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Isaak CA, Nelson G, Roebuck M, Aubry T, Macnaughton E, Kirst M, O'Campo P, Woodhall-Melnik J, Agha A, Faruquzzaman O, Purcell S. Females and Housing First: An analysis of 18-month outcomes in a randomized controlled trial. JOURNAL OF COMMUNITY PSYCHOLOGY 2024; 52:817-834. [PMID: 39030977 DOI: 10.1002/jcop.23131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 06/18/2024] [Accepted: 06/26/2024] [Indexed: 07/22/2024]
Abstract
The main objective of this research was to qualitatively examine the impacts of Housing First (HF) specifically on those participants who identified themselves as female in response to question asking what their gender was. The data analyzed are from a larger, muti-site, randomized controlled trial. χ2 analysis was used to compare the life changes (coded as positive, neutral, or negative) experienced by 64 females (42 HF and 22 TAU). An in-depth qualitative analysis was conducted on 45 of these participants (23 HF and 22 TAU). Significantly more female HF participants reported making positive life changes from baseline to 18-month than those in TAU. Relative to females in TAU, female HF participants reported a number of specific positive changes, including enhanced safety, improved recovery in mental illness, greater reductions in drug use, and individual changes. The implications of findings for strengthening HF programs to meet the unique needs of female participants are discussed.
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Affiliation(s)
- Corinne A Isaak
- Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Geoffrey Nelson
- Department of Community Psychology, Wilfrid Laurier University, Waterloo, Ontario, Canada
| | - Maryann Roebuck
- School of Psychology, University of Ottawa, Ottawa, Ontario, Canada
| | - Tim Aubry
- School of Psychology, University of Ottawa, Ottawa, Ontario, Canada
| | - Eric Macnaughton
- School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada
| | - Maritt Kirst
- Department of Community Psychology, Wilfrid Laurier University, Waterloo, Ontario, Canada
| | | | - Julia Woodhall-Melnik
- Department of Social Science, University of New Brunswick, Fredericton, New Brunswick, Canada
| | - Ayda Agha
- School of Psychology, University of Ottawa, Ottawa, Ontario, Canada
| | - Oeishi Faruquzzaman
- Department of Community Psychology, Wilfrid Laurier University, Waterloo, Ontario, Canada
| | - Sarah Purcell
- Department of Social Science, University of New Brunswick, Fredericton, New Brunswick, Canada
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Maybery D, Grant A, Piché G, Yates S, Ruud T, Dunkley-Smith A, Davidson G. Summarising Quantitative Outcomes in Parental Mental Illness Research. Int J Ment Health Nurs 2024. [PMID: 39020472 DOI: 10.1111/inm.13385] [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: 03/14/2024] [Accepted: 06/19/2024] [Indexed: 07/19/2024]
Abstract
A quarter of all children grow up in a family where a parent experiences a mental illness (FaPMI). Research activity in this area is growing rapidly and it is now critical to better understand the extant knowledge in the field. This scoping review of quantitative FaPMI literature parallels a qualitative literature review and a series of Delphi studies with key stakeholders (e.g. lived experience and clinicians), that is part of a larger program of research to achieve consensus regarding the direction of FaPMI research; including making recommendations about outcomes and measures. The programme of research aims to promote and facilitate greater comparison and learning across studies and settings. Initially this scoping review summarises the quality and focus (e.g. country and sampling) of 50 quantitative studies from 2000 to 2023 and then classifies studies according to outcomes for parents, children and families. Six to eleven years were the most common child sample group and girls were slightly underrepresented (49/51) and parents were 88% mothers. Analogous parent and child outcomes were; mental illness/psychopathology, wellbeing, mental health literacy, trauma and stressful experiences, coping, help seeking/service need, within family relationships and supports, outside family relationships and supports. Additional outcomes for parents were; parenting skills, parent competence and parenting stress and for children in relation to their; cognitive functioning and caregiving. The family related outcomes were the within and outside family relationships and supports. Since 2000 there have been 136 different survey instruments employed with approximately 80% used in only one study. This suggests that the broader goals of the program of research are warranted as there is a need for less heterogeneity in measures used. Suggested areas for future research include a sampling focus on fathers, economic evaluations of programs, parent mental health literacy, trauma, genetics and integrating well-being concepts into research designs. Child research should focus on mental health literacy, the level and impact of caring responsibilities, assessing past trauma and the roles of close family and external supports.
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Affiliation(s)
- Darryl Maybery
- School of Rural Health, Monash University, Melbourne, Victoria, Australia
| | - Anne Grant
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
| | - Geneviève Piché
- Département de Psychologie et de Psychoéducation, Université du Québec en Outaouais, Saint-Jerome, Quebec, Canada
| | | | - Torleif Ruud
- Akershus University Hospital, Oslo, Norway
- Clinic for Health Services Research and Psychiatry, University of Oslo, Oslo, Norway
| | - Addy Dunkley-Smith
- School of Rural Health, Monash University, Melbourne, Victoria, Australia
| | - Gavin Davidson
- School of Social Sciences, Education and Social Work, Queen's University Belfast, Belfast, UK
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Cano-Prieto I, Prat-Vigué G, Vilanova-Masana R, Guillaume-Cornet A, Giralt Palou R, Lana-Francos G, Simó-Algado S. MOSAIC, an example of comprehensive and integrated social and health care: care and practices oriented towards personal recovery. FRONTIERS IN HEALTH SERVICES 2023; 3:1174594. [PMID: 37600925 PMCID: PMC10437109 DOI: 10.3389/frhs.2023.1174594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Accepted: 07/17/2023] [Indexed: 08/22/2023]
Abstract
Background The Mosaic project is a socio-health integration model that promotes the personal recovery of people with severe mental illness in a territory of Central Catalonia: the Bages region. The recovery approach in mental health care promotes meaningful activities and social inclusion for people with mental health disorders. The aim of this study is to examine the relationship between the level of meaningful activities and other factors associated with the mental health recovery model. Methods A cross-sectional design was used. Participants (n = 59) signed an informed consent and completed the following standardized instruments: Engagement in Meaningful Activities Survey; The Connor-Davidson Resilience Scale; Hert Hope Scale; and Recovery Assessment Scale. Results A Pearson correlation test was performed between the level of meaningful activities and life satisfaction, resilience, hope, and recovery. These data indicate that the amount of meaningful activities are strongly associated with variables related to the personal recovery process from mental health problems. Conclusions The integration process of MOSAIC confirms the need to accompany the recovery processes through significant occupations.
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Affiliation(s)
- Ivan Cano-Prieto
- Grup de Recerca en Innovació en Salut Mental i Benestar Emocional (ISaMBeS), Institut de Recerca i Innovació en Ciències de la Vida i de la Salut a la Catalunya Central (IRIS-CC), Vic, Spain
| | - Gemma Prat-Vigué
- Grup de Recerca en Innovació en Salut Mental i Benestar Emocional (ISaMBeS), Institut de Recerca i Innovació en Ciències de la Vida i de la Salut a la Catalunya Central (IRIS-CC), Vic, Spain
- Divisió de Salut Mental, Althaia, Xarxa Assistencial Universitària de Manresa, Manresa, Spain
- Facultat de Medicina. Universitat de Vic-Central de Catalunya (UVIC-UCC), Vic, Spain
| | - Rut Vilanova-Masana
- Divisió de Salut Mental, Althaia, Xarxa Assistencial Universitària de Manresa, Manresa, Spain
| | - Aida Guillaume-Cornet
- Divisió de Salut Mental, Althaia, Xarxa Assistencial Universitària de Manresa, Manresa, Spain
| | - Rosa Giralt Palou
- Divisió de Salut Mental, Althaia, Xarxa Assistencial Universitària de Manresa, Manresa, Spain
| | - Gemma Lana-Francos
- Divisió de Salut Mental, Althaia, Xarxa Assistencial Universitària de Manresa, Manresa, Spain
| | - Salvador Simó-Algado
- Grup de Recerca en Innovació en Salut Mental i Benestar Emocional (ISaMBeS), Institut de Recerca i Innovació en Ciències de la Vida i de la Salut a la Catalunya Central (IRIS-CC), Vic, Spain
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Foster P. Nothing new under the sun. BJPsych Bull 2022; 46:306. [PMID: 36167342 PMCID: PMC9768504 DOI: 10.1192/bjb.2022.50] [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: 12/30/2022] Open
Affiliation(s)
- Paul Foster
- Consultant psychiatrist in private practice with Psychiatric and Psychological Consultant Services (PPCS), London, UK.
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Chauhan N, Leeming D, Wattis J. "It's a Big Family Here." Becoming and Belonging in a Service Providing Employment-Related Support for People with Mental Health Problems: An Interpretative Phenomenological Analysis. Community Ment Health J 2022; 58:277-287. [PMID: 33835277 PMCID: PMC8770366 DOI: 10.1007/s10597-021-00819-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Accepted: 03/26/2021] [Indexed: 11/16/2022]
Abstract
The impact of employment for individuals with mental health problems is complex. However, research suggests that when support is provided for accessing employment and gaining roles and skills that are valued by others, a positive effect can be seen on recovery. Employment-related support can take many forms and there is a need for further research into the experience of accessing different kinds of services. The current paper examines the lived experience of 11 people participating in a UK social enterprise providing work experience, training, and skills development for those with mental health problems. Although 'sheltered', the organisational ethos strongly emphasised service-user empowerment, co-production, equality with staff, provision of valued social roles and person-centred support. Phenomenological analysis revealed that participants valued a sense of belonging and authentic relationships within the service, whilst being given the opportunity to rediscover an identity that may have been lost because of their mental health problem. However, participants also discussed how, although the service improved their self-value, some feared the 'real world' outside of the service and were unsure whether they would be met with the same support. Tensions between field dominant approaches in supported employment and the experiences and values of the participants are explored. We argue that the findings highlight the importance of a nurturing working environment and the value for recovery of a range of meaningful roles, beyond competitive employment.
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Affiliation(s)
- Nisha Chauhan
- University of Huddersfield, Queensgate, Huddersfield, HD1 3DH, UK.
| | - Dawn Leeming
- University of Huddersfield, Queensgate, Huddersfield, HD1 3DH, UK
| | - John Wattis
- University of Huddersfield, Queensgate, Huddersfield, HD1 3DH, UK
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