southern Cross University, Bilinga, Queensland, Australia
- Edith Cowan University, Joondalup, Western Australia, Australia
| | - Lorna Moxham
- School of Nursing, Faculty of Science, Health and Medicine, University of Wollongong, Wollongong, New South Wales, Australia
| | - Terri Warner
- ANU Medical School, Australian National University, Acton, New South Wales, Australia
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Zirnsak TM. Reflections From the Wrong Side of the Glass: Lived Experience of Conducting Research in a Mental Health Ward. J Psychiatr Ment Health Nurs 2024. [PMID: 39268820 DOI: 10.1111/jpm.13108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2024] [Revised: 08/12/2024] [Accepted: 08/26/2024] [Indexed: 09/15/2024]
Affiliation(s)
- Tessa-May Zirnsak
- Social Work and Social Policy, Department of Community and Clinical Health, La Trobe University, Melbourne, Victoria, Australia
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Elwyn R, Williams M, Smith E, Smith S. Two identical twin pairs discordant for longstanding anorexia nervosa and OSFED: lived experience accounts of eating disorder and recovery processes. J Eat Disord 2024; 12:127. [PMID: 39223672 PMCID: PMC11367789 DOI: 10.1186/s40337-024-01078-w] [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: 02/01/2024] [Accepted: 08/02/2024] [Indexed: 09/04/2024] Open
Abstract
Research into the risk of anorexia nervosa (AN) has examined twin pairs to further the understanding of the contributions of genetics, trait inheritance, and environmental factors to eating disorder (ED) development. Investigations of twin experiences of EDs have been biologically-based and have not considered the qualitative, phenomenological aspects of twin experiences. A gap in the literature exists regarding understanding of discordant twins with EDs. This research was developed in response, with the aim to deepen understanding of AN in discordant twins and to create novel ideas for further research and testing. The case studies presented in this article provide lived experience insights of two identical discordant twin pairs: one twin pair discordant for longstanding AN and one twin pair discordant for 'atypical' AN (the twin with AN has recovered). The perspectives and experiences of each co-twin (one with AN and one without) explore a number of factors that may have contributed to twin discordance in these cases, and how each twin has responded to the impact of AN in their lives. Through use of first-person accounts in case study presentation, this article centres social justice values of lived experience leadership and involvement in research. This article aims to extend current knowledge and understanding of EDs in discordant twins, particularly regarding risk for ED development, ED duration, diagnosis and treatment, and recovery processes.
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Affiliation(s)
- Rosiel Elwyn
- Neuroscience and Psychiatry, Thompson Institute, University of the Sunshine Coast, Birtinya, QLD, Australia.
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Wand T, Isobel S, Kemp H. An audit and analysis of electro convulsive therapy patient information sheets used in local health districts in New South Wales Australia. Int J Ment Health Nurs 2024; 33:1119-1128. [PMID: 38477074 DOI: 10.1111/inm.13318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Revised: 02/14/2024] [Accepted: 02/28/2024] [Indexed: 03/14/2024]
Abstract
Electroconvulsive Therapy (ECT) is a widely used psychiatric treatment; however, it remains contentious. It is therefore important that people are provided with accurate and balanced information before consenting to ECT. The aim of this study was to audit and analyse the content and language of ECT information sheets used in local health districts (LHDs) across the state of New South Wales Australia. Descriptive content analysis and evaluative linguistic analysis were used to investigate the information sheets, with findings then considered from a mad studies perspective. Thirteen ECT information sheets were obtained and reviewed, with the audit finding they lacked accuracy and balance. Linguistic tools were used to exaggerate positive outcomes and minimise negative effects. Despite commonalities, the structure and content of the sheets varied considerably. Findings indicate a need for co-design and co-production approaches to developing ECT information sheets. This should occur in genuine partnership with lived experience representatives based on current evidence, using neutral language, and with attention to their intent as part of processes of informed consent and decision making.
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Affiliation(s)
- Timothy Wand
- Nursing and Midwifery Research Unit, Wollongong Hospital, University of Wollongong and Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia
| | - Sophie Isobel
- Sydney Local Health District, Camperdown, New South Wales, Australia
- Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia
| | - Holly Kemp
- Sydney Local Health District, Camperdown, New South Wales, Australia
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5
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McIntyre H, Loughhead M, Hayes L, Allen C, Barton-Smith D, Bickley B, Vega L, Smith J, Wharton U, Procter N. 'Everything would have gone a lot better if someone had listened to me': A nationwide study of emergency department contact by people with a psychosocial disability and a National Disability Insurance Scheme plan. Int J Ment Health Nurs 2024; 33:1037-1048. [PMID: 38379348 DOI: 10.1111/inm.13309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 01/31/2024] [Accepted: 02/05/2024] [Indexed: 02/22/2024]
Abstract
Australians with a psychosocial disability (PSD) and a National Disability Insurance Scheme (NDIS) plan may at times require emergency care due to the fluctuating nature of their physical and mental health conditions or when their supports have become insufficient. This nationwide study investigated the experiences of people presenting to an emergency department (ED) who have a PSD and an NDIS plan. The objective was to understand current care and communication practices and to provide recommendations for service integration. Twenty-four interviews were conducted with people who had a PSD and an NDIS plan. Participants were asked semi-structured questions about their experiences when engaging with NDIS processes and when engaging with the ED as an NDIS recipient and how communication practices could be improved between the two services. A qualitative, descriptive thematic analysis approach was used. A lived experience advisory group participated in the research and provided commentary. The findings of this study indicate that the NDIS, as a personalised budget scheme, presents challenges for people with complex PSD and physical needs. ED clinicians appear to be unclear about what the NDIS provides and communication between the two systems is fragmented and inconsistent. The themes identified from the analysed transcripts are: (a) People with PSD experience distress when dealing with the NDIS; (b) There's a blame game between the ED and the NDIS; and (c) Inadequate service integration between the ED and NDIS. Recommendations to assist with service integration include building service capacity, providing overlapping care and bridging the diverse biomedical, psychosocial and disability care services.
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Affiliation(s)
- Heather McIntyre
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Mark Loughhead
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Laura Hayes
- MIND Australia, Heidelberg, Victoria, Australia
| | - Caroline Allen
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Dean Barton-Smith
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Brooke Bickley
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
- South Australia Lived Experience Leadership & Advocacy Network, Adelaide, South Australia, Australia
| | - Louis Vega
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Jewels Smith
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Ursula Wharton
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Nicholas Procter
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
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Sreeram A, Cross WM, Townsin L. A mixed-method evaluation of peer-led education about attitudes towards consumers' recovery among Mental Health Nurses working in acute inpatient psychiatric units. Int J Ment Health Nurs 2024; 33:1082-1099. [PMID: 38426555 DOI: 10.1111/inm.13311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Revised: 02/08/2024] [Accepted: 02/16/2024] [Indexed: 03/02/2024]
Abstract
Despite integrating the recovery model of care in mental health, mental health professionals still have pessimistic attitudes towards the recovery of people with mental illness. Positive attitudes towards recovery are essential components to integrate recovery-oriented practices in all areas of mental health. Evidence shows that education and training are effective while emphasising the importance of consumer-based interventions to enhance recovery attitudes. This study aimed to evaluate the effectiveness of peer-led education about recovery attitudes towards people with mental illness among Mental Health Nurses working in acute inpatient settings. The methodology used was a sequential explanatory mixed method with pre- and post-test design involving three phases. Phase 1: survey (n = 103), phase 2: post-test survey immediate (n = 17) and follow-up (n = 11) and phase 3: in-depth interviews (n = 12). The results show that Mental Health Nurses have positive recovery attitudes with some room for improvement. Most participants agreed with all items of the Recovery Attitudes Questionnaire. However, the participants had various views on the relationship between faith and recovery. The peer-led education significantly improved RAQ items 1, 2, 3, 4 and 6 statistically. Furthermore, peer-led education effectively enhanced recovery attitudes immediately after the intervention and helped to maintain sustainable attitudes 3 months later. A qualitative exploration of recovery attitudes revealed three main themes: participants' reflections, recovery hurdles and interpersonal relationships.
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Affiliation(s)
- Anju Sreeram
- Federation University Australia, Ballarat, Victoria, Australia
| | - Wendy M Cross
- Federation University Australia, Ballarat, Victoria, Australia
| | - Louise Townsin
- Research Office, Torrens University Australia, Sydney, New South Wales, Australia
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McIntyre H, Loughhead M, Hayes L, Allen C, Barton-Smith D, Bickley B, Vega L, Smith J, Wharton U, Procter N. I have not come here because I have nothing better to do: The lived experience of presenting to the emergency department for people with a psychosocial disability and an NDIS plan-A qualitative study. Int J Ment Health Nurs 2024; 33:624-635. [PMID: 38012104 DOI: 10.1111/inm.13264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Revised: 11/06/2023] [Accepted: 11/13/2023] [Indexed: 11/29/2023]
Abstract
Almost 60 000 people have a psychosocial disability (PSD) and a National Disability Insurance Scheme (NDIS) plan. As PSD can be a fluctuating condition, people with a PSD and an NDIS plan, at times, may require crisis care and present to the emergency department (ED). This national study explored the experiences of people with a PSD and an NDIS plan when presenting to the ED. To understand the unique lived experience of people with a PSD and an NDIS plan, semi-structured interviews were conducted with 24 people between March and November 2022 and were analysed thematically. A lived experience advisory group was engaged as part of the research team. Participants were asked about their experiences in the ED including barriers to therapeutic care and what worked well. Participants reported emotional distress caused by receiving a biomedical rather than a person-centred mental health response. A previous mental health history overshadowed diagnostic decisions and most participants interviewed stated they would not choose to return to the ED. Half of the participants spoke of one presentation only where needs were met. Four main themes emerged from the data: (a) Diagnostic overshadowing; (b) Judgement and stigma; (c) Waiting without hope; and (d) If things went well. This study provides evidence of the unique lived experience of people with a PSD and an NDIS plan when presenting to the ED. The results highlight the need for clinicians in the ED to understand the complexity and nuances of supporting people with a PSD. Recommendations for a person-centred care approach are provided. Alternative support options for this group of people need to be explored.
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Affiliation(s)
- Heather McIntyre
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Mark Loughhead
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Laura Hayes
- MIND Australia, Heidelberg, Victoria, Australia
| | - Caroline Allen
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Dean Barton-Smith
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Brooke Bickley
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Louis Vega
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Jewels Smith
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Ursula Wharton
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
| | - Nicholas Procter
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia
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Allchin B, Isobel S. Re-imagining the vulnerability and risk framing of parents with mental illness and their children. Front Public Health 2024; 12:1373603. [PMID: 38751592 PMCID: PMC11094306 DOI: 10.3389/fpubh.2024.1373603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2024] [Accepted: 04/15/2024] [Indexed: 05/18/2024] Open
Abstract
To elicit compassion and communicate urgency to policy makers and governments, researchers and program developers have promoted a narrative of vulnerability and risk to frame the experience of families when parents have been diagnosed with mental illness. Developed within a western medicalised socio-cultural context, this frame has provided a focus on the need for prevention and early intervention in service responses while also unintentionally 'othering' these families and individualizing the 'problem'. This frame has had some unintended consequences of seeing these families through a deficit-saturated lens that misses strengths and separates family members' outcomes from each other. This paper raises questions about the continued fit of this frame and suggests a need to reimagine a new one.
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Affiliation(s)
- Becca Allchin
- Mental Health Program, Eastern Health, Melbourne, VIC, Australia
- School of Rural Health, Faculty of Medicine, Nursing & Health Sciences, Monash University, Clayton, VIC, Australia
| | - Sophie Isobel
- University of Sydney, Faculty of Medicine and Health, Camperdown NSW, Australia
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Bourke JA, Bragge P, River J, Sinnott Jerram KA, Arora M, Middleton JW. Shining a light on the road towards conducting principle-based co-production research in rehabilitation. FRONTIERS IN REHABILITATION SCIENCES 2024; 5:1386746. [PMID: 38660394 PMCID: PMC11039800 DOI: 10.3389/fresc.2024.1386746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2024] [Accepted: 03/29/2024] [Indexed: 04/26/2024]
Abstract
Moving from participatory approaches incorporating co-design to co-production in health research involves a commitment to full engagement and partnership with people with lived experience through all stages of the research process-start to finish. However, despite the increased enthusiasm and proliferation of research that involves co-production, practice remains challenging, due in part to the lack of consensus on what constitutes co-production, a lack of guidance about the practical steps of applying this approach in respect to diverse research methods from multiple paradigms, and structural barriers within academia research landscape. To navigate the challenges in conducting co-produced research, it has been recommended that attention be paid to focusing and operationalising the underpinning principles and aspirations of co-production research, to aid translation into practice. In this article, we describe some fundamental principles essential to conducting co-production research (sharing power, relational resilience, and adopting a learning mindset) and provide tangible, practical strategies, and processes to engage these values. In doing so, we hope to support rehabilitation researchers who wish to engage in co-production to foster a more equitable, ethical, and impactful collaboration with people with lived experience and those involved in their circle of care.
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Affiliation(s)
- John A. Bourke
- John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, NSW, Australia
- Faculty of Medicine and Health, The Kolling Institute, The University of Sydney, Sydney, NSW, Australia
| | - Peter Bragge
- Monash Sustainable Development Institute, Monash University, Melbourne, VIC, Australia
| | - Jo River
- Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia
- Northern Sydney Local Health District, Macquarie Hospital, Sydney, NSW, Australia
| | - K. Anne Sinnott Jerram
- John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, NSW, Australia
- Faculty of Medicine and Health, The Kolling Institute, The University of Sydney, Sydney, NSW, Australia
| | - Mohit Arora
- John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, NSW, Australia
- Faculty of Medicine and Health, The Kolling Institute, The University of Sydney, Sydney, NSW, Australia
| | - James W. Middleton
- John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, NSW, Australia
- Faculty of Medicine and Health, The Kolling Institute, The University of Sydney, Sydney, NSW, Australia
- Royal Rehab, Ryde, NSW, Australia
- State Spinal Cord Injury Service, NSW Agency for Clinical Innovation, St Leonards, NSW, Australia
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Happell B, Gordon S, Sharrock J, O Donovan A, Warner T. 'We only come from one perspective': Exploring experiences of allies supporting expert by experience leadership in mental health education. J Psychiatr Ment Health Nurs 2024; 31:3-13. [PMID: 37462261 DOI: 10.1111/jpm.12955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 06/21/2023] [Accepted: 07/04/2023] [Indexed: 01/09/2024]
Abstract
INTRODUCTION Academics from health professional backgrounds have a crucial role in supporting the implementation and sustainability of academic positions for experts by experience in mental health education. Perspectives and experiences of these academics have yet to be extensively explored. A deeper understanding will add to our understanding of this important role and provide guidance for academics with similar aspirations. AIM The aim of the study was to explore the experiences of supporting academic positions for experts by experience in mental health education. METHODS A qualitative exploratory design was utilised. In-depth interviews were conducted with academics who have actively supported academic positions for experts by experience. RESULTS Allyship was a key theme identified. Participants described allyship as complex, time-consuming and rewarding, through three sub-themes: the tension of allyship, the impact of being an ally and interpersonal and relational issues with health professional academics. CONCLUSIONS Allyship was influenced by the negative attitudes of many health professional academics, who do not appreciate the value of this work. IMPLICATIONS FOR PRACTICE Allyship has a crucial role in enhancing experts by experience leadership in the education of health professionals. Understanding the experience of allyship will assist in further understanding and developing these important roles.
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Affiliation(s)
- Brenda Happell
- Faculty of Health, Southern Cross University, East Lismore, New South Wales, Australia
- Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland
| | - Sarah Gordon
- Department of Psychological Medicine, School of Medicine and Health Sciences, University of Otago, Wellington, New Zealand
| | - Julie Sharrock
- Faculty of Health, Southern Cross University, East Lismore, New South Wales, Australia
| | - Aine O Donovan
- School of Nursing and Midwifery, University College Cork, Cork, Ireland
| | - Terri Warner
- ANU Medical School, Australian National University, Acton, Australian Capital Territory, Australia
- ACT Mental Health Consumer Network, Canberra, Australian Capital Territory, Australia
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Dosso JA, Kailley JN, Robillard JM. The League: A person-centred approach to the development of social robotics for paediatric anxiety. Health Expect 2024; 27:e13981. [PMID: 39102709 PMCID: PMC10821745 DOI: 10.1111/hex.13981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 01/03/2024] [Accepted: 01/12/2024] [Indexed: 08/07/2024] Open
Abstract
BACKGROUND Social robots are promising tools to improve the quality of life of children and youth living with anxiety and should be developed based on the priorities of end users. However, pathways to include young people in patient-oriented research, particularly in the overlap between technology and mental health, have been historically limited. OBJECTIVE In this work, we describe engagement with experts with lived experiences of paediatric anxiety in a social robotics research programme. We report the experiences of patient advisors in a co-creation process and identify considerations for other research groups looking to involve end users in technology development in the field of youth mental health. DESIGN We engaged individuals with a lived experience of paediatric anxiety (current, recent past, or from a parent perspective) using three different models over the course of three years. Two initial patient partners were involved during project development, eight were engaged as part of an advisory panel ('the League') during study development and data analysis and four contributed as ongoing collaborators in an advisory role. League members completed a preparticipation expectation survey and a postparticipation experience survey. FINDINGS Eight individuals from a range of anxiety-related diagnostic groups participated in the League as patient partners. Members were teenagers (n = 3), young adults aged 22-26 years who had connected with a youth mental health service as children within the past eight years (n = 3) or parents of children presently living with anxiety (n = 2). Preferred methods of communication, expectations and reasons for participating were collected. The League provided specific and actionable feedback on the design of workshops on the topic of social robotics, which was implemented. They reported that their experiences were positive and fairly compensated, but communication and sustained engagement over time were challenges. Issues of ethics and language related to patient-centred brain health technology research are discussed. CONCLUSIONS There is an ethical imperative to meaningfully incorporate the voices of youth and young adults with psychiatric conditions in the development of devices intended to support their mental health and quality of life. PATIENT OR PUBLIC CONTRIBUTION Six young people and two parents with lived experiences of paediatric anxiety participated in all stages of developing a research programme on social robotics to support paediatric mental health in a community context. They also provided input during the preparation of this manuscript.
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Affiliation(s)
- Jill A. Dosso
- Department of Medicine, Division of NeurologyThe University of British ColumbiaVancouverBritish ColumbiaCanada
- British Columbia Children & Women's HospitalVancouverBritish ColumbiaCanada
| | - Jaya N. Kailley
- Department of Medicine, Division of NeurologyThe University of British ColumbiaVancouverBritish ColumbiaCanada
- British Columbia Children & Women's HospitalVancouverBritish ColumbiaCanada
| | - Julie M. Robillard
- Department of Medicine, Division of NeurologyThe University of British ColumbiaVancouverBritish ColumbiaCanada
- British Columbia Children & Women's HospitalVancouverBritish ColumbiaCanada
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Ewuoso C. Decolonial health literature can increase our thinking about ethics dumping. J Med Ethics Hist Med 2023; 16:10. [PMID: 38260765 PMCID: PMC10801100 DOI: 10.18502/jmehm.v16i10.14305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 09/12/2023] [Indexed: 01/24/2024] Open
Abstract
This article draws on the underexplored or novel accounts of inclusion and the moral accounts of decolonization in African health decolonial literature to increase our understanding of how ethics dumping manifests in health research partnerships, and what more ought to be done to eliminate this phenomenon. African decolonial health literature proposes "inclusion that matters" - conceptualized as substantial, respectful and deep engagement with African agency - as a solution to end domination or mitigate the "appearance" of inclusion. Based on this supposition, the harm of ethics dumping - and I demonstrate how - is that it fails to engage the agency of Africans, and listen to or echo their voices in health and health research collaborations on the continent, or research collaborations that have significant implications for them. This account of inclusion can usefully increase our thinking about ethics dumping, which is ultimately and in several ways a failure to practice responsible science. Research is required to increase our understanding of what could reasonably constitute responsible science from a variety of perspectives.
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Affiliation(s)
- Cornelius Ewuoso
- Steve Biko Centre for Bioethics, University of Witwatersrand, Johannesburg, South Africa.
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Michail M, Morgan J, Lavis A. Youth partnership in suicide prevention research: moving beyond the safety discourse. BMJ Open 2023; 13:e076885. [PMID: 37890971 PMCID: PMC10619073 DOI: 10.1136/bmjopen-2023-076885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Accepted: 10/05/2023] [Indexed: 10/29/2023] Open
Abstract
OBJECTIVE In this communication article, we discuss coproduction in suicide prevention research, with an emphasis on involving young people. We critically reflect on the lessons we have learned by working alongside young people, and how these lessons may be useful to other research teams. SUMMARY The meaningful involvement of young people in the design, implementation and translation of mental health research has received significant attention over the last decade. For most funding bodies, the involvement of patients and the public in the planning and delivery of research is advised and, in many cases, mandatory. When it comes to suicide prevention research, however, things are slightly different in practice. Involvement of young people in suicide prevention research has often been considered a controversial, unfeasible and even risky endeavour. In our experiences of working in this field, such concerns are expressed by funders, Higher Education Health and Safety committees and practitioners. By presenting an example from our research where the involvement of young people as experts by experience was integral, we highlight key lessons learnt that could maximise the potential of youth partnership in suicide prevention research. These lessons take on particular importance in mental health research against the background of long-entrenched power differences and the silencing of service user voices. Professional knowledge, obtained through education and vocational training, has historically taken priority over experiential knowledge obtained through lived experience, in psychiatric practice and research. Although this hierarchy has widely been challenged, any account of coproduction in mental health research is positioned against that background, and the remnants of those inequitable power relationships arguably take on greater resonance in suicide prevention research and require careful consideration to ensure meaningful involvement. CONCLUSION We conclude that progress in suicide research cannot be fulfilled without the meaningful involvement of, and partnership with, young people with lived experience.
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Affiliation(s)
- Maria Michail
- Institute for Mental Health, School of Psychology, University of Birmingham, Birmingham, UK
| | - Jamie Morgan
- Institute for Mental Health, School of Psychology, University of Birmingham, Birmingham, UK
| | - Anna Lavis
- Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
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Chisholm J, Hope J, Fossey E, Petrakis M. Mental Health Clinician Attitudes about Service User and Family Agency and Involvement in Recovery-Oriented Practice. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6787. [PMID: 37754647 PMCID: PMC10531441 DOI: 10.3390/ijerph20186787] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 09/12/2023] [Accepted: 09/14/2023] [Indexed: 09/28/2023]
Abstract
BACKGROUND Recovery-oriented practice (ROP) is a framework focusing on recovery through hope, choice, and meaning, to live with or without enduring symptoms and challenges. AIMS To examine clinicians' attitudes about the involvement of service users and family or supporters in ROP. METHODS A bespoke Qualtrics survey obtained views of mental health clinicians working in an Australian public mental health service about service user and family involvement in ROP, using a five-point Likert scale of agreement and free-text responses. Data were analysed with descriptive statistics and content analysis methods. RESULTS Two hundred and three clinicians completed the survey. Most (79%) clinicians agreed with the statement that service users want clinicians to use ROP principles, and the majority (63%) also 'strongly believed' that ROP made a difference to service users' mental health outcomes. Only 15% 'strongly agreed' and 57% somewhat agreed with the statement that service users know what treatment is best for them, and only 20% of clinicians 'strongly agreed' that supporters of service users believed in and wanted ROP for their family member or friend. FUTURE DIRECTIONS This study adds to the literature on clinicians' views about ROP and shows that although clinicians are supportive of ROP, they also express substantial ambivalence about whether service users and families know what treatment is best. For ROP implementation to be successful, workforce training needs to support clinicians to reflect on these views with service users and families, and to encourage supported decision making. Future studies should focus on changes in clinicians' views and practice post ROP training.
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Affiliation(s)
- Janice Chisholm
- Department of Social Work, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3145, Australia
- Mental Health and Wellbeing Program, Eastern Health, Centre for Education and Research, Melbourne, VIC 3128, Australia
| | - Judy Hope
- Mental Health and Wellbeing Program, Eastern Health, Centre for Education and Research, Melbourne, VIC 3128, Australia
- Eastern Health Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3128, Australia
| | - Ellie Fossey
- Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3199, Australia
| | - Melissa Petrakis
- Department of Social Work, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3145, Australia
- St Vincent’s Hospital Mental Health Service, Melbourne, VIC 3065, Australia
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Jones N, Callejas L, Brown M, Colder Carras M, Croft B, Pagdon S, Sheehan L, Oluwoye O, Zisman-Ilani Y. Barriers to Meaningful Participatory Mental Health Services Research and Priority Next Steps: Findings From a National Survey. Psychiatr Serv 2023; 74:902-910. [PMID: 36935620 PMCID: PMC11022526 DOI: 10.1176/appi.ps.20220514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/21/2023]
Abstract
OBJECTIVE A growing consensus has emerged regarding the importance of stakeholder involvement in mental health services research. To identify barriers to and the extent of stakeholder involvement in participatory research, the authors undertook a mixed-methods study of researchers and community members who reported participation in such research. METHODS Eight consultative focus groups were conducted with diverse groups of stakeholders in mental health services research (N=51 unique participants, mostly service users), followed by a survey of service users, family members, community providers, and researchers (N=98) with participatory research experience. Focus groups helped identify facilitators and barriers to meaningful research collaboration, which were operationalized in the national survey. Participants were also asked about high-priority next steps. RESULTS The barrier most strongly endorsed as a large or very large problem in the field was lack of funding for stakeholder-led mental health services research (76%), followed by lack of researcher training in participatory methods (74%) and insufficiently diverse backgrounds among stakeholders (69%). The two most frequently identified high-priority next steps were ensuring training and continuing education for researchers and stakeholders (33%) and authentically centering lived experience and reducing tokenism in research (26%). CONCLUSIONS These findings suggest a need for increased attention to and investment in the development, implementation, and sustainment of participatory methods that prioritize collaboration with direct stakeholders, particularly service users, in U.S. mental health services research. The findings also underscore the presence and potentially important role of researchers who dually identify as service users and actively contribute a broader orientation from the service user-survivor movement.
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Affiliation(s)
- Nev Jones
- School of Social Work, University of Pittsburgh, Pittsburgh (Jones, Pagdon); Child and Family Studies, University of South Florida, Tampa (Callejas); Department of Psychiatry, New York University, New York City (Brown); Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Carras); Human Services Research Institute, Cambridge, Massachusetts (Croft); New York State Psychiatric Institute, New York City (Pagdon); Department of Psychology, Illinois Institute of Technology, Chicago (Sheehan); Department of Community and Behavioral Health, School of Medicine, Washington State University, Spokane (Oluwoye); Department of Social and Behavioral Sciences, Temple University, Philadelphia, and Department of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, London (Zisman-Ilani)
| | - Linda Callejas
- School of Social Work, University of Pittsburgh, Pittsburgh (Jones, Pagdon); Child and Family Studies, University of South Florida, Tampa (Callejas); Department of Psychiatry, New York University, New York City (Brown); Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Carras); Human Services Research Institute, Cambridge, Massachusetts (Croft); New York State Psychiatric Institute, New York City (Pagdon); Department of Psychology, Illinois Institute of Technology, Chicago (Sheehan); Department of Community and Behavioral Health, School of Medicine, Washington State University, Spokane (Oluwoye); Department of Social and Behavioral Sciences, Temple University, Philadelphia, and Department of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, London (Zisman-Ilani)
| | - Marie Brown
- School of Social Work, University of Pittsburgh, Pittsburgh (Jones, Pagdon); Child and Family Studies, University of South Florida, Tampa (Callejas); Department of Psychiatry, New York University, New York City (Brown); Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Carras); Human Services Research Institute, Cambridge, Massachusetts (Croft); New York State Psychiatric Institute, New York City (Pagdon); Department of Psychology, Illinois Institute of Technology, Chicago (Sheehan); Department of Community and Behavioral Health, School of Medicine, Washington State University, Spokane (Oluwoye); Department of Social and Behavioral Sciences, Temple University, Philadelphia, and Department of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, London (Zisman-Ilani)
| | - Michelle Colder Carras
- School of Social Work, University of Pittsburgh, Pittsburgh (Jones, Pagdon); Child and Family Studies, University of South Florida, Tampa (Callejas); Department of Psychiatry, New York University, New York City (Brown); Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Carras); Human Services Research Institute, Cambridge, Massachusetts (Croft); New York State Psychiatric Institute, New York City (Pagdon); Department of Psychology, Illinois Institute of Technology, Chicago (Sheehan); Department of Community and Behavioral Health, School of Medicine, Washington State University, Spokane (Oluwoye); Department of Social and Behavioral Sciences, Temple University, Philadelphia, and Department of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, London (Zisman-Ilani)
| | - Bevin Croft
- School of Social Work, University of Pittsburgh, Pittsburgh (Jones, Pagdon); Child and Family Studies, University of South Florida, Tampa (Callejas); Department of Psychiatry, New York University, New York City (Brown); Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Carras); Human Services Research Institute, Cambridge, Massachusetts (Croft); New York State Psychiatric Institute, New York City (Pagdon); Department of Psychology, Illinois Institute of Technology, Chicago (Sheehan); Department of Community and Behavioral Health, School of Medicine, Washington State University, Spokane (Oluwoye); Department of Social and Behavioral Sciences, Temple University, Philadelphia, and Department of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, London (Zisman-Ilani)
| | - Shannon Pagdon
- School of Social Work, University of Pittsburgh, Pittsburgh (Jones, Pagdon); Child and Family Studies, University of South Florida, Tampa (Callejas); Department of Psychiatry, New York University, New York City (Brown); Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Carras); Human Services Research Institute, Cambridge, Massachusetts (Croft); New York State Psychiatric Institute, New York City (Pagdon); Department of Psychology, Illinois Institute of Technology, Chicago (Sheehan); Department of Community and Behavioral Health, School of Medicine, Washington State University, Spokane (Oluwoye); Department of Social and Behavioral Sciences, Temple University, Philadelphia, and Department of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, London (Zisman-Ilani)
| | - Lindsay Sheehan
- School of Social Work, University of Pittsburgh, Pittsburgh (Jones, Pagdon); Child and Family Studies, University of South Florida, Tampa (Callejas); Department of Psychiatry, New York University, New York City (Brown); Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Carras); Human Services Research Institute, Cambridge, Massachusetts (Croft); New York State Psychiatric Institute, New York City (Pagdon); Department of Psychology, Illinois Institute of Technology, Chicago (Sheehan); Department of Community and Behavioral Health, School of Medicine, Washington State University, Spokane (Oluwoye); Department of Social and Behavioral Sciences, Temple University, Philadelphia, and Department of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, London (Zisman-Ilani)
| | - Oladunni Oluwoye
- School of Social Work, University of Pittsburgh, Pittsburgh (Jones, Pagdon); Child and Family Studies, University of South Florida, Tampa (Callejas); Department of Psychiatry, New York University, New York City (Brown); Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Carras); Human Services Research Institute, Cambridge, Massachusetts (Croft); New York State Psychiatric Institute, New York City (Pagdon); Department of Psychology, Illinois Institute of Technology, Chicago (Sheehan); Department of Community and Behavioral Health, School of Medicine, Washington State University, Spokane (Oluwoye); Department of Social and Behavioral Sciences, Temple University, Philadelphia, and Department of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, London (Zisman-Ilani)
| | - Yaara Zisman-Ilani
- School of Social Work, University of Pittsburgh, Pittsburgh (Jones, Pagdon); Child and Family Studies, University of South Florida, Tampa (Callejas); Department of Psychiatry, New York University, New York City (Brown); Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Carras); Human Services Research Institute, Cambridge, Massachusetts (Croft); New York State Psychiatric Institute, New York City (Pagdon); Department of Psychology, Illinois Institute of Technology, Chicago (Sheehan); Department of Community and Behavioral Health, School of Medicine, Washington State University, Spokane (Oluwoye); Department of Social and Behavioral Sciences, Temple University, Philadelphia, and Department of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, London (Zisman-Ilani)
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Hawke LD, Sheikhan NY, Rockburne F. Lived experience engagement in mental health research: Recommendations for a terminology shift. Health Expect 2023; 26:1381-1383. [PMID: 37165985 PMCID: PMC10349229 DOI: 10.1111/hex.13775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Accepted: 04/30/2023] [Indexed: 05/12/2023] Open
Affiliation(s)
- Lisa D. Hawke
- Centre for Addiction and Mental HealthTorontoCanada
- University of TorontoTorontoCanada
| | - Natasha Y. Sheikhan
- Centre for Addiction and Mental HealthTorontoCanada
- University of TorontoTorontoCanada
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Krysinska K, Ozols I, Ross A, Andriessen K, Banfield M, McGrath M, Edwards B, Hawgood J, Kõlves K, Ross V, Pirkis J. Active involvement of people with lived experience of suicide in suicide research: a Delphi consensus study. BMC Psychiatry 2023; 23:496. [PMID: 37434145 DOI: 10.1186/s12888-023-04973-9] [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: 07/26/2022] [Accepted: 06/21/2023] [Indexed: 07/13/2023] Open
Abstract
BACKGROUND The importance and value of involvement of people with lived experience of suicide has been recognized in suicide research and prevention. Nonetheless, clear guidance on research collaboration and co-production is lacking. This study aimed to address this gap by developing a set of guidelines on active involvement of people with lived experience of suicide in suicide studies., i.e., conducting research with or by people with lived experience, rather than to, about or for them. METHODS The Delphi method was used to determine statements on best practice for the active involvement of people with lived experience of suicide in suicide research. Statements were compiled through a systematic search of the scientific and grey literature, and reviewing qualitative data from a recent related study conducted by the authors. Two expert panels: people with lived experience of suicide (n = 44) and suicide researchers (n = 29) rated statements over three rounds of an online survey. Statements endorsed by at least 80% of panellists of each panel were included in the guidelines. RESULTS Panellists endorsed 96 out of 126 statements in 17 sections covering the full research cycle from deciding on the research question and securing funding, to conducting research and disseminating and implementing outcomes. Overall, there was a substantial level of agreement between the two panels regarding support from research institutions, collaboration and co-production, communication and shared decision making, conducting research, self-care, acknowledgment, and dissemination and implementation. However, panels also disagreed on specific statements regarding representativeness and diversity, managing expectations, time and budgeting, training, and self-disclosure. CONCLUSIONS This study identified consensus recommendations on active involvement of people with lived experience of suicide in suicide research, including co-production. Support from research institutions and funders, and training on co-production for researchers and people with lived experience, are needed for successful implementation and uptake of the guidelines.
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Affiliation(s)
- Karolina Krysinska
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
| | | | - Anna Ross
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Karl Andriessen
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
| | - Michelle Banfield
- Centre for Mental Health Research, Australian National University, Canberra, ACT, Australia
| | - Martina McGrath
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | | | - Jacinta Hawgood
- The Australian Institute for Suicide Research and Prevention, School of Applied Psychology, Griffith University, Brisbane, QLD, Australia
| | - Kairi Kõlves
- The Australian Institute for Suicide Research and Prevention, School of Applied Psychology, Griffith University, Brisbane, QLD, Australia
| | - Victoria Ross
- The Australian Institute for Suicide Research and Prevention, School of Applied Psychology, Griffith University, Brisbane, QLD, Australia
| | - Jane Pirkis
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
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Sinclair A, Gillieatt S, Fernandes C, Mahboub L. Inclusion as Assimilation, Integration, or Co-optation? A Post-Structural Analysis of Inclusion as Produced Through Mental Health Research on Peer Support. QUALITATIVE HEALTH RESEARCH 2023; 33:543-555. [PMID: 36938673 DOI: 10.1177/10497323231163735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
In the last 20 years, research on the inclusion of peer support within mental health settings has burgeoned, paralleling the broad adoption of service user inclusion within policy as a moral imperative and universally beneficial. Despite the seemingly progressive impetus behind inclusion, increasingly peer support workers talk of exhaustion working within mental health systems, the slow rate of change to oppressive values and practices, and ongoing experiences of workplace exclusion. Such experiences suggest differences in the way in which inclusion is produced across different stakeholder groups and contexts. In this article, we adopt Bacchi's 'what's the problem represented to be?' approach to identify how mental health research, often understood as an a-political activity, produces versions of inclusion. We argue current research predominantly produces inclusion as 'assimilation' and 'integration'. We use critical inclusion, mental health, and survivor scholarship to evaluate the effects these productions have for peer support and peer support workers, finding that both problematise peer support workers and those seeking support. We consider possibilities for more liberatory productions of inclusion, building on the notion of inclusion as 'co-optation'. Our analysis points to the need for researchers to engage with an uncomfortable reflexivity to enable more emancipatory possibilities regarding inclusion and peer support.
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Affiliation(s)
- Aimee Sinclair
- School of Allied Health, Curtin University, Perth, WA, Australia
| | - Sue Gillieatt
- School of Allied Health, Curtin University, Perth, WA, Australia
| | | | - Lyn Mahboub
- School of Allied Health, Curtin University, Perth, WA, Australia
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Mandoh M, Redfern J, Mihrshahi S, Cheng HL, Phongsavan P, Partridge SR. How are adolescents engaged in obesity and chronic disease prevention policy and guideline development? A scoping review. Glob Health Res Policy 2023; 8:9. [PMID: 36973812 PMCID: PMC10041478 DOI: 10.1186/s41256-023-00294-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Accepted: 03/05/2023] [Indexed: 03/29/2023] Open
Abstract
BACKGROUND Adolescent consumer engagement is widely accepted, with global calls to meaningfully involve adolescents for effective and tailored policy and guideline development. However, it is still unclear if and how adolescents are engaged. The aim of this review was to determine if and how adolescents meaningfully participate in policy and guideline development for obesity and chronic disease prevention. METHODS A scoping review was conducted guided by the Arksey and O'Malley six stage framework. Official government websites for Australia, Canada, United Kingdom, and United States including intergovernmental organizations (World Health Organisation and United Nations) were examined. Universal databases Tripdatabase and Google advanced search were also searched. Current and published international and national obesity or chronic disease prevention policies, guidelines, strategies, or frameworks that engaged adolescents aged 10-24 years in meaningful decision-making during the development process were included. The Lansdown-UNICEF conceptual framework was used to define mode of participation. RESULTS Nine policies and guidelines (n = 5 national, n = 4 international) engaged adolescents in a meaningful capacity, all focused on improving 'health and well-being'. Demographic characteristics were poorly reported, still most ensured representation from disadvantaged groups. Adolescents were primarily engaged in consultative modes (n = 6), via focus groups and consultation exercises. Predominantly in formative phases e.g., scoping the topic or identifying needs (n = 8) and to a lesser extent in the final stage of policy and guideline development e.g., implementation or dissemination (n = 4). No policy or guideline engaged adolescents in all stages of the policy and guideline development process. CONCLUSION Overall, adolescent engagement in obesity and chronic disease prevention policy and guideline development is consultative and rarely extends throughout the entire development and implementation process.
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Affiliation(s)
- Mariam Mandoh
- Faculty of Medicine and Health, School of Health Sciences, The University of Sydney, Westmead, NSW 2145 Australia
| | - Julie Redfern
- Faculty of Medicine and Health, School of Health Sciences, The University of Sydney, Westmead, NSW 2145 Australia
- The George Institute for Global Health, The University of New South Wales, Camperdown, NSW 2006 Australia
| | - Seema Mihrshahi
- Department of Health Sciences, Macquarie University, Macquarie Park, NSW 2109 Australia
- Prevention Research Collaboration, Faculty of Medicine and Health, Charles Perkins Centre, Sydney School of Public Health, The University of Sydney, Camperdown, NSW 2006 Australia
| | - Hoi Lun Cheng
- Faculty of Medicine and Health, Sydney Medical School, Specialty of Child and Adolescent Health, The University of Sydney, Westmead, NSW 2145 Australia
- Academic Department of Adolescent Medicine, The Children’s Hospital at Westmead, Westmead, NSW 2145 Australia
| | - Philayrath Phongsavan
- Prevention Research Collaboration, Faculty of Medicine and Health, Charles Perkins Centre, Sydney School of Public Health, The University of Sydney, Camperdown, NSW 2006 Australia
| | - Stephanie R. Partridge
- Faculty of Medicine and Health, School of Health Sciences, The University of Sydney, Westmead, NSW 2145 Australia
- Prevention Research Collaboration, Faculty of Medicine and Health, Charles Perkins Centre, Sydney School of Public Health, The University of Sydney, Camperdown, NSW 2006 Australia
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Machin K, Shah P, Nicholls V, Jeynes T, TK, Trevillion K, Vera San Juan N. Co-producing rapid research: Strengths and challenges from a lived experience perspective. FRONTIERS IN SOCIOLOGY 2023; 8:996585. [PMID: 37032810 PMCID: PMC10076830 DOI: 10.3389/fsoc.2023.996585] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/17/2022] [Accepted: 02/21/2023] [Indexed: 10/01/2023]
Abstract
The Lived Experience Researchers (LERs) of the Mental Health Policy Research Unit (MHPRU) reflect on the experience of conducting rapid co-produced research, particularly during the first year of the COVID-19 pandemic. Throughout this perspective article, we introduce requirements for co-production applying the 4Pi Framework, reflect on specific characteristics of co-production in rapid research, discuss strengths and challenges for involvement of LERs in rapid research, and lastly provide recommendations to achieve meaningful involvement. Incorporating meaningful co-production is an augmentation to any research project, with several benefits to the research, to the team, and to individual researchers. Particularly in the case of rapid research, that aims for efficient translation of knowledge into practice, involvement of experts by experience will be key. The work conducted by the MHPRU LERs presented in this paper demonstrates the viability, value, and potential of this way of working.
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Affiliation(s)
- Karen Machin
- NIHR Mental Health Policy Research Unit Lived Experience Working Group, Division of Psychiatry, University College London, London, United Kingdom
| | - Prisha Shah
- NIHR Mental Health Policy Research Unit Lived Experience Working Group, Division of Psychiatry, University College London, London, United Kingdom
| | - Vicky Nicholls
- NIHR Mental Health Policy Research Unit Lived Experience Working Group, Division of Psychiatry, University College London, London, United Kingdom
| | - Tamar Jeynes
- NIHR Mental Health Policy Research Unit Lived Experience Working Group, Division of Psychiatry, University College London, London, United Kingdom
| | - TK
- NIHR Mental Health Policy Research Unit Lived Experience Working Group, Division of Psychiatry, University College London, London, United Kingdom
| | - Kylee Trevillion
- NIHR Mental Health Policy Research Unit, Health Service and Population Research Department, King's College London, London, United Kingdom
| | - Norha Vera San Juan
- NIHR Mental Health Policy Research Unit, Health Service and Population Research Department, King's College London, London, United Kingdom
- Rapid Research Evaluation and Appraisal Lab (RREAL), Department of Targeted Intervention, University College London, London, United Kingdom
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Masland SR, Victor SE, Peters JR, Fitzpatrick S, Dixon-Gordon KL, Bettis AH, Navarre KM, Rizvi SL. Destigmatizing Borderline Personality Disorder: A Call to Action for Psychological Science. PERSPECTIVES ON PSYCHOLOGICAL SCIENCE 2023; 18:445-460. [PMID: 36054911 DOI: 10.1177/17456916221100464] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Despite recognition that borderline personality disorder (BPD) is one of the most stigmatized psychological disorders, destigmatization efforts have thus far focused on the views and actions of clinicians and the general public, neglecting the critical role that psychological science plays in perpetuating or mitigating stigma. This article was catalyzed by recent concerns about how research and editorial processes propagate stigma and thereby fail people with BPD and the scientists who study BPD. We provide a brief overview of the BPD diagnosis and its history. We then review how BPD has been stigmatized in psychological science, the gendered nature of BPD stigma, and the consequences of this stigmatization. Finally, we offer specific recommendations for researchers, reviewers, and editors who wish to use science to advance our understanding of BPD without perpetuating pejorative views of the disorder. These recommendations constitute a call to action to use psychological science in the service of the public good.
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Affiliation(s)
| | - Sarah E Victor
- Department of Psychological Sciences, Texas Tech University
| | - Jessica R Peters
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University
| | | | | | - Alexandra H Bettis
- Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center
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22
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Green CR, Elwyn R, Hill N, Johnston-Ataata K, Kokanović R, Maylea C, McLoughlan G, Roberts R, Thomas SDM. A critical review of research into mental health consumers' perspectives on their physical health: Is there an absence of consumers in the design, conduct, analysis and reporting of this research? Front Public Health 2023; 10:982339. [PMID: 36814954 PMCID: PMC9939465 DOI: 10.3389/fpubh.2022.982339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 12/28/2022] [Indexed: 02/08/2023] Open
Abstract
We conducted a critical review, using systematic methods, of the literature examining mental health consumer perspectives on their physical and mental health in academic research published between 2005 and 2021. This review examined the inclusion, extent, type and centrality of consumer perspectives regarding their mental and physical health. The search produced 1,865 papers from which 116 met the inclusion criteria. Studies predominantly focused on consumers' individual experiences of their physical and mental health, including but not limited to their understandings and experiences of medication and associated risk factors. They also captured some social aspects of mental health consumers' physical health, including factors that impacted individual agency, stigma, and social and interpersonal factors. Structural factors affecting physical and mental health, such as accessibility of services and financial constraints, were also identified. The review revealed that in comparison to clinician perspectives, the direct representation of consumer perspectives was lacking. Similarly, while clinician and carer perspectives on structural factors were investigated, the consumer perspective in this area was missing. The review also found few genuine codesigned or coproduced research studies. To better identify and respond to the health needs as prioritized by consumers, this paper argues it is imperative that future studies prioritize codesigned and coproduced research. It is argued that a focus on "services as provided" rather than "services as received" has contributed to a lack of progress in addressing the life expectancy gap for consumers. It is recommended that journals, ethics committees and research policy organizations develop guidelines and standards to inform best practice in research on consumer perspectives and experience and to support the implementation of codesigned and/or coproduced approaches in future research. Respecting and including consumers as equal partners in the research process will lead to more meaningful insights to inform policy and practice and reduce the life expectancy gap for people living with mental health concerns.
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Affiliation(s)
- Chloe R. Green
- School of Law, La Trobe University, Melbourne, VIC, Australia
| | - Rosiel Elwyn
- Psychology and Social Sciences, University of the Sunshine Coast, Maroochydore, QLD, Australia
| | - Nicholas Hill
- School of Social and Political Sciences, The University of Melbourne, Parkville, VIC, Australia
| | - Kate Johnston-Ataata
- School of Global, Urban and Social Studies, RMIT University, Melbourne, VIC, Australia
| | - Renata Kokanović
- School of Global, Urban and Social Studies, RMIT University, Melbourne, VIC, Australia
| | - Chris Maylea
- School of Law, La Trobe University, Melbourne, VIC, Australia
| | - Grace McLoughlan
- School of Global, Urban and Social Studies, RMIT University, Melbourne, VIC, Australia
| | - Russell Roberts
- School of Business, Charles Sturt University, Bathurst, NSW, Australia
| | - Stuart D. M. Thomas
- School of Global, Urban and Social Studies, RMIT University, Melbourne, VIC, Australia
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23
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Patrick PM, Reupert AE, McLean LA, Berger E. Developing a Support Program for Adult Children of Parents with Mental Illness: A Delphi Study. Community Ment Health J 2023; 59:209-221. [PMID: 35778634 PMCID: PMC9859908 DOI: 10.1007/s10597-022-00999-7] [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: 08/07/2021] [Accepted: 06/09/2022] [Indexed: 01/25/2023]
Abstract
Parental mental illness can have long-lasting impacts on a child's life. Although programs exist in supporting the needs of young children, there remains a paucity in programs that address the needs of adult children. A two-round Delphi study with adult children, academics and clinicians who have experience with parental mental illness was employed. A total of 45 and 24 participants participated in rounds one and two respectively. Open-ended questions in round one around program design and content were thematically analysed, and subsequently rated in round two. Adult children specifically identified four topics of need: (i) managing multiple roles, (ii) emotional regulation, (iii) setting relational boundaries and (iv) transition to parenthood. Current results provide the foundation for the development of modular programs that could be pilot tested with adult children who grew up with parents with mental illness.
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Affiliation(s)
- Pamela M Patrick
- Faculty of Education, School of Educational Psychology & Counselling, Monash University, 19 Ancora Imparo Way, Clayton, VIC, 3800, Australia.
| | - Andrea E Reupert
- Faculty of Education, School of Educational Psychology & Counselling, Monash University, 19 Ancora Imparo Way, Clayton, VIC, 3800, Australia
| | - Louise A McLean
- Faculty of Education, School of Educational Psychology & Counselling, Monash University, 19 Ancora Imparo Way, Clayton, VIC, 3800, Australia
| | - Emily Berger
- Faculty of Education, School of Educational Psychology & Counselling, Monash University, 19 Ancora Imparo Way, Clayton, VIC, 3800, Australia
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Colder Carras M, Machin K, Brown M, Marttinen TL, Maxwell C, Frampton B, Jackman M, Jones N. Strengthening Review and Publication of Participatory Mental Health Research to Promote Empowerment and Prevent Co-optation. Psychiatr Serv 2023; 74:166-172. [PMID: 35983659 DOI: 10.1176/appi.ps.20220085] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
As reviewers, editors, and researchers with lived experience of mental health challenges, addiction, and/or psychosocial distress/disability, the authors have struggled to find an adequate way to address inappropriate or misleading use of the term "participatory methods" to describe research that involves people with lived experience in only a superficial or tokenistic manner. The authors of this article have found that, in their experience, editors or other reviewers often appear to give authors extensive leeway on claims of participatory methods that more accurately reflect tokenism or superficial involvement. The problem of co-optation is described, examples from the authors' experiences are given, the potential harms arising from co-optation are articulated, and a series of concrete actions that journal editors, reviewers, and authors can take to preserve the core intent of participatory approaches are offered. The authors conclude with a call to action: the mental health field must ensure that power imbalances that sustain epistemic injustice against people with lived experience are not worsened by poorly conducted or reported studies or by tokenistic participatory methods.
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Affiliation(s)
- Michelle Colder Carras
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Colder Carras); Survivor Researcher Network, Birmingham, United Kingdom (Machin); Department of Psychiatry, Grossman School of Medicine, New York University, New York City (Brown); School of History, Philosophy and Culture, Oxford Brookes University, Oxford, United Kingdom (Marttinen); School of Psychology, University of East London, London (Maxwell); mental health services consultant, Aylmer, Canada (Frampton); The Australian Centre for Living Experience, Melbourne, Australia (Jackman); School of Social Work, University of Pittsburgh, Pittsburgh (Jones)
| | - Karen Machin
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Colder Carras); Survivor Researcher Network, Birmingham, United Kingdom (Machin); Department of Psychiatry, Grossman School of Medicine, New York University, New York City (Brown); School of History, Philosophy and Culture, Oxford Brookes University, Oxford, United Kingdom (Marttinen); School of Psychology, University of East London, London (Maxwell); mental health services consultant, Aylmer, Canada (Frampton); The Australian Centre for Living Experience, Melbourne, Australia (Jackman); School of Social Work, University of Pittsburgh, Pittsburgh (Jones)
| | - Marie Brown
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Colder Carras); Survivor Researcher Network, Birmingham, United Kingdom (Machin); Department of Psychiatry, Grossman School of Medicine, New York University, New York City (Brown); School of History, Philosophy and Culture, Oxford Brookes University, Oxford, United Kingdom (Marttinen); School of Psychology, University of East London, London (Maxwell); mental health services consultant, Aylmer, Canada (Frampton); The Australian Centre for Living Experience, Melbourne, Australia (Jackman); School of Social Work, University of Pittsburgh, Pittsburgh (Jones)
| | - Terry-Lee Marttinen
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Colder Carras); Survivor Researcher Network, Birmingham, United Kingdom (Machin); Department of Psychiatry, Grossman School of Medicine, New York University, New York City (Brown); School of History, Philosophy and Culture, Oxford Brookes University, Oxford, United Kingdom (Marttinen); School of Psychology, University of East London, London (Maxwell); mental health services consultant, Aylmer, Canada (Frampton); The Australian Centre for Living Experience, Melbourne, Australia (Jackman); School of Social Work, University of Pittsburgh, Pittsburgh (Jones)
| | - Charlotte Maxwell
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Colder Carras); Survivor Researcher Network, Birmingham, United Kingdom (Machin); Department of Psychiatry, Grossman School of Medicine, New York University, New York City (Brown); School of History, Philosophy and Culture, Oxford Brookes University, Oxford, United Kingdom (Marttinen); School of Psychology, University of East London, London (Maxwell); mental health services consultant, Aylmer, Canada (Frampton); The Australian Centre for Living Experience, Melbourne, Australia (Jackman); School of Social Work, University of Pittsburgh, Pittsburgh (Jones)
| | - Barbara Frampton
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Colder Carras); Survivor Researcher Network, Birmingham, United Kingdom (Machin); Department of Psychiatry, Grossman School of Medicine, New York University, New York City (Brown); School of History, Philosophy and Culture, Oxford Brookes University, Oxford, United Kingdom (Marttinen); School of Psychology, University of East London, London (Maxwell); mental health services consultant, Aylmer, Canada (Frampton); The Australian Centre for Living Experience, Melbourne, Australia (Jackman); School of Social Work, University of Pittsburgh, Pittsburgh (Jones)
| | - Matthew Jackman
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Colder Carras); Survivor Researcher Network, Birmingham, United Kingdom (Machin); Department of Psychiatry, Grossman School of Medicine, New York University, New York City (Brown); School of History, Philosophy and Culture, Oxford Brookes University, Oxford, United Kingdom (Marttinen); School of Psychology, University of East London, London (Maxwell); mental health services consultant, Aylmer, Canada (Frampton); The Australian Centre for Living Experience, Melbourne, Australia (Jackman); School of Social Work, University of Pittsburgh, Pittsburgh (Jones)
| | - Nev Jones
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Colder Carras); Survivor Researcher Network, Birmingham, United Kingdom (Machin); Department of Psychiatry, Grossman School of Medicine, New York University, New York City (Brown); School of History, Philosophy and Culture, Oxford Brookes University, Oxford, United Kingdom (Marttinen); School of Psychology, University of East London, London (Maxwell); mental health services consultant, Aylmer, Canada (Frampton); The Australian Centre for Living Experience, Melbourne, Australia (Jackman); School of Social Work, University of Pittsburgh, Pittsburgh (Jones)
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25
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Happell B, Gordon S, Sharrock J, Donovan AO, Kenny N, Warner T. There is something about oppression: Allies' perspectives on challenges in relationships with experts by experience. Int J Ment Health Nurs 2023; 32:744-754. [PMID: 36645058 DOI: 10.1111/inm.13117] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/28/2022] [Indexed: 01/17/2023]
Abstract
The genuine and meaningful involvement of Experts by Experience in the education of health professionals has consistently demonstrated positive attitudinal change in students. These changes are essential if policy goals for recovery-oriented services and service user participation in mental health services are to be realized. To date academic roles for Experts by Experience have often relied on the support of allies. Despite the important role allies play, research investigating their experiences is limited. The aim of this research was to explore allies' views on supporting implementation of the academic positions for Experts by Experience. A qualitative exploratory study was undertaken involving in-depth interviews with 16 allies. Data were analysed thematically. Challenges that can exist between allies and Experts by Experience was one theme identified from the data. Allies described occasional difficulties in their relationships with Experts by Experience where they felt they were perceived as representative of members of their broader profession with whom Experts by Experience had negative experiences. The perspectives of allies are presented in four subthemes: relationships imbedded in history; consequences of interpersonal stigma; supportive, protective or paternalistic?; and the passion remains, which describes allies' ongoing commitment to supporting Expert by Experience involvement. Understanding the challenges can assist allies to respond appropriately in a non-judgemental and supportive manner. Trauma informed practice may provide a useful framework to address conflicts and facilitate more positive relationships between allies and Experts by Experience. These positive relationships are essential to maximize the positive benefits of Experts by Experience on future clinicians.
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Affiliation(s)
- Brenda Happell
- Faculty of Health, Southern Cross University, East Lismore, New South Wales, Australia.,Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland
| | - Sarah Gordon
- Department of Psychological Medicine, School of Medicine and Health Sciences, University of Otago, Wellington, New Zealand
| | - Julie Sharrock
- Faculty of Health, Southern Cross University, East Lismore, New South Wales, Australia
| | - Aine O' Donovan
- School of Nursing and Midwifery, University College Cork, Cork, Ireland
| | - Nuala Kenny
- Health Service Executive Bantry, Cork, Ireland.,Expert by Experience, School of Nursing and Midwifery, University College Cork, Cork, Ireland
| | - Terri Warner
- ANU Medical School, Australian National University, Acton, Australian Capital Territory, Australia.,ACT Mental Health Consumer Network, Canberra, Australian Capital Territory, Australia
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26
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McIntyre H, Reeves V, Loughhead M, Hayes L, Procter N. Communication pathways from the emergency department to community mental health services: A systematic review. Int J Ment Health Nurs 2022; 31:1282-1299. [PMID: 35598319 PMCID: PMC9790581 DOI: 10.1111/inm.13024] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/30/2022] [Indexed: 12/30/2022]
Abstract
This systematic review synthesizes existing peer reviewed evidence reporting on evaluated strategies used for enhancing communication pathways for continuity of care between the emergency department and mental health community supports. Following the PRISMA guidelines and the PICO framework, this review was conducted between January and July 2021. Included articles needed to evaluate communication pathway interventions for continuity of care between the emergency department and mental health community services which support service users with mental health and/or suicidal crisis. The seven included studies identified three support coordination interventions, two motivational interviewing interventions, an electronic record enhanced strategy and results from a phone follow-up study. This review demonstrates that support coordination, motivational interviewing, education, or an enhanced electronic record strategy can improve continuity of care, and in some cases, reduce the need for people to re-present to ED when they are experiencing mental health concerns or suicidal crisis. Results of this review reveal that a multipronged approach of communication pathways for continuity of care would enable more effective connections with mental health community supports and enable better outcomes for people requiring services.
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Affiliation(s)
- Heather McIntyre
- University of South Australia, Adelaide, South Australia, Australia
| | - Verity Reeves
- University of South Australia, Adelaide, South Australia, Australia
| | - Mark Loughhead
- University of South Australia, Adelaide, South Australia, Australia
| | - Laura Hayes
- MIND Australia, Heidelberg, Victoria, Australia
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27
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Abstract
This perspective paper aims to present a personal viewpoint on the impact of psychiatric discourse on the principles of recovery in mental health care. Mental health services espouse these principles, yet psychiatric discourse remains the dominant model. A critical analysis will examine how psychiatry maintains this dominance. The aim is to examine how psychiatric discourse constructs both the nature of mental distress and its treatment, and how it maintains its power as the dominant authority and its relationship to recovery principles. The paper concludes that psychiatric discourse is the antithesis of recovery principles and that its authority is perpetuated through co-opting a medical explanatory model, claiming expertise in the ability to predict social risk, and maintaining a tightly controlled echo chamber. A way forward involves the dismantling of the hierarchical service delivery model based on psychiatric discourse and replacing it with a more horizontal service delivery model in which the lived experience of mental distress is central. Regular audit of services needs to prioritize recovery principles. The implications for mental health nursing are considered.
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Affiliation(s)
- Marie Crowe
- Department of Psychological Medicine, University of Otago, Christchurch, New Zealand
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28
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Okoli CZ. Board of Directors' Column: Novel IDEAS Moving Whole Health Forward. J Am Psychiatr Nurses Assoc 2022; 28:488-490. [PMID: 36267003 DOI: 10.1177/10783903221130034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Chizimuzo Zim Okoli
- Chizimuzo (Zim) Okoli, PhD, MPH, MSN, PMHNP-BC, FAAN, American Psychiatric Nurses Association, Falls Church, VA, USA
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29
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Banfield M, Fitzpatrick SJ, Lamb H, Giugni M, Calear AL, Stewart E, Pavloudis M, Ellen L, Sargent G, Skeat H, Edwards B, Miller B, Gulliver A, Ellis LA, Bliokas V, Goj P, Lee M, Stewart K, Webb G, Main M, Lumby C, Wells K, McKay C, Batterham PJ, Morse AR, Shand F. Co-creating safe spaces: Study protocol for translational research on innovative alternatives to the emergency department for people experiencing emotional distress and/or suicidal crisis. PLoS One 2022; 17:e0272483. [PMID: 36190989 PMCID: PMC9529138 DOI: 10.1371/journal.pone.0272483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 07/12/2022] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Safe spaces are an alternative to emergency departments, which are often unable to provide optimum care for people experiencing emotional distress and/or suicidal crisis. At present, there are several different safe space models being trialled in Australia. However, research examining the effectiveness of safe space models, especially in community settings, is rare. In this paper, we present a protocol for a study in which we will investigate the implementation, effectiveness, and sustainability of safe space models as genuine alternatives for people who might usually present to the emergency department or choose not to access help due to past negative experiences. MATERIAL AND METHODS We will use a mixed methods, co-designed study design, conducted according to the principles of community-based participatory research to obtain deep insights into the benefits of different safe space models, potential challenges, and facilitators of effective practice. We developed the study plan and evaluation framework using the RE-AIM framework, and this will be used to assess key outcomes related to reach, effectiveness, adoption, implementation, and maintenance. Data collection will comprise quantitative measures on access, use, satisfaction, (cost) effectiveness, distress, and suicidal ideation; and qualitative assessments of service implementation, experience, feasibility, acceptability, community awareness, and the fidelity of the models to service co-design. Data will be collected and analysed concurrently throughout the trial period of the initiatives. DISCUSSION This study will enable an extensive investigation of safe spaces that will inform local delivery and provide a broader understanding of the key features of safe spaces as acceptable and effective alternatives to hospital-based care for people experiencing emotional distress and/or suicidal crisis. This study will also contribute to a growing body of research on the role and benefits of peer support and provide critical new knowledge on the successes and challenges of service co-design to inform future practice.
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Affiliation(s)
- Michelle Banfield
- Centre for Mental Health Research, The Australian National University, Australian Capital Territory, Australia
| | - Scott J. Fitzpatrick
- Centre for Mental Health Research, The Australian National University, Australian Capital Territory, Australia
| | - Heather Lamb
- Centre for Mental Health Research, The Australian National University, Australian Capital Territory, Australia
| | - Melanie Giugni
- Centre for Mental Health Research, The Australian National University, Australian Capital Territory, Australia
| | - Alison L. Calear
- Centre for Mental Health Research, The Australian National University, Australian Capital Territory, Australia
| | - Erin Stewart
- ACT Mental Health Consumer Network, Australian Capital Territory, Australia
| | - Maree Pavloudis
- ACT Mental Health Consumer Network, Australian Capital Territory, Australia
| | - Lucy Ellen
- Centre for Social Research & Methods, The Australian National University, Australian Capital Territory, Australia
| | - Ginny Sargent
- Population Health Exchange, The Australian National University, Australian Capital Territory, Australia
| | - Helen Skeat
- Population Health Exchange, The Australian National University, Australian Capital Territory, Australia
| | | | - Benn Miller
- Towards Zero Suicides Initiatives, South Western Sydney Local Health District, Sydney, Australia
| | - Amelia Gulliver
- Centre for Mental Health Research, The Australian National University, Australian Capital Territory, Australia
| | - Louise A. Ellis
- Australian Institute of Health Innovation, Macquarie University, Sydney, Australia
| | - Vida Bliokas
- School of Psychology, University of Wollongong, Wollongong, Australia
| | - Purity Goj
- ACT Health Directorate, Australian Capital Territory, Australia
| | - Melissa Lee
- ACT Health Directorate, Australian Capital Territory, Australia
| | | | - Glenda Webb
- Towards Zero Suicides Initiatives, South Western Sydney Local Health District, Sydney, Australia
| | - Merkitta Main
- South Western Sydney Local Health District, Sydney, Australia
| | - Carrie Lumby
- Illawarra Shoalhaven Suicide Prevention Collaborative, Wollongong, Australia
| | - Kelly Wells
- Adelaide Primary Health Network, Adelaide, Australia
| | - Carolyn McKay
- Black Dog Institute, University of New South Wales, Sydney, Australia
| | - Philip J. Batterham
- Centre for Mental Health Research, The Australian National University, Australian Capital Territory, Australia
| | - Alyssa R. Morse
- Centre for Mental Health Research, The Australian National University, Australian Capital Territory, Australia
| | - Fiona Shand
- Black Dog Institute, University of New South Wales, Sydney, Australia
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30
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Boschen K, Phelan C, Lawn S. NDIS Participants with Psychosocial Disabilities and Life-Limiting Diagnoses: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10144. [PMID: 36011776 PMCID: PMC9407781 DOI: 10.3390/ijerph191610144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 08/11/2022] [Accepted: 08/12/2022] [Indexed: 06/15/2023]
Abstract
This research aimed to map evidence about system supports and gaps for Australians with psychosocial disabilities and life-limiting diagnoses. A scoping review of available policy documents, academic, and grey literature was completed to discover key characteristics of this concept and provide context around the phenomenon. Our focus was on Australia's National Disability Insurance Scheme (NDIS), a key reform providing support to the disability population nationally. No peer-reviewed or grey literature was retrieved on the phenomena. Therefore, three lines of enquiry were developed: experiences of NDIS participants living with psychosocial disabilities; the death, dying, and palliative care supports and experiences of NDIS participants of any disability type; and the experiences for people living with severe and persistent mental illness (SPMI) and life-limiting diagnoses. Five themes were identified: (1) the person; (2) advocacy; (3) informal supports; (4) formal supports; and (5) existing research. NDIS participants living with SPMI and their informal and formal support systems are still struggling to navigate the NDIS. While there are no specific publications about their end-of-life experiences, people with SPMI often experience poor end-of-life outcomes. Rigorous research into their death, dying, and palliative care experiences is needed to inform improved support to them, including their end-of-life care.
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Affiliation(s)
- Kathy Boschen
- College of Medicine and Public Health, Flinders University, Adelaide, SA 5050, Australia
| | - Caroline Phelan
- College of Nursing and Health Sciences, Flinders University, Adelaide, SA 5050, Australia
| | - Sharon Lawn
- College of Medicine and Public Health, Flinders University, Adelaide, SA 5050, Australia
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31
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Loughhead M, Hodges E, McIntyre H, Procter NG, Barbara A, Bickley B, Harris G, Huber L, Martinez L. A model of lived experience leadership for transformative systems change: Activating Lived Experience Leadership (ALEL) project. Leadersh Health Serv (Bradf Engl) 2022; ahead-of-print. [PMID: 35943397 DOI: 10.1108/lhs-04-2022-0045] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
PURPOSE This discursive paper presents a lived experience leadership model as developed as part of the Activating Lived Experience Leadership (ALEL) project project to increase the recognition and understanding of lived experience leadership in mental health and social sectors. The model of lived experience leadership was formulated through a collaboration between the South Australian Lived Experience Leadership & Advocacy Network and the Mental Health and Suicide Prevention Research and Education Group. DESIGN/METHODOLOGY/APPROACH As one of the outcomes of the ALEL research project, this model incorporates findings from a two-year research project in South Australia using participatory action research methodology and cocreation methodology. Focus groups with lived experience leaders, interviews with sector leaders and a national survey of lived experience leaders provided the basis of qualitative data, which was interpreted via an iterative and shared analysis. This work identified intersecting lived experience values, actions, qualities and skills as characteristics of effective lived experience leadership and was visioned and led by lived experience leaders. FINDINGS The resulting model frames lived experience leadership as a social movement for recognition, inclusion and justice and is composed of six leadership actions: centres lived experience; stands up and speaks out; champions justice; nurtures connected and collective spaces; mobilises strategically; and leads change. Leadership is also guided by the values of integrity, authenticity, mutuality and intersectionality, and the key positionings of staying peer and sharing power. ORIGINALITY/VALUE This model is based on innovative primary research, which has been developed to encourage understanding across mental health and social sectors on the work of lived experience leaders in seeking change and the value that they offer for systems transformation. It also offers unique insights to guide reflective learning for the lived experience and consumer movement, workers, clinicians, policymakers and communities.
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Affiliation(s)
- Mark Loughhead
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, Australia
| | - Ellie Hodges
- Lived Experience Leadership and Advocacy Network SA, Adelaide, Australia
| | - Heather McIntyre
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, Australia
| | - Nicholas Gerard Procter
- Mental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, Australia
| | - Anne Barbara
- Lived Experience Leadership and Advocacy Network SA, Adelaide, Australia
| | - Brooke Bickley
- Lived Experience Leadership and Advocacy Network SA, Adelaide, Australia
| | - Geoff Harris
- Mental Health Coalition of South Australia Inc., North Adelaide, Australia
| | - Lisa Huber
- Department of Health and Wellbeing, Government of South Australia, Adelaide, Australia
| | - Lee Martinez
- Department of Rural Health, University of South Australia, Adelaide, Australia
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32
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Parker E, Banfield M. Consumer Perspectives on Anxiety Management in Australian General Practice. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095706. [PMID: 35565105 PMCID: PMC9103805 DOI: 10.3390/ijerph19095706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 05/03/2022] [Accepted: 05/04/2022] [Indexed: 11/16/2022]
Abstract
The aim of the current study was to explore consumer views on the management of anxiety in general practice, which is often the first service from which a consumer seeks professional support. We used a mixed methods survey to explore three broad research questions: (1) what are consumer experiences of anxiety management in general practice, (2) what do consumers prioritise when considering treatment for anxiety and what are their preferences for type of treatment, and (3) how do consumers think care for anxiety could be improved? Consumers reported generally positive views of their GP when seeking help for anxiety, though they had mixed experiences of the approach taken to treatment. Consumers noted that they prioritise effective treatment above other factors and are less concerned with how quickly their treatment works. A preference for psychological intervention or combined treatment with medication was apparent. Consumers noted that key areas for improving care for anxiety were improving access and funding for psychological treatments, increasing community knowledge about anxiety, and reducing stigma.
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Affiliation(s)
- Erin Parker
- Research School of Psychology, Australian National University, Canberra 2601, Australia
- Correspondence: (E.P.); (M.B.)
| | - Michelle Banfield
- Centre for Mental Health Research, Australian National University, Canberra 2601, Australia
- Correspondence: (E.P.); (M.B.)
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33
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Desborough J, Parkinson A, Lewis F, Ebbeck H, Banfield M, Phillips C. A framework for involving coproduction partners in research about young people with type 1 diabetes. Health Expect 2021; 25:430-442. [PMID: 34890473 PMCID: PMC8849360 DOI: 10.1111/hex.13403] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Revised: 06/24/2021] [Accepted: 11/14/2021] [Indexed: 12/02/2022] Open
Abstract
Background Involvement of end‐users in research can enhance its quality, relevance, credibility and legitimacy; however, the processes through which these changes occur are unclear. Our aim was to explore a coproduction research team's experiences of their involvement in research about young people with type 1 diabetes mellitus (T1DM). Methods Semi‐structured interviews conducted with two young people with T1DM, two parents, one diabetes educator, one endocrinologist‐scientist and one research‐engineer explored experiences of coproduction research and its impact on both the research and the participants. Drawing on grounded theory, we undertook inductive analysis and storyline mapping to develop a theorized framework of mechanisms supporting the process of coproduction in T1DM research with young people. Findings The framework involving coproduction partners in research about young people with type 1 diabetes centres on the unique expertize that different team members bring to the research and describes conditions that enable expert contributions through the enactment of a variety of expert roles. The framework also describes outcomes—the impact of the expert contributions on both the research and the team members involved. Conclusion The findings of this small exploratory study provide a sound foundation to develop further understanding about structures and processes that are integral for the success of coproduction research teams. The framework may provide a guide for researchers planning to incorporate coproduction, on elements that are important for this model of research to succeed. It may also inform coproduction impact assessment research and be used for hypothesis testing and expansion in future studies.
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Affiliation(s)
- Jane Desborough
- Department of Health Services, Research and Policy, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Anne Parkinson
- Department of Health Services, Research and Policy, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Fiona Lewis
- Australian National University Medical School, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Harry Ebbeck
- Department of Health Services, Research and Policy, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Michelle Banfield
- Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Christine Phillips
- Australian National University Medical School, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia
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34
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Palmer VJ, Chondros P, Furler J, Herrman H, Pierce D, Godbee K, Densley K, Gunn JM. The CORE study-An adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: A stepped wedge cluster randomized-controlled trial. Health Expect 2021; 24:1948-1961. [PMID: 34350669 PMCID: PMC8628597 DOI: 10.1111/hex.13334] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 07/17/2021] [Accepted: 07/19/2021] [Indexed: 01/11/2023] Open
Abstract
BACKGROUND Mental health policies outline the need for codesign of services and quality improvement in partnership with service users and staff (and sometimes carers), and yet, evidence of systematic implementation and the impacts on healthcare outcomes is limited. OBJECTIVE The aim of this study was to test whether an adapted mental health experience codesign intervention to improve recovery-orientation of services led to greater psychosocial recovery outcomes for service users. DESIGN A stepped wedge cluster randomized-controlled trial was conducted. SETTING AND PARTICIPANTS Four Mental Health Community Support Services providers, 287 people living with severe mental illnesses, 61 carers and 120 staff were recruited across Victoria, Australia. MAIN OUTCOME MEASURES The 24-item Revised Recovery Assessment Scale (RAS-R) measured individual psychosocial recovery. RESULTS A total of 841 observations were completed with 287 service users. The intention-to-treat analysis found RAS-R scores to be similar between the intervention (mean = 84.7, SD= 15.6) and control (mean = 86.5, SD= 15.3) phases; the adjusted estimated difference in the mean RAS-R score was -1.70 (95% confidence interval: -3.81 to 0.40; p = .11). DISCUSSION This first trial of an adapted mental health experience codesign intervention for psychosocial recovery outcomes found no difference between the intervention and control arms. CONCLUSIONS More attention to the conditions that are required for eight essential mechanisms of change to support codesign processes and implementation is needed. PATIENT AND PUBLIC INVOLVEMENT The State consumer (Victorian Mental Illness Awareness Council) and carer peak bodies (Tandem representing mental health carers) codeveloped the intervention. The adapted intervention was facilitated by coinvestigators with lived-experiences who were coauthors for the trial and process evaluation protocols, the engagement model and explanatory model of change for the trial.
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Affiliation(s)
- Victoria J. Palmer
- The Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, Melbourne Medical SchoolThe University of MelbourneParkvilleVictoriaAustralia
- The ALIVE National Centre for Mental Health Research TranslationThe University of MelbourneParkvilleVictoriaAustralia
| | - Patty Chondros
- The Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, Melbourne Medical SchoolThe University of MelbourneParkvilleVictoriaAustralia
- The ALIVE National Centre for Mental Health Research TranslationThe University of MelbourneParkvilleVictoriaAustralia
| | - John Furler
- The Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, Melbourne Medical SchoolThe University of MelbourneParkvilleVictoriaAustralia
| | - Helen Herrman
- Orygen, The National Centre of Excellence in Youth Mental HealthThe University of MelbourneParkvilleVictoriaAustralia
| | - David Pierce
- Department of Rural HealthThe University of MelbourneBallaratVictoriaAustralia
| | - Kali Godbee
- The Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, Melbourne Medical SchoolThe University of MelbourneParkvilleVictoriaAustralia
| | - Konstancja Densley
- The Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, Melbourne Medical SchoolThe University of MelbourneParkvilleVictoriaAustralia
- The ALIVE National Centre for Mental Health Research TranslationThe University of MelbourneParkvilleVictoriaAustralia
| | - Jane M. Gunn
- The Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, Melbourne Medical SchoolThe University of MelbourneParkvilleVictoriaAustralia
- The ALIVE National Centre for Mental Health Research TranslationThe University of MelbourneParkvilleVictoriaAustralia
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Happell B, Gordon S, Roper C, Ellis P, Waks S, Warner T, Scholz B, Platania-Phung C. Establishing an expert mental health consumer research group: Perspectives of nonconsumer researchers. Perspect Psychiatr Care 2021; 57:33-42. [PMID: 32346891 DOI: 10.1111/ppc.12520] [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] [Received: 02/24/2020] [Revised: 03/29/2020] [Accepted: 04/12/2020] [Indexed: 01/09/2023] Open
Abstract
PURPOSE To explore the views and opinions of nonconsumer researchers to the concept of an Expert Consumer Researcher Group. DESIGN AND METHODS Qualitative exploratory involving individual interviews with nonconsumer mental health researchers experienced in working collaboratively with consumer researchers. Data were analyzed thematically. FINDINGS Participants viewed the concept positively, albeit with caution. Perceived advantages included: greater visibility and enhanced access; collegiality; sharing and creating expertise; broader acceptance; making it mandatory; and structure and location. Participants were concerned about potential tokenism and implementation barriers. PRACTICE IMPLICATIONS Consumer involvement enhances the quality and relevance of research, potentially impacting clinical practice.
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Affiliation(s)
- Brenda Happell
- School of Nursing and Midwifery, and Hunter Medical Research Institute, University of Newcastlee, Callaghan, New South Wales, Australia
| | - Sarah Gordon
- Department of Psychological Medicine, School of Medicine and Health Sciences, University of Otago, Wellington, Wellington South, New Zealand
| | - Cath Roper
- Centre for Psychiatric Nursing, Department of Nursing, Faculty of Health Sciences, The University of Melbourne, Carlton, Victoria, Australia
| | - Pete Ellis
- Department of Psychological Medicine, School of Medicine and Health Sciences, University of Otago, Wellington, Wellington South, New Zealand
| | - Shifra Waks
- School of Nursing and Midwifery, University of Newcastle, Callaghan, New South Wales, Australia
| | - Terri Warner
- ANU Medical School, College of Health and Medicine, The Australian National University, Canberra, Australian Capital Territory, Australia.,ACT Mental Health Consumer Network, Canberra, Australian Capital Territory, Australia
| | - Brett Scholz
- ANU Medical School, College of Health and Medicine, The Australian National University, Canberra, Australian Capital Territory, Australia
| | - Chris Platania-Phung
- Australian College of Applied Psychology, Melbourne, Victoria, Australia.,School of Nursing and Midwifery, University of Newcastle, Callaghan, New South Wales, Australia
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Gordon S, Dowell T, Fedchuk D, Gardiner T, Garrett S, Hilder J, Mathieson F, Stubbe M, Tester R. Reflections on allyship in the context of a co-produced evaluation of a youth-integrated therapies mental health intervention. QUALITATIVE RESEARCH IN PSYCHOLOGY 2020. [DOI: 10.1080/14780887.2020.1769240] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Sarah Gordon
- University of Otago Wellington, Department of Psychological Medicine, Wellington, New Zealand
| | - Tony Dowell
- University of Otago Wellington, Department of Primary Health Care and General Practice, Wellington, New Zealand
| | - Dasha Fedchuk
- University of Otago Wellington, Department of Primary Health Care and General Practice, Wellington, New Zealand
| | - Tracey Gardiner
- University of Otago Wellington, Department of Psychological Medicine, Wellington, New Zealand
| | - Sue Garrett
- University of Otago Wellington, Department of Primary Health Care and General Practice, Wellington, New Zealand
| | - Jo Hilder
- University of Otago Wellington, Department of Primary Health Care and General Practice, Wellington, New Zealand
| | - Fiona Mathieson
- University of Otago Wellington, Department of Psychological Medicine, Wellington, New Zealand
| | - Maria Stubbe
- University of Otago Wellington, Department of Primary Health Care and General Practice, Wellington, New Zealand
| | - Rachel Tester
- University of Otago Wellington, Department of Primary Health Care and General Practice, Wellington, New Zealand
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Byrne L, Wykes T. A role for lived experience mental health leadership in the age of Covid-19. J Ment Health 2020; 29:243-246. [DOI: 10.1080/09638237.2020.1766002] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Louise Byrne
- Fulbright Fellow, Lived Experience Researcher, School of Management, RMIT University, Melbourne, Australia
- Program for Recovery and Community Health, Department of Psychiatry, School of Medicine, Yale, New Haven, CT, USA
| | - Til Wykes
- Professor of Clinical Psychology, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
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