Pub Date : 2024-07-12DOI: 10.1108/mhsi-06-2024-0094
Sandy Rao, Rae Jardine, Laetitia Satam, Kaiden Dalley
Purpose This manuscript aims to consider traditional success metrics in patient-oriented research (POR) using insights from the Helping Enable Access and Remove Barriers To Support for Young Adults with Mental Health-Related Disabilities (HEARTS) study. Design/methodology/approach Through collective reflexivity, this manuscript underscores the inadequacy of current evaluation standards that focus primarily on quantifiable outputs. Findings The findings suggest that significant systemic challenges persist, including ageism and discrimination, which undermine the efforts of POR. Practical implications This manuscript argues for an expanded evaluation encompassing traditional metrics and integrating emotional, experiential and community impact measures. Such an approach is crucial to capturing POR's comprehensive effects and fostering a research environment that values inclusivity, supports well-being and ensures responsive and equitable research practices. Thus, aligning with the transformative goals of POR, aiming to enhance the quality and impact of health research and reflect the profound personal and communal transformations that are as significant as the outcomes they facilitate. Originality/value This manuscript represents an emancipatory approach to POR, distinguished by its authentic co-authorship model. Uniquely, it is composed in collaboration with young adults who are experts in experience and coresearchers. These co-authors bring invaluable first-hand insights that both critique and enrich our understanding, enabling them to actively shape the discourse and direction of future POR research. This collaboration ensures the development of more relevant, grounded and transformative approaches in mental health research, thereby enhancing the pertinence and impact of these findings in real-world settings.
设计/方法/方法本手稿通过集体反思，强调了当前评估标准主要关注可量化产出的不足之处。研究结果研究结果表明，重大的系统性挑战依然存在，包括年龄歧视和歧视，这些挑战削弱了 POR 的努力。这种方法对于捕捉 POR 的综合效果以及营造重视包容性、支持福祉和确保响应性与公平性研究实践的研究环境至关重要。因此，它与 POR 的变革性目标相一致，旨在提高健康研究的质量和影响力，并反映出深刻的个人和社区变革，这些变革与它们所促进的成果同样重要。与众不同的是，它是与作为经验专家和核心研究者的年轻人合作完成的。这些共同作者带来了宝贵的第一手见解，既批判又丰富了我们的认识，使他们能够积极塑造未来 POR 研究的话语和方向。这种合作确保了在心理健康研究中开发出更多相关的、有基础的和变革性的方法，从而增强了这些研究成果在现实环境中的针对性和影响力。
{"title":"The measure of meaning: redefining success in patient-oriented research","authors":"Sandy Rao, Rae Jardine, Laetitia Satam, Kaiden Dalley","doi":"10.1108/mhsi-06-2024-0094","DOIUrl":"https://doi.org/10.1108/mhsi-06-2024-0094","url":null,"abstract":"\u0000Purpose\u0000This manuscript aims to consider traditional success metrics in patient-oriented research (POR) using insights from the Helping Enable Access and Remove Barriers To Support for Young Adults with Mental Health-Related Disabilities (HEARTS) study.\u0000\u0000\u0000Design/methodology/approach\u0000Through collective reflexivity, this manuscript underscores the inadequacy of current evaluation standards that focus primarily on quantifiable outputs.\u0000\u0000\u0000Findings\u0000The findings suggest that significant systemic challenges persist, including ageism and discrimination, which undermine the efforts of POR.\u0000\u0000\u0000Practical implications\u0000This manuscript argues for an expanded evaluation encompassing traditional metrics and integrating emotional, experiential and community impact measures. Such an approach is crucial to capturing POR's comprehensive effects and fostering a research environment that values inclusivity, supports well-being and ensures responsive and equitable research practices. Thus, aligning with the transformative goals of POR, aiming to enhance the quality and impact of health research and reflect the profound personal and communal transformations that are as significant as the outcomes they facilitate.\u0000\u0000\u0000Originality/value\u0000This manuscript represents an emancipatory approach to POR, distinguished by its authentic co-authorship model. Uniquely, it is composed in collaboration with young adults who are experts in experience and coresearchers. These co-authors bring invaluable first-hand insights that both critique and enrich our understanding, enabling them to actively shape the discourse and direction of future POR research. This collaboration ensures the development of more relevant, grounded and transformative approaches in mental health research, thereby enhancing the pertinence and impact of these findings in real-world settings.\u0000","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141653682","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}
Pub Date : 2024-07-09DOI: 10.1108/mhsi-05-2024-0082
D. Mojtahedi, Rosie Allen, Ellie Jess, Maria Ioannou, J. Synnott
Purpose Employability skills training programmes are an effective means for reducing unemployment rates. Such programmes also have the potential to improve the general well-being (e.g. self-efficacy) of disadvantaged individuals, however, reliable longitudinal evaluations of the psychological benefits of such programmes are limited. The present study evaluated the impact of an employability programme offered to disadvantaged adults in North-West England on self-efficacy. Additionally, the study aimed to identify risk factors for programme disengagement to identify at-risk groups that require further support. Design/methodology/approach Secondary longitudinal data pertaining to the background characteristics, programme engagement and self-efficacy scores (repeatedly measured on a monthly basis) of 308 programme users were analysed. Findings Results demonstrated that employability programme engagement significantly increased self-efficacy scores. Additionally, the findings suggested that individuals with mental health and learning difficulties were more likely to disengage from the programme. The findings demonstrate that employability programmes can have a positive impact on the well-being of individuals from disadvantaged backgrounds, however, prolonged engagement is needed for which some individuals require further support with. Originality/value The present study analysed longitudinal data from a diverse sample of disadvantaged individuals to reliably evaluate psychological outcomes from employability training programmes.
{"title":"Evaluating the impact of employability skill training on the self-efficacy of disadvantaged adults","authors":"D. Mojtahedi, Rosie Allen, Ellie Jess, Maria Ioannou, J. Synnott","doi":"10.1108/mhsi-05-2024-0082","DOIUrl":"https://doi.org/10.1108/mhsi-05-2024-0082","url":null,"abstract":"\u0000Purpose\u0000Employability skills training programmes are an effective means for reducing unemployment rates. Such programmes also have the potential to improve the general well-being (e.g. self-efficacy) of disadvantaged individuals, however, reliable longitudinal evaluations of the psychological benefits of such programmes are limited. The present study evaluated the impact of an employability programme offered to disadvantaged adults in North-West England on self-efficacy. Additionally, the study aimed to identify risk factors for programme disengagement to identify at-risk groups that require further support.\u0000\u0000\u0000Design/methodology/approach\u0000Secondary longitudinal data pertaining to the background characteristics, programme engagement and self-efficacy scores (repeatedly measured on a monthly basis) of 308 programme users were analysed.\u0000\u0000\u0000Findings\u0000Results demonstrated that employability programme engagement significantly increased self-efficacy scores. Additionally, the findings suggested that individuals with mental health and learning difficulties were more likely to disengage from the programme. The findings demonstrate that employability programmes can have a positive impact on the well-being of individuals from disadvantaged backgrounds, however, prolonged engagement is needed for which some individuals require further support with.\u0000\u0000\u0000Originality/value\u0000The present study analysed longitudinal data from a diverse sample of disadvantaged individuals to reliably evaluate psychological outcomes from employability training programmes.\u0000","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141664940","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}
Pub Date : 2024-07-09DOI: 10.1108/mhsi-06-2024-140
Julie Prescott
{"title":"Editorial: Mental health and social inclusion","authors":"Julie Prescott","doi":"10.1108/mhsi-06-2024-140","DOIUrl":"https://doi.org/10.1108/mhsi-06-2024-140","url":null,"abstract":"","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141664273","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}
Pub Date : 2024-07-05DOI: 10.1108/mhsi-02-2024-0023
Sam Robertson, Helen Leigh-Phippard, Donald Robertson, Abigail Thomson, Jessica Casey, Lucy Jane Walsh
Purpose This study aims to explore the experiences of peers working in a range of roles within a single NHS mental health service. This study also aims to provide evidence of the impact of existing support, organisational structure and culture around peer working and provide recommendations for a Good Practice Guide for Peer Working. Peer roles require lived experience of mental health conditions and/or services. While the impact on them of using their own lived experience is not fully understood, anecdotal evidence suggests that peer workers may experience a greater emotional impact than other mental health workers. Burnout and retention are particular concerns. Design/methodology/approach This was a two-stage study using focus groups and reflexive thematic analysis in Stage 1. The key themes formed the basis of the Stage 2 workshop, which provided recommendations for a Good Practice Guide. The study team consisted of peer researchers with lived experience, supported by a Lived Experience Advisory Panel. Findings There is a perceived lack of support and an increased peer burden for peer workers. Recommendations included relevant ongoing training and development; support and supervision; and organisational cultural change. Originality/value Working within a peer-led co-production framework, this study contributes to the development of the evidence base for peer emotional labour. Based on the findings, a Good Practice Guide for Peer Working is being developed to promote good practice for the development of future peer worker roles.
{"title":"What supports the emotional well-being of peer workers in an NHS mental health service?","authors":"Sam Robertson, Helen Leigh-Phippard, Donald Robertson, Abigail Thomson, Jessica Casey, Lucy Jane Walsh","doi":"10.1108/mhsi-02-2024-0023","DOIUrl":"https://doi.org/10.1108/mhsi-02-2024-0023","url":null,"abstract":"Purpose\u0000This study aims to explore the experiences of peers working in a range of roles within a single NHS mental health service. This study also aims to provide evidence of the impact of existing support, organisational structure and culture around peer working and provide recommendations for a Good Practice Guide for Peer Working. Peer roles require lived experience of mental health conditions and/or services. While the impact on them of using their own lived experience is not fully understood, anecdotal evidence suggests that peer workers may experience a greater emotional impact than other mental health workers. Burnout and retention are particular concerns.\u0000\u0000Design/methodology/approach\u0000This was a two-stage study using focus groups and reflexive thematic analysis in Stage 1. The key themes formed the basis of the Stage 2 workshop, which provided recommendations for a Good Practice Guide. The study team consisted of peer researchers with lived experience, supported by a Lived Experience Advisory Panel.\u0000\u0000Findings\u0000There is a perceived lack of support and an increased peer burden for peer workers. Recommendations included relevant ongoing training and development; support and supervision; and organisational cultural change.\u0000\u0000Originality/value\u0000Working within a peer-led co-production framework, this study contributes to the development of the evidence base for peer emotional labour. Based on the findings, a Good Practice Guide for Peer Working is being developed to promote good practice for the development of future peer worker roles.\u0000","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141674856","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}
Pub Date : 2024-07-03DOI: 10.1108/mhsi-05-2024-0075
Rosalind Austin
Purpose The purpose of this survivor-researcher-led study is to explore the agency of voice-hearers who are migrants and/or from black and minority ethnic backgrounds in actively negotiating the gaps between their understanding of hearing voices, and those of their family, their society or the medical establishment. Design/methodology/approach This study draws four case studies of voice-hearers, who are migrants and/or from black and minority ethnic backgrounds. Data were thematically analysed. Findings This study shows how bilingual voice-hearers related emotionally to voices in one or two languages. Originality/value This study is original in that it shows that bilingual voice-hearers may hear their voice/s in either their native language or second language, but that in both cases voices may embody strong positive or negative emotions.
{"title":"Cultural differences and migrants’ interpretations of their voices","authors":"Rosalind Austin","doi":"10.1108/mhsi-05-2024-0075","DOIUrl":"https://doi.org/10.1108/mhsi-05-2024-0075","url":null,"abstract":"\u0000Purpose\u0000The purpose of this survivor-researcher-led study is to explore the agency of voice-hearers who are migrants and/or from black and minority ethnic backgrounds in actively negotiating the gaps between their understanding of hearing voices, and those of their family, their society or the medical establishment.\u0000\u0000\u0000Design/methodology/approach\u0000This study draws four case studies of voice-hearers, who are migrants and/or from black and minority ethnic backgrounds. Data were thematically analysed.\u0000\u0000\u0000Findings\u0000This study shows how bilingual voice-hearers related emotionally to voices in one or two languages.\u0000\u0000\u0000Originality/value\u0000This study is original in that it shows that bilingual voice-hearers may hear their voice/s in either their native language or second language, but that in both cases voices may embody strong positive or negative emotions.\u0000","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141681712","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}
Pub Date : 2024-07-03DOI: 10.1108/mhsi-05-2024-0083
Ben Gray, Matthew Sisto
Purpose The purpose of this service user paper and narrative is to highlight that peer support is not a continuous, easy or uniform process but given to disruption, fragmentation, breakdowns in relationships and hurdles. This is illustrated in a summary of the case of “Christopher”. Design/methodology/approach A reflective journal was kept, and participant observation was conducted for just under a year on the ward where Christopher was under Section. Findings Peer support can be given to fissure, breakages in relationships and discontinuity. This can negatively impact the mental health of peer support workers. With this in mind, it is vitally important to ensure that the people who take up this role are appropriately trained, supported and supervised. There needs to be a focus on “restorative” supervision and supervision by someone with experience of the peer support role as well as buddying between peer workers. Originality/value There is an abundance of literature and research on peer support in the community but little in the inpatient setting, making this paper novel and a contribution to understanding peer support on mental health wards.
{"title":"Connection, disconnection and reconnection in peer support: a summary of the case of “Christopher”","authors":"Ben Gray, Matthew Sisto","doi":"10.1108/mhsi-05-2024-0083","DOIUrl":"https://doi.org/10.1108/mhsi-05-2024-0083","url":null,"abstract":"\u0000Purpose\u0000The purpose of this service user paper and narrative is to highlight that peer support is not a continuous, easy or uniform process but given to disruption, fragmentation, breakdowns in relationships and hurdles. This is illustrated in a summary of the case of “Christopher”.\u0000\u0000\u0000Design/methodology/approach\u0000A reflective journal was kept, and participant observation was conducted for just under a year on the ward where Christopher was under Section.\u0000\u0000\u0000Findings\u0000Peer support can be given to fissure, breakages in relationships and discontinuity. This can negatively impact the mental health of peer support workers. With this in mind, it is vitally important to ensure that the people who take up this role are appropriately trained, supported and supervised. There needs to be a focus on “restorative” supervision and supervision by someone with experience of the peer support role as well as buddying between peer workers.\u0000\u0000\u0000Originality/value\u0000There is an abundance of literature and research on peer support in the community but little in the inpatient setting, making this paper novel and a contribution to understanding peer support on mental health wards.\u0000","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141681531","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}
Pub Date : 2024-06-17DOI: 10.1108/mhsi-04-2024-0053
Wendy Albers, Diana Roeg
Purpose Due to the deinstitutionalization, many individuals with severe mental illness are able to live independently nowadays, by making use of supported accommodation. The financial well-being of these individuals significantly influences their overall quality of life, yet this aspect remains underexplored. This study aims to enhance the understanding of the financial circumstances of supported accommodation clients and the specific support mechanisms they rely on. Design/methodology/approach This investigation involved an examination of electronic patient records from a large supported accommodation organization. Additionally, an online questionnaire was distributed to staff members to elucidate the prevalence of financial support among clients, the nature of such support and the extent of financial challenges they face. Findings In total, 25% of clients were found to be in debt, with a majority carrying debts exceeding €5,000. Financial support was extended to over half of the supported accommodation clients. Notably, 17% of clients with intricate financial issues were assigned to a budget coach. The most common forms of support included assistance with financial administration and protective guardianship, whereas clients with more complex problems primarily received support in budget management and financial skill development. Originality/value This study highlights a significant prevalence of financial challenges among supported accommodation clients. Recommendations include investing in staff training programs to further develop knowledge and skills. Additionally, the effectiveness of current financial support initiatives requires further investigation.
{"title":"Financial well-being in supported accommodation: an analysis of the nature and extent of clients’ financial problems and support strategies","authors":"Wendy Albers, Diana Roeg","doi":"10.1108/mhsi-04-2024-0053","DOIUrl":"https://doi.org/10.1108/mhsi-04-2024-0053","url":null,"abstract":"\u0000Purpose\u0000Due to the deinstitutionalization, many individuals with severe mental illness are able to live independently nowadays, by making use of supported accommodation. The financial well-being of these individuals significantly influences their overall quality of life, yet this aspect remains underexplored. This study aims to enhance the understanding of the financial circumstances of supported accommodation clients and the specific support mechanisms they rely on.\u0000\u0000\u0000Design/methodology/approach\u0000This investigation involved an examination of electronic patient records from a large supported accommodation organization. Additionally, an online questionnaire was distributed to staff members to elucidate the prevalence of financial support among clients, the nature of such support and the extent of financial challenges they face.\u0000\u0000\u0000Findings\u0000In total, 25% of clients were found to be in debt, with a majority carrying debts exceeding €5,000. Financial support was extended to over half of the supported accommodation clients. Notably, 17% of clients with intricate financial issues were assigned to a budget coach. The most common forms of support included assistance with financial administration and protective guardianship, whereas clients with more complex problems primarily received support in budget management and financial skill development.\u0000\u0000\u0000Originality/value\u0000This study highlights a significant prevalence of financial challenges among supported accommodation clients. Recommendations include investing in staff training programs to further develop knowledge and skills. Additionally, the effectiveness of current financial support initiatives requires further investigation.\u0000","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335163","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}
Pub Date : 2024-06-10DOI: 10.1108/mhsi-05-2024-0068
Mo’tasem M. Aldaieflih, Rabia H. Haddad, Ayman M. Hamdan-Mansour
Purpose This study aims to examine the predictive power of childhood adversity and severity of positive symptoms on suicidality, controlling for selected sociodemographics factors, among hospitalized patients diagnosed with schizophrenia in Jordan. Design/methodology/approach This study used a descriptive-explorative design. The study was conducted at two major psychiatric hospitals in Jordan. The targeted sample was 66 patients diagnosed with schizophrenia. Data was collected using a structured format in the period February–April 2024. Findings A two-step multiple hierarchical regression analysis was conducted. In the first model, childhood adversity and the severity of positive symptoms were entered. In the second model, sociodemographic variables were entered. The analysis revealed that the first model (F = 5.35, p = 0.007) was statistically significant. The second model (F = 717, p < 0.001) was statistically significant. Furthermore, the analysis revealed that childhood adversity was not a significant predictor for suicidality. However, positive symptoms and patients’ demographics (age, number of hospitalizations and length of being diagnosed with schizophrenia) were significant predictors of suicidality. The analysis revealed that childhood adversity was not a significant predictor of suicidality. However, positive symptoms and patients’ demographics (age, number of hospitalizations and length of being diagnosed with schizophrenia) were significant predictors of suicidality. Research limitations/implications One limitation of this study is related to the sample and the setting where there were only 66 patients recruited from governmental hospitals within inpatient wards. Thus, the upcoming studies should include more participants from private hospitals and different hospital settings including outpatient and emergency departments. Practical implications The research provides empirical insights that positive symptoms, age hospitalization and schizophrenia diagnosis length were significant predictors of suicidality. At the same time, childhood adversity was not a significant predictor of suicidality. Social implications The current research contributes to expanding mental health studies. Moreover, this study enlarges the body of knowledge in the academic world and clinical settings. It supports the disciplines of psychology, mental health and social sciences by increasing knowledge of the complicated relationships among childhood adversity, positive symptoms and suicidality. Originality/value This paper fulfills an identified need to study childhood adversity with comorbid psychiatric disorders such as schizophrenia, as well as psychiatric mental health covariates.
{"title":"Childhood adversity and severity of positive symptoms as predictors of suicidality controlling for sociodemographics among hospitalized patients diagnosed with schizophrenia in Jordan","authors":"Mo’tasem M. Aldaieflih, Rabia H. Haddad, Ayman M. Hamdan-Mansour","doi":"10.1108/mhsi-05-2024-0068","DOIUrl":"https://doi.org/10.1108/mhsi-05-2024-0068","url":null,"abstract":"Purpose\u0000This study aims to examine the predictive power of childhood adversity and severity of positive symptoms on suicidality, controlling for selected sociodemographics factors, among hospitalized patients diagnosed with schizophrenia in Jordan.\u0000\u0000Design/methodology/approach\u0000This study used a descriptive-explorative design. The study was conducted at two major psychiatric hospitals in Jordan. The targeted sample was 66 patients diagnosed with schizophrenia. Data was collected using a structured format in the period February–April 2024.\u0000\u0000Findings\u0000A two-step multiple hierarchical regression analysis was conducted. In the first model, childhood adversity and the severity of positive symptoms were entered. In the second model, sociodemographic variables were entered. The analysis revealed that the first model (F = 5.35, p = 0.007) was statistically significant. The second model (F = 717, p < 0.001) was statistically significant. Furthermore, the analysis revealed that childhood adversity was not a significant predictor for suicidality. However, positive symptoms and patients’ demographics (age, number of hospitalizations and length of being diagnosed with schizophrenia) were significant predictors of suicidality. The analysis revealed that childhood adversity was not a significant predictor of suicidality. However, positive symptoms and patients’ demographics (age, number of hospitalizations and length of being diagnosed with schizophrenia) were significant predictors of suicidality.\u0000\u0000Research limitations/implications\u0000One limitation of this study is related to the sample and the setting where there were only 66 patients recruited from governmental hospitals within inpatient wards. Thus, the upcoming studies should include more participants from private hospitals and different hospital settings including outpatient and emergency departments.\u0000\u0000Practical implications\u0000The research provides empirical insights that positive symptoms, age hospitalization and schizophrenia diagnosis length were significant predictors of suicidality. At the same time, childhood adversity was not a significant predictor of suicidality.\u0000\u0000Social implications\u0000The current research contributes to expanding mental health studies. Moreover, this study enlarges the body of knowledge in the academic world and clinical settings. It supports the disciplines of psychology, mental health and social sciences by increasing knowledge of the complicated relationships among childhood adversity, positive symptoms and suicidality.\u0000\u0000Originality/value\u0000This paper fulfills an identified need to study childhood adversity with comorbid psychiatric disorders such as schizophrenia, as well as psychiatric mental health covariates.\u0000","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141363291","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}
Pub Date : 2024-06-10DOI: 10.1108/mhsi-04-2024-0051
Nigel MacLennan
Purpose This study aims to delve into the complex relationship between whistleblowing and mental health. It explores the various psychological burdens and costs associated with reporting wrongdoing, and the factors that exacerbate these burdens. Design/methodology/approach A collation of experiences and shared observations drawn from working with many whistleblowers across several industries. Findings The damage done, by the wrongdoers who retaliate against heroes of integrity (aka, whistleblowers), in most cases, destroys the lives and mental health of the person who does their civic, moral or legal duty, to address the illegalities they found. The State does not protect those who protect the State from harm done to the State. In the UK, the State, by its lack of support, further damages heroes of integrity, and witnessing that may encourage future potential whistleblowers to stay silent, thus encouraging more wrongdoing, which harms the State. Research limitations/implications The pattern of attacks on whistleblowers by wrongdoers is highly predictable, as are the mental health consequences that follow. More research is needed to identify the causal chain that directly links the pattern of whistleblower retaliation to the devastating mental health harm that follows. Practical implications The mental health and reputational harm done to whistleblowers by the retaliation they suffer, in the vast majority of cases, both removes them from making a contribution to the economy and renders them dependent on the State, for life. The harm done to whistleblowers by the wrongdoers, with no viable means of legal redress being available for whistleblowers, sends a chilling signal to anyone who would seek to expose organisational wrongdoing. Social implications If a society asks its citizens to comply with the law and imposes a moral, ethical and even legal duty on its citizens to address any wrongdoing they witness and yet does not protect those citizens from retaliation by the wrongdoers, then that society cannot expect citizens to do the right thing. That is evidenced by the fact that most people choose silent complicity when they encounter wrongdoing. Originality/value Until whistleblowing law protects right-doers from wrongdoers, those who are contemplating protecting society from organisational crimes would be well advised to join the vast ranks of the silently complicit rather than have their lives destroyed.
{"title":"The mental health effects of whistleblowing: reflections on working with whistleblowers","authors":"Nigel MacLennan","doi":"10.1108/mhsi-04-2024-0051","DOIUrl":"https://doi.org/10.1108/mhsi-04-2024-0051","url":null,"abstract":"\u0000Purpose\u0000This study aims to delve into the complex relationship between whistleblowing and mental health. It explores the various psychological burdens and costs associated with reporting wrongdoing, and the factors that exacerbate these burdens.\u0000\u0000\u0000Design/methodology/approach\u0000A collation of experiences and shared observations drawn from working with many whistleblowers across several industries.\u0000\u0000\u0000Findings\u0000The damage done, by the wrongdoers who retaliate against heroes of integrity (aka, whistleblowers), in most cases, destroys the lives and mental health of the person who does their civic, moral or legal duty, to address the illegalities they found. The State does not protect those who protect the State from harm done to the State. In the UK, the State, by its lack of support, further damages heroes of integrity, and witnessing that may encourage future potential whistleblowers to stay silent, thus encouraging more wrongdoing, which harms the State.\u0000\u0000\u0000Research limitations/implications\u0000The pattern of attacks on whistleblowers by wrongdoers is highly predictable, as are the mental health consequences that follow. More research is needed to identify the causal chain that directly links the pattern of whistleblower retaliation to the devastating mental health harm that follows.\u0000\u0000\u0000Practical implications\u0000The mental health and reputational harm done to whistleblowers by the retaliation they suffer, in the vast majority of cases, both removes them from making a contribution to the economy and renders them dependent on the State, for life. The harm done to whistleblowers by the wrongdoers, with no viable means of legal redress being available for whistleblowers, sends a chilling signal to anyone who would seek to expose organisational wrongdoing.\u0000\u0000\u0000Social implications\u0000If a society asks its citizens to comply with the law and imposes a moral, ethical and even legal duty on its citizens to address any wrongdoing they witness and yet does not protect those citizens from retaliation by the wrongdoers, then that society cannot expect citizens to do the right thing. That is evidenced by the fact that most people choose silent complicity when they encounter wrongdoing.\u0000\u0000\u0000Originality/value\u0000Until whistleblowing law protects right-doers from wrongdoers, those who are contemplating protecting society from organisational crimes would be well advised to join the vast ranks of the silently complicit rather than have their lives destroyed.\u0000","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141362105","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}
Pub Date : 2024-06-03DOI: 10.1108/mhsi-04-2024-0057
Rabia H. Haddad, Bushra Kh. Alhusamiah, Razan H. Haddad, Ayman M. Hamdan-Mansour, Younis H. Abuhashish, Jafar A. Alshraideh
Purpose This systematic review (SR) aims to evaluate and summarize the effectiveness of using eye movement desensitization and reprocessing (EMDR) intervention among individuals diagnosed with post-traumatic stress disorder (PTSD), as well as to highlight the standardized EMDR-based interventional protocol. Design/methodology/approach This SR is guided according to preferred reporting items for SRs and meta-analyses standards. Several online databases were used in searching for eligible studies in peer-reviewed journals relevant to the study keywords. The included studies were SRs and clinical trials that used EMDR interventions among patients experiencing PTSD symptoms, older than 18 years and were published in English language from 2015 to 2022. Three researchers independently contributed to study selections, data extraction and study evaluations from different aspects, including quality assessment, risk of bias and study synthesis. Findings A total of eight published studies met the inclusion criteria and were included in this SR; four articles were randomized controlled trials and four were SR and meta-analysis studies. In all included studies, the EMDR was used as a primary psychotherapy intervention for PTSD symptoms. The results of this extensive and comprehensive review showed that EMDR is an effective psychotherapeutic intervention to reduce and control the severity of symptoms among individuals with PTSD. Research limitations/implications It is important to acknowledge several limitations inherent in this study. First and foremost, it is noteworthy to mention that only studies conducted in the English language were included in this review, potentially restricting the overall scope and diversity of the findings. Furthermore, the number of studies incorporated into this review was limited, which may have implications for the comprehensiveness and generalizability of the results. Finally, it is worth noting that certain studies within this review had a relatively small sample size, which could potentially limit the statistical power and precision of the conclusions drawn. Practical implications This paper, a review of the literature, gives an overview of EMDR effectiveness, provides baseline information and plays a significant role in decreasing the gap in Jordanian literature regarding using EMDR as the strongest evident psychotherapy approach for PTSD treatment to help psychiatrists, psychologists and psychiatric nurses in the health-care sectors to design comprehensive strategies to enhance and improve the quality of health care and patients’ status. Social implications EMDR intervention offers significant alternative treatment opportunities for individuals suffering from PTSD, depression and anxiety. The implementation of EMDR for depression, anxiety and PTSD improves patient outcomes as compared to standard therapeutic modalities in PTSD. Originality/value This SR gives an overview and explains strong supportive evidence for the
{"title":"The effectiveness of using eye movement desensitization and reprocessing therapy on reducing the severity of symptoms among individuals diagnosed with post-traumatic stress disorder: a systematic review of literature to highlight the standardized therapy-based interventional protocol","authors":"Rabia H. Haddad, Bushra Kh. Alhusamiah, Razan H. Haddad, Ayman M. Hamdan-Mansour, Younis H. Abuhashish, Jafar A. Alshraideh","doi":"10.1108/mhsi-04-2024-0057","DOIUrl":"https://doi.org/10.1108/mhsi-04-2024-0057","url":null,"abstract":"Purpose\u0000This systematic review (SR) aims to evaluate and summarize the effectiveness of using eye movement desensitization and reprocessing (EMDR) intervention among individuals diagnosed with post-traumatic stress disorder (PTSD), as well as to highlight the standardized EMDR-based interventional protocol.\u0000\u0000Design/methodology/approach\u0000This SR is guided according to preferred reporting items for SRs and meta-analyses standards. Several online databases were used in searching for eligible studies in peer-reviewed journals relevant to the study keywords. The included studies were SRs and clinical trials that used EMDR interventions among patients experiencing PTSD symptoms, older than 18 years and were published in English language from 2015 to 2022. Three researchers independently contributed to study selections, data extraction and study evaluations from different aspects, including quality assessment, risk of bias and study synthesis.\u0000\u0000Findings\u0000A total of eight published studies met the inclusion criteria and were included in this SR; four articles were randomized controlled trials and four were SR and meta-analysis studies. In all included studies, the EMDR was used as a primary psychotherapy intervention for PTSD symptoms. The results of this extensive and comprehensive review showed that EMDR is an effective psychotherapeutic intervention to reduce and control the severity of symptoms among individuals with PTSD.\u0000\u0000Research limitations/implications\u0000It is important to acknowledge several limitations inherent in this study. First and foremost, it is noteworthy to mention that only studies conducted in the English language were included in this review, potentially restricting the overall scope and diversity of the findings. Furthermore, the number of studies incorporated into this review was limited, which may have implications for the comprehensiveness and generalizability of the results. Finally, it is worth noting that certain studies within this review had a relatively small sample size, which could potentially limit the statistical power and precision of the conclusions drawn.\u0000\u0000Practical implications\u0000This paper, a review of the literature, gives an overview of EMDR effectiveness, provides baseline information and plays a significant role in decreasing the gap in Jordanian literature regarding using EMDR as the strongest evident psychotherapy approach for PTSD treatment to help psychiatrists, psychologists and psychiatric nurses in the health-care sectors to design comprehensive strategies to enhance and improve the quality of health care and patients’ status.\u0000\u0000Social implications\u0000EMDR intervention offers significant alternative treatment opportunities for individuals suffering from PTSD, depression and anxiety. The implementation of EMDR for depression, anxiety and PTSD improves patient outcomes as compared to standard therapeutic modalities in PTSD.\u0000\u0000Originality/value\u0000This SR gives an overview and explains strong supportive evidence for the","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141228828","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}
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