A. O'Reilly, A. Donnelly, J. Rogers, Olive Maloney, G. O’Brien, Elizabeth Doyle
{"title":"Measuring parent satisfaction in youth mental health services","authors":"A. O'Reilly, A. Donnelly, J. Rogers, Olive Maloney, G. O’Brien, Elizabeth Doyle","doi":"10.1108/MHRJ-04-2020-0024","DOIUrl":"https://doi.org/10.1108/MHRJ-04-2020-0024","url":null,"abstract":"\u0000Purpose\u0000Measuring parent satisfaction is regarded as essential but there is a paucity of research reporting on parental satisfaction with community youth mental health services. This study aims to examine parent satisfaction with Jigsaw – a primary care youth mental health service.\u0000\u0000\u0000Design/methodology/approach\u0000A measure of parent satisfaction was developed and administered to parents in 12 Jigsaw services over a two-year period (n = 510, age range: 28 to 70 years) when young people and parents were ending their engagement with these services.\u0000\u0000\u0000Findings\u0000Overall, parents had high levels of satisfaction with Jigsaw and their level of satisfaction did not vary depending on the parent or young person’s age and/or gender. Examination of qualitative feedback revealed three overarching themes relating to growth and change in young people, parents and their families; strengths of the service and; suggestions for future service development. Analysis of the psychometric properties of the measure provided evidence for a two-factor structure examining satisfaction with the intervention and outcomes and service accessibility and facilities.\u0000\u0000\u0000Originality/value\u0000This study represents one of the first efforts to measure parent satisfaction with primary care youth mental health services. It has resulted in the development of a brief measure that can be more widely administered to parents engaging with primary care youth mental health services.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44164980","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":"Veterans’ experiences of successfully managing post-traumatic stress disorder","authors":"Gemma N Parry, S. Hodge, Alan Barrett","doi":"10.1108/MHRJ-01-2020-0003","DOIUrl":"https://doi.org/10.1108/MHRJ-01-2020-0003","url":null,"abstract":"Purpose Prevalence of post-traumatic stress disorder (PTSD) amongst UK veterans is higher than in the general population. However, prevalence figures do not reflect the complexity of this phenomenon and ways in which it may be bound up with veterans’ experiences of adjusting to civilian life. The purpose of this study was to explore veterans’ experiences of successfully managing PTSD. Design/methodology/approach Semi-structured interviews were conducted with six veterans who had served in the UK armed forces, and analysed using interpretative phenomenological analysis. Findings Three themes were developed: (1) accepting the problem, taking responsibility and gaining control; (2) talking to the right people; and (3) strategies, antidotes and circling back around. Managing PTSD appeared to be bound up with veterans’ experience of renegotiating their identity, where positive aspects of identity lost on leaving the military were rebuilt, and problematic aspects were challenged. Participants sought to speak about their difficulties with others who understood the military context. They felt that their experiences made them a valuable resource to others, and they connected this with a positive sense of identity and value. Practical implications The findings suggest the importance of wider provision of peer support, and education for civilian health services on veterans’ needs. Originality/value This study adds to our understanding of what meaningful recovery from PTSD may involve for veterans, in particular its potential interconnectedness with the process of adjusting to civilian life.","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47541535","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":"The meaning of work for people with severe mental illness: a systematic review","authors":"Maria Axiotidou, Doxa Papakonstantinou","doi":"10.1108/MHRJ-12-2020-0088","DOIUrl":"https://doi.org/10.1108/MHRJ-12-2020-0088","url":null,"abstract":"\u0000Purpose\u0000Mental illness is associated with high unemployment rates, limited working opportunities, work-related discrimination, stigma and prejudices. For people with severe mental illness, the work reality is even more burdensome. This paper aims to explore in-depth and presents research results in the past decade on the meaning of work for people with severe mental illness.\u0000\u0000\u0000Design/methodology/approach\u0000The authors conducted a systematic literature search in Medline, Science Direct, PsycINFO databases between 2000 and 2019. The review concluded in 13 studies.\u0000\u0000\u0000Findings\u0000This research showed actual results regarding the meaning of work for individuals with severe mental illness from a medical, social, psychological and financial perspective. Work is of great importance for people with severe mental illness, influencing their lives on many levels.\u0000\u0000\u0000Practical implications\u0000The present research results can contribute to the information and further awareness of experts in mental health and vocational rehabilitation services. This review lightens the meaning of work and challenges the state's priorities in creating active and not marginalised citizens.\u0000\u0000\u0000Originality/value\u0000This review is original and adds to the existing knowledge that employment may benefit people with severe mental illness, especially the youngest adults, despite their labor market obstacles. It is for communities' benefit, employers, but mostly for people with severe mental illness themselves, to work.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43805965","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 and stigma in Saudi Arabia: a scoping review","authors":"N. Alattar, A. Felton, T. Stickley","doi":"10.1108/MHRJ-08-2020-0055","DOIUrl":"https://doi.org/10.1108/MHRJ-08-2020-0055","url":null,"abstract":"\u0000Purpose\u0000Stigma associated with mental health problems is widespread in the Kingdom of Saudi Arabia (KSA). Consequently, this may prevent many Saudi people from accessing the mental health-care services and support they need. The purpose of this study is to consider how stigma affects people needing to access mental health services in the KSA. To achieve this aim, this study reviews the knowledge base concerning stigma and mental health in KSA and considers specific further research necessary to increase the knowledge and understanding in this important area.\u0000\u0000\u0000Design/methodology/approach\u0000This review examines the relevant literature concerning mental health stigma and related issues in KSA using the Arksey and O'Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses frameworks. As a scoping review, it has used a systematic approach in literature searching. The results of the search were then thematically analysed and the themes were then discussed in light of the concepts of stigma and mental health.\u0000\u0000\u0000Findings\u0000Stigma around mental health impedes access to care, the nature of care and current clinical practice in the KSA. The voices of those with mental health issues in KSA are almost entirely unrepresented in the literature.\u0000\u0000\u0000Originality/value\u0000The review identifies that mental health stigma and cultural beliefs about mental health in KSA may act as barriers to accessing services. The voice of mental health service users in KSA remains largely unheard. If public discussion of mental health issues can increase, people’s experiences of accessing services may be improved.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47072512","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":"How well do children in the North East of England function after a crisis: a service evaluation","authors":"E. Staite, L. Howey, Clare Anderson, P. Maddison","doi":"10.1108/MHRJ-09-2020-0065","DOIUrl":"https://doi.org/10.1108/MHRJ-09-2020-0065","url":null,"abstract":"\u0000Purpose\u0000Data shows that there is an increasing number of young people in the UK needing access to mental health services, including crisis teams. This need has been exacerbated by the current global pandemic. There is mixed evidence for the effectiveness of crisis teams in improving adult functioning, and none, to the authors’ knowledge, that empirically examines the functioning of young people following intervention from child and adolescent mental health services (CAMHS) crisis teams in the UK. Therefore, the purpose of this paper is to use CAMHS Crisis Team data, from an NHS trust that supports 1.4 million people in the North East of England, to examine a young person's functioning following a crisis.\u0000\u0000\u0000Design/methodology/approach\u0000This service evaluation compared functioning, as measured by the Outcome Rating Scale (ORS), pre- and post-treatment for young people accessing the CAMHS Crisis Team between December 2018 and December 2019.\u0000\u0000\u0000Findings\u0000There were 109 participants included in the analysis. ORS scores were significantly higher at the end of treatment (t(108) = −4.2046, p < 0.001) with a small effect size (d = −0.36). Sixteen (15%) patients exhibited significant and reliable change (i.e. functioning improved). A further four (4%) patients exhibited no change (i.e. functioning did not deteriorate despite being in crisis). No patients significantly deteriorated in functioning after accessing the crisis service.\u0000\u0000\u0000Practical implications\u0000Despite a possibly overly conservative analysis, 15% of patients not only significantly improved functioning but were able to return to a “healthy” level of functioning after a mental health crisis following intervention from a CAMHS Crisis Team. Intervention(s) from a CAMHS Crisis Team are also stabilising as some young people’s functioning did not deteriorate following a mental health crisis. However, improvements also need to be made to increase the number of patients whose functioning did not significantly improve following intervention from a CAMHS Crisis Team.\u0000\u0000\u0000Originality/value\u0000This paper evaluates a young person’s functioning following a mental health crisis and intervention from a CAMHS Crisis Team in the North East of England.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43077407","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}
Jackie A Wales, Nicola Brewin, K. Susi, Alison Eivors, Debbie Whight, Rheanne Leatherland
{"title":"Experience of transition between a child and adolescent service and adult service for the treatment of eating disorders","authors":"Jackie A Wales, Nicola Brewin, K. Susi, Alison Eivors, Debbie Whight, Rheanne Leatherland","doi":"10.1108/MHRJ-01-2020-0005","DOIUrl":"https://doi.org/10.1108/MHRJ-01-2020-0005","url":null,"abstract":"\u0000Purpose\u0000There is a dearth of research on what constitutes effective transfer of care from children’s and young people services to adult services for patients with eating disorders (EDs) in the UK. Transition has implications for continuity of care and particularly for early intervention which has the best prognosis. The purpose of this paper is to understand the experience of transition and identify facilitators and barriers to this.\u0000\u0000\u0000Design/methodology/approach\u0000Qualitative methodology was used. Focus groups (n = 4) were held with clinicians (n = 22) working in Child and Adolescent Mental Health Services or adult ED services. Individual interviews were conducted with patients (n = 5) who had commenced/completed transition to adult services and with parents/carers (n = 6) of patients invited for interview.\u0000\u0000\u0000Findings\u0000A number of factors may facilitate or impede transition and can be grouped into the broad themes of communication, managing the differences between services and timing of transition. Improvements in communication, clear explanation of service differences and flexibility around the timing of transitions may enhance the experience for patients and parents/carers.\u0000\u0000\u0000Research limitations/implications\u0000The service evaluation was limited to transition between two specialist ED services in one geographical location. The findings provide the basis for a wider research study to examine which factors are most important when planning transition from the perspectives of patients, parents/carers and clinicians.\u0000\u0000\u0000Originality/value\u0000This is the first study examining ED transitions in the UK. It provides valuable insight of the experience of service users and carers and highlights potential improvements when planning transitions for this patient group.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2021-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42225738","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 and its correlates: perspectives from two countries","authors":"H. Xie","doi":"10.1108/MHRJ-08-2020-0058","DOIUrl":"https://doi.org/10.1108/MHRJ-08-2020-0058","url":null,"abstract":"Purpose The purpose of this paper is to describe and compare the attributes of community dwelling adults with serious mental health illnesses in the USA and Singapore in terms of perception of mental health recovery and its correlates, namely, strengths self-efficacy, resourcefulness and stigma experience. Design/methodology/approach A convenience sample of 100 participants from each country participated in the study by completing self-administered questionnaires. Findings The results showed high overall scores in mental health recovery, strengths self-efficacy and resourcefulness in both countries with only a statistically significant difference between both countries in mental health recovery. Participants in both countries also experienced stigma. Research limitations/implications The study not only enhanced the focus on mental health and its correlates but also suggested the need for efforts to de-stigmatize mental health conditions which could impact on mental health recovery. Originality/value This paper is original and adds on to the knowledge base on mental health recovery and its correlates through the unique opportunity to review information from both countries.","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":"26 1","pages":"100-112"},"PeriodicalIF":1.2,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43175304","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’s changed my life!” Evaluation and improvement of a pilot Tier 2 weight management course, “Balance”","authors":"Sally McGuire, Alex Stephens, E. Griffith","doi":"10.1108/MHRJ-07-2019-0025","DOIUrl":"https://doi.org/10.1108/MHRJ-07-2019-0025","url":null,"abstract":"\u0000Purpose\u0000This paper aims to describe a service evaluation study of “Balance” – a National Health Service Tier 2 pilot weight management course delivered in a primary care mental health service. The 12 weekly sessions included dietetic, psychological and behavioural elements underpinned by cognitive behavioural theory and “third-wave” approaches, including acceptance and commitment therapy, compassion-focused therapy and mindfulness.\u0000\u0000\u0000Design/methodology/approach\u0000A mixed-methods design was used in this service evaluation study that included analysis of outcome measures (weight, eating choices, weight-related self-efficacy and mental health) and focus group data (n = 6) analysed using thematic analysis. Eleven clients with a body mass index of 25–40 kg/m2 enrolled, and nine clients completed the course. Outcome data were collected weekly with follow-up at three and six months.\u0000\u0000\u0000Findings\u0000Quantitative data analysis using non-parametric Wilcoxon signed-rank tests showed that the group mean weight decreased significantly (p = 0.030) by the end of Balance, but the group mean weight loss was not statistically significant at the three-month (p = 0.345) or six-month (p = 0.086) follow-up. The qualitative results showed that participants valued the course ethos of choice and also welcomed learning new tools and techniques. Balance was very well-received by participants who reported benefitting from improved well-being, group support and developing new weight management skills.\u0000\u0000\u0000Research limitations/implications\u0000Only one client attended all sessions of the group, and it is possible that missed sessions impacted effectiveness. Some of the weight change data collected at the six-month follow-up was self-reported (n = 4), which could reduce data reliability. Focus group participants were aware that Balance was a pilot with a risk that the group would not be continued. As the group wanted the pilot to be extended, the feedback may have been positively skewed. A small sample size limits interpretation of the results. A group weight management intervention, including dietetic, psychological and behavioural elements, underpinned by cognitive behavioural theory was well-received by service users and effective for some. Commissioners and service users may have different definitions of successful outcomes in weight management interventions.\u0000\u0000\u0000Practical implications\u0000Longer-term support and follow-up after Tier 2 weight management interventions may benefit service users and improve outcomes.\u0000\u0000\u0000Originality/value\u0000The paper contributes to a small but growing evidence base concerned with the design and delivery of weight management interventions. Areas of particular interest include: a gap analysis between the course content and National Institute for Health and Care Excellence clinical guidelines, participants’ views on the most impactful course features and recommendations for course development. The results also show a disconnect between evidence-based guidelines (mand","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":"26 1","pages":"71-86"},"PeriodicalIF":1.2,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41377600","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}