C. Cooper, H. Liu, Tobias A. Rowland, Riddhi Prajapati, Tayla Hurlock, A. Owen
{"title":"An evaluation of the Stratford multiagency, multidisciplinary, assessment clinic","authors":"C. Cooper, H. Liu, Tobias A. Rowland, Riddhi Prajapati, Tayla Hurlock, A. Owen","doi":"10.1108/mhrj-02-2021-0012","DOIUrl":"https://doi.org/10.1108/mhrj-02-2021-0012","url":null,"abstract":"\u0000Purpose\u0000This study aims to assess a novel clinic whereby new patients were discussed in a multi-agency, multi-disciplinary panel and given feedback on the same day. The objectives were to determine the impacts on time to commencing treatment, need for further assessment, discharges and staff and patient experiences.\u0000\u0000\u0000Design/methodology/approach\u0000Outcomes from the new assessment clinic were compared to previous individual assessments. Feedback questionnaires were given to patients, while a focus group was conducted with staff.\u0000\u0000\u0000Findings\u0000There was a significant reduction in the time to agreeing a treatment plan (34 days to <1 day), the need for further assessment (61%–23.2%) and a significant increase in the proportion discharged from secondary care (26.9%–49.8%). Clinician and patient feedback on the clinic was positive.\u0000\u0000\u0000Practical implications\u0000The model of a multi-agency, multi-disciplinary clinic could be used for assessing new referrals to community mental health teams.\u0000\u0000\u0000Originality/value\u0000The use of a multi-agency, multi-disciplinary clinic is a novel approach within community mental health teams which led to improvements in efficiency, while demonstrating positive patient and clinician feedback.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45306818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mental health service users’ lived experiences of recovery-oriented services: a scoping review","authors":"R. Lau, A. Hutchinson","doi":"10.1108/mhrj-09-2020-0064","DOIUrl":"https://doi.org/10.1108/mhrj-09-2020-0064","url":null,"abstract":"\u0000Purpose\u0000Over the past 15 years, mental health organisations have taken steps to move towards providing services that are more recovery-oriented. This review was undertaken to explore what is known about service users’ experience of services that have introduced a recovery-oriented approach to service provision. There is limited research evaluating consumers’ lived experiences of recovery-orientated care; a scoping review was chosen to provide an overview of the available research in this area (Munn et al., 2018). The purpose of this review was to summarize and synthesize current qualitative research exploring consumers’ experience of recovery orientated mental health care provision.\u0000\u0000\u0000Design/methodology/approach\u0000This scoping review was undertaken as outlined by Arksey and O'Malley (2005). The five steps consisted identifying the research question; searching for relevant studies; selecting the studies; charting the studies; and collating, summarising and reporting the findings.\u0000\u0000\u0000Findings\u0000Three key themes emerged from this review: translation of recovery policy to practice; ward environment; and recovery principles with five subthemes: engagement; not being listened to; shared decision-making; informational needs; and supportive and collaborative relationships. The themes and subthemes identified in each of the 18 studies are presented in Table 3.\u0000\u0000\u0000Research limitations/implications\u0000This review highlights the different degree to which service users have received recovery-oriented recovery care. In the majority of cases, most service users reported few opportunities for nursing engagement, poor communication, inadequate information provision, a lack of collaborative care and mostly negative experiences of the ward environment. Because of the limited studies on mental health service users’ lived experiences of a recovery-oriented service, more clinical studies are needed and in different cultural contexts.\u0000\u0000\u0000Practical implications\u0000On hindsight, the authors should have included service users in this review process as consumer inclusion is progressively emphasised in mental health educational and research activities. This review highlights that not all studies have involved service users or consumers in their research activity.\u0000\u0000\u0000Social implications\u0000Service users need relevant information in a timely manner to participate in decision-making regarding their treatment and care. This review found that either no information was provided to the service users or it was provided in a limited and fragmented manner. This review also found inpatients reported limited opportunities to have meaningful participation in decision-making about their care. These findings have important social implications, as greater consumer engagement in the design and delivery of mental health services will increase community trust in the care provided. This in turn has the potential to facilitate greater community engagement in preventative mental health care.\u0000\u0000\u0000Originality/value","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42645131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Suriya Klangrit, David D. Perrodin, Yasotara Siripaprapakon, F. R. Choudhry, Thittayawadee Intaranggkul, Suthat Pratoomkaew, Khunthong Khemsiri, Kan Saengrung, Watchara Vachirayano
{"title":"Religion and mental health among older adults in Thailand: a national survey study","authors":"Suriya Klangrit, David D. Perrodin, Yasotara Siripaprapakon, F. R. Choudhry, Thittayawadee Intaranggkul, Suthat Pratoomkaew, Khunthong Khemsiri, Kan Saengrung, Watchara Vachirayano","doi":"10.1108/mhrj-06-2020-0039","DOIUrl":"https://doi.org/10.1108/mhrj-06-2020-0039","url":null,"abstract":"\u0000Purpose\u0000This study aims to investigate the association between mental health and religion among Thailand’s elderly population. The role of religion and culture remains limited despite the significant number of devout followers of religions in Thailand. Thai cultural and religious contexts have a dominant and persuasive influence on the lives of Thai older adults.\u0000\u0000\u0000Design/methodology/approach\u0000Data was collected in 2018 via face-to-face interaction using a structured questionnaire by the Thailand National Statistical Office. The sample consisted of 67,454 individuals, with 13,800 elderly Thai people aged 60 years or older selected for the study.\u0000\u0000\u0000Findings\u0000The results showed logistic regression with the association between religious activities and mental health in the understudied context of Buddhist elderly in Thailand. The variables were significantly associated with mental health at a 95% confidence level.\u0000\u0000\u0000Originality/value\u0000The model revealed that particular demographic and socioeconomic factors (age, education and marital status) were related to mental health for older adults. Regression analysis also revealed Buddhist religious activities (giving food to monks, mediation, monkhood, New Year praying, learning Dhamma for solving life’s problems, belief in Buddhism and practicing Buddhist principles) were significantly associated with the mental health of the older adult population in Thailand.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43572252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Current scenario of diagnosis and treatment of attention-deficit/hyperactivity disorder (ADHD) in urban India: a pilot study","authors":"Sandhya Basu, Bidisha Banerjee","doi":"10.1108/mhrj-03-2021-0018","DOIUrl":"https://doi.org/10.1108/mhrj-03-2021-0018","url":null,"abstract":"\u0000Purpose\u0000The current literature on attention-deficit/hyperactivity disorder (ADHD) shows a tangled picture of its etiology and diagnosis. It directs at over-medicalization in ADHD cases due to the pharmaceutical-based models surrounding its treatment. Further, the authors observed the negligible reporting of India’s ADHD scenario in the reviewed literature. Thus, this study aims to explore the status of ADHD in India’s urban setting through a pilot study.\u0000\u0000\u0000Design/methodology/approach\u0000Social constructivist viewpoint guided this study. The authors conducted the pilot in two phases: face-to-face semi-structured qualitative interviews with 11 mental health professionals in the first phase, and, in the second phase, five mental health professionals responded to an online survey with same questions. After qualitative analysis, four major themes were identified: participants’ opinions on ADHD etiology, issues in diagnosis, social context of ADHD and alternatives to medication.\u0000\u0000\u0000Findings\u0000The findings highlight the need to re-visit the ADHD narrative in the Indian context. These findings also emphasize future investigation on the medicalization of ADHD in India.\u0000\u0000\u0000Research limitations/implications\u0000A countrywide epidemiological survey is required to explore the distribution of the disorder to standardize diagnosis and treatment procedures pan-India. This paper is an attempt to iron out the ADHD-related information that needs further exploration and research.\u0000\u0000\u0000Originality/value\u0000With in-depth interviews of mental health professionals, the study explores the state of ADHD in an urban setting in India. Future research must build on the current findings to establish the etiological and diagnostic framework of ADHD.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49586643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring the interface between mental health provision and the benefits system: clinical psychologists’ experiences of working in the context of the UK benefits system","authors":"E. Cantrell, H. Higson","doi":"10.1108/MHRJ-02-2021-0013","DOIUrl":"https://doi.org/10.1108/MHRJ-02-2021-0013","url":null,"abstract":"","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45419688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"“It doesn’t stop when you get to 18”: experiences of self-harm in adults","authors":"M. Boyce","doi":"10.1108/mhrj-12-2020-0087","DOIUrl":"https://doi.org/10.1108/mhrj-12-2020-0087","url":null,"abstract":"\u0000Purpose\u0000Self-harm can affect people of all ages, yet the high prevalence rate in adolescents and the potential risk factor of suicide in adults 60 years and above has meant research has tended to focus within these areas. Therefore, the purpose of this exploratory study is to examine the experiences of self-harm in people from early adulthood to late middle age to gain greater insight and understanding in this underexplored area.\u0000\u0000\u0000Design/methodology/approach\u0000An online open-ended survey was used to collect the data from a UK user-led moderated online forum that supports people who self-harm.\u0000\u0000\u0000Findings\u0000Thematic data analysis indicates that feelings of shame and guilt were intensified, due to the double stigma participants face as adults that self-harm. Although most participants had seen a reduction in the frequency of their self-harm many experienced an increase in the severity of harm. In not fitting the assumed typical profile of someone that self-harm participants often struggled to gain formal support.\u0000\u0000\u0000Research limitations/implications\u0000This was a small-scale online survey; hence, it is not possible to generalise the findings to all adults who self-harm.\u0000\u0000\u0000Practical implications\u0000The findings from this research provide evidence that greater recognition needs to be given to the reality that self-harm can affect people of all ages. As a result, access to support needs to be widened as a means of supporting those who do not fit the typical profile of someone who self-harms.\u0000\u0000\u0000Originality/value\u0000This exploratory online study provides insights around the tensions and challenges facing adults that self-harm, which remains an under-researched and largely ignored area.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42843696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social media use for supporting mental health (SMILE)","authors":"Gill Brown, A. Rathbone, J. Prescott","doi":"10.1108/MHRJ-10-2020-0079","DOIUrl":"https://doi.org/10.1108/MHRJ-10-2020-0079","url":null,"abstract":"\u0000Purpose\u0000The SMILE study (social media as informal support for people with mental illness: an exploratory study) aimed to explore how people with mental health issues use and value social media as a support mechanism.\u0000\u0000\u0000Design/methodology/approach\u0000A systematic search of Facebook and Twitter identified groups and pages relating to mental health issues. In total, 203 users over the age of 18 were recruited via Facebook and Twitter. Any user who considered themselves to experience mental health problems could opt to participate and no exclusion criteria were applied. A mixed-methods online survey retrieved demographic and qualitative data by asking users to describe their personal experiences when using social media for mental health support.\u0000\u0000\u0000Findings\u0000Users perceive Facebook and Twitter as useful online resources to gain informational and emotional support and to share experiences. The benefits were; ease of access, anonymity and personal control over engagement levels. Users had subjective experiences of engagement, however, overall these were deemed positive. Using Facebook and Twitter for mental health provided users with a sense of connectedness and reduced feelings of isolation.\u0000\u0000\u0000Originality/value\u0000The qualitative methodology allowed participants to share their experiences and views, with positive implications for services. Social media was discussed as a prospective tool for raising awareness and reducing stigma. The study highlights the scope for mental health service providers to tap into the social media consumer market and provide quality online support provision.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48022009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors related to suicide among students: a narrative review of psychological literature","authors":"S. Javed, Khadeeja Munawar","doi":"10.1108/MHRJ-08-2020-0061","DOIUrl":"https://doi.org/10.1108/MHRJ-08-2020-0061","url":null,"abstract":"","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":"1 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41418676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Rocca, Chloe Finamore, S. Stamp, Fiona Kuhn-Thompson, O. Dale
{"title":"Psychoeducation for borderline personality difficulties: a preliminary study","authors":"F. Rocca, Chloe Finamore, S. Stamp, Fiona Kuhn-Thompson, O. Dale","doi":"10.1108/MHRJ-04-2020-0023","DOIUrl":"https://doi.org/10.1108/MHRJ-04-2020-0023","url":null,"abstract":"\u0000Purpose\u0000National Institute for Clinical and Health Excellence guidelines (2009) state that low intensity psychological interventions should not be used for borderline personality disorder. However, an emerging body of evidence suggests brief interventions such as psychoeducation may be relevant for those presenting with borderline personality difficulties. The purpose of this study is to evaluate the benefit of learning about thinking, emotions and relationships (LATER), a co-produced psychoeducation programme for borderline personality difficulties in a community-based setting.\u0000\u0000\u0000Design/methodology/approach\u0000Participants (n = 125) self-referred to LATER, a group-based psychoeducation programme delivered at the [NHS Trust] Recovery College. Participants were assessed pre- and post-intervention using the tailor-made psychological education group evaluation scale, the borderline evaluation of severity over time and work and social adjustment scale. Paired t-tests were conducted on pre- and post-scores, and effect sizes were calculated.\u0000\u0000\u0000Findings\u0000After LATER, participants reported a significant decrease in negative thoughts and feelings, destructive behaviours and overall borderline symptom severity, but no significant increase in positive behaviours. Significant decreases were found in areas of work and social impairment. Participants’ overall understanding of personality difficulties significantly improved. Effect sizes were small to moderate.\u0000\u0000\u0000Research limitations/implications\u0000Limitations of the study include the lack of a control group, adjustment for confounders and follow-up. Replication with a more robust methodology is needed.\u0000\u0000\u0000Originality/value\u0000This study contributes to the evidence for the usefulness of brief interventions for personality difficulties, particularly in the context of a stepped model of care and adds to the research on co-production.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45509290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}