Pub Date : 2023-11-20DOI: 10.1108/jpmh-09-2023-0083
Gabriella Tazzini, Brioney Gee, Jon Wilson, Francesca Weber, Alex Brown, Tim Clarke, Eleanor Chatburn
Purpose This paper aims to examine the barriers and facilitators of conducting and implementing research in frontline child and youth mental health settings in the UK. Design/methodology/approach Researchers, clinicians and commissioners who attended a workshop at the Big Emerging Minds Summit in October 2022 provided their expert views on the structural barriers and possible solutions to integrating research in clinical practice based on their experiences of child and young people mental health research. Findings The identified barriers encompass resource constraints, administrative burdens and misalignment of research priorities, necessitating concerted efforts to foster a research-supportive culture. This paper proposes the potential actionable solutions aimed at overcoming challenges, which are likely applicable across various other health-care systems and frontline NHS services. Solutions include ways to bridge the gap between research and practice, changing perceptions of research, inclusive engagement and collaboration, streamlining ethics processes, empowering observational research and tailored communication strategies. Case examples are outlined to substantiate the themes presented and highlight successful research initiatives within NHS Trusts. Originality/value This paper provides an insight into the views of stakeholders in child and youth mental health. The themes will hopefully support and influence clinicians and academics to come together to improve the integration of research into clinical practice with the hope of improving service provision and outcomes for our children and young people.
{"title":"Overcoming challenges of embedding child and youth mental health research in community NHS services","authors":"Gabriella Tazzini, Brioney Gee, Jon Wilson, Francesca Weber, Alex Brown, Tim Clarke, Eleanor Chatburn","doi":"10.1108/jpmh-09-2023-0083","DOIUrl":"https://doi.org/10.1108/jpmh-09-2023-0083","url":null,"abstract":"Purpose This paper aims to examine the barriers and facilitators of conducting and implementing research in frontline child and youth mental health settings in the UK. Design/methodology/approach Researchers, clinicians and commissioners who attended a workshop at the Big Emerging Minds Summit in October 2022 provided their expert views on the structural barriers and possible solutions to integrating research in clinical practice based on their experiences of child and young people mental health research. Findings The identified barriers encompass resource constraints, administrative burdens and misalignment of research priorities, necessitating concerted efforts to foster a research-supportive culture. This paper proposes the potential actionable solutions aimed at overcoming challenges, which are likely applicable across various other health-care systems and frontline NHS services. Solutions include ways to bridge the gap between research and practice, changing perceptions of research, inclusive engagement and collaboration, streamlining ethics processes, empowering observational research and tailored communication strategies. Case examples are outlined to substantiate the themes presented and highlight successful research initiatives within NHS Trusts. Originality/value This paper provides an insight into the views of stakeholders in child and youth mental health. The themes will hopefully support and influence clinicians and academics to come together to improve the integration of research into clinical practice with the hope of improving service provision and outcomes for our children and young people.","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":"6 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139255214","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 : 2023-11-06DOI: 10.1108/jpmh-05-2023-0044
Antin Mary Siluvai, Hesil Jerda George, Satyanarayana Parayitam
Purpose This study aims to assess the negative aspect of social media use among college students in India. A conceptual model showing the relationship between excessive social media use (ESMU) and academic performance of college students has been developed and tested. Further, the moderating role of psychological well-being and avoidance strategies were investigated. Design/methodology/approach A survey instrument was developed, and data was collected from 557 college students from higher educational institutions in southern India. First, the psychometric properties of the measures were tested using the Lisrel software for covariance-based structural equation modeling. Second, the structural model was tested by using PROCESS macros. Findings The results reveal that ESMU is a precursor to anxiety and academic performance. The findings also indicate that anxiety mediates the relationship between ESMU and academic performance. Psychological well-being and avoidance strategies were significant moderators in the relationship between ESMU and anxiety. Originality/value The multi-layered conceptual model was developed and tested in the context of a developing country (India) and investigated the effect of ESMU by college students on their academic performance and anxiety. The three-way interaction between psychological well-being (first moderator), avoidance strategies (second moderator) and ESMU influencing academic performance mediated through anxiety is studied in this research. To the best of the authors’ knowledge, such a moderated moderated-mediation in connection with social media use is a unique contribution of this study.
{"title":"Psychological wellbeing and avoidance strategies as moderators between excessive social media use and academic performance among Indian college students","authors":"Antin Mary Siluvai, Hesil Jerda George, Satyanarayana Parayitam","doi":"10.1108/jpmh-05-2023-0044","DOIUrl":"https://doi.org/10.1108/jpmh-05-2023-0044","url":null,"abstract":"Purpose This study aims to assess the negative aspect of social media use among college students in India. A conceptual model showing the relationship between excessive social media use (ESMU) and academic performance of college students has been developed and tested. Further, the moderating role of psychological well-being and avoidance strategies were investigated. Design/methodology/approach A survey instrument was developed, and data was collected from 557 college students from higher educational institutions in southern India. First, the psychometric properties of the measures were tested using the Lisrel software for covariance-based structural equation modeling. Second, the structural model was tested by using PROCESS macros. Findings The results reveal that ESMU is a precursor to anxiety and academic performance. The findings also indicate that anxiety mediates the relationship between ESMU and academic performance. Psychological well-being and avoidance strategies were significant moderators in the relationship between ESMU and anxiety. Originality/value The multi-layered conceptual model was developed and tested in the context of a developing country (India) and investigated the effect of ESMU by college students on their academic performance and anxiety. The three-way interaction between psychological well-being (first moderator), avoidance strategies (second moderator) and ESMU influencing academic performance mediated through anxiety is studied in this research. To the best of the authors’ knowledge, such a moderated moderated-mediation in connection with social media use is a unique contribution of this study.","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":"77 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135584738","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 : 2023-10-30DOI: 10.1108/jpmh-07-2023-0065
Ziggi Ivan Santini, Ola Ekholm, Ai Koyanagi, Sarah Stewart-Brown, Line Nielsen, Charlotte Meilstrup, Vibeke Koushede, Lau Caspar Thygesen
Purpose Prior research on relations between mental health and pain has focused on negative mental health aspects (e.g. depression), while the literature is scarce in terms of positive aspects, such as mental well-being. This study aims to investigate prospective associations of mental well-being at baseline with pain and functional impairment due to pain in the following year. Design/methodology/approach Data stem from a Danish nationally representative survey of 5,000 adults (aged 15+) conducted in 2019 and 2020, which was linked to register data. The Short Warwick–Edinburgh Mental Well-being Scale was used to assess mental well-being, both continuously (range 7–35) and categorically (low, moderate, high). Logistic regressions were conducted to assess associations between mental well-being in 2019 and pain and functional impairment due to pain (among those reporting any pain) in 2020. Findings In the fully adjusted models, each point increase in mental well-being was inversely associated with pain (OR = 0.97, 95%CI 0.95–0.99) and functional impairment due to pain (OR = 0.96, 95%CI 0.94–0.99). As compared to low mental well-being, moderate mental well-being was associated with an OR of 0.76 (95%CI 0.58–0.99) for pain and an OR of 0.63 (95%CI 0.46–0.87) of functional impairment due to pain, while high mental well-being was associated with an OR of 0.56 (95%CI 0.40–0.77) for pain and an OR of 0.53 (95%CI 0.34–0.79) for functional impairment due to pain. Originality/value Higher mental well-being levels may be protective against pain and functional impairment due to pain. Wider mental health promotion may be considered to prevent pain and associated functional impairments in the general population.
{"title":"Pain and associated functional impairment in the Danish general population: the role of mental well-being","authors":"Ziggi Ivan Santini, Ola Ekholm, Ai Koyanagi, Sarah Stewart-Brown, Line Nielsen, Charlotte Meilstrup, Vibeke Koushede, Lau Caspar Thygesen","doi":"10.1108/jpmh-07-2023-0065","DOIUrl":"https://doi.org/10.1108/jpmh-07-2023-0065","url":null,"abstract":"Purpose Prior research on relations between mental health and pain has focused on negative mental health aspects (e.g. depression), while the literature is scarce in terms of positive aspects, such as mental well-being. This study aims to investigate prospective associations of mental well-being at baseline with pain and functional impairment due to pain in the following year. Design/methodology/approach Data stem from a Danish nationally representative survey of 5,000 adults (aged 15+) conducted in 2019 and 2020, which was linked to register data. The Short Warwick–Edinburgh Mental Well-being Scale was used to assess mental well-being, both continuously (range 7–35) and categorically (low, moderate, high). Logistic regressions were conducted to assess associations between mental well-being in 2019 and pain and functional impairment due to pain (among those reporting any pain) in 2020. Findings In the fully adjusted models, each point increase in mental well-being was inversely associated with pain (OR = 0.97, 95%CI 0.95–0.99) and functional impairment due to pain (OR = 0.96, 95%CI 0.94–0.99). As compared to low mental well-being, moderate mental well-being was associated with an OR of 0.76 (95%CI 0.58–0.99) for pain and an OR of 0.63 (95%CI 0.46–0.87) of functional impairment due to pain, while high mental well-being was associated with an OR of 0.56 (95%CI 0.40–0.77) for pain and an OR of 0.53 (95%CI 0.34–0.79) for functional impairment due to pain. Originality/value Higher mental well-being levels may be protective against pain and functional impairment due to pain. Wider mental health promotion may be considered to prevent pain and associated functional impairments in the general population.","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":"58 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136105935","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 : 2023-10-20DOI: 10.1108/jpmh-01-2023-0006
Supreet Kaur
Purpose The purpose of this study is to comprehend the traumatic experiences of intensive care unit (ICU) patients during the COVID-19 pandemic and the impact of the same post-discharge. It assesses the role of nature and open green spaces on the mental health and well-being of critically ill patients. Design/methodology/approach Using interpretative phenomenological analysis, this study highlights the major factors contributing to adverse mental health and well-being. The subjects were interviewed using semi-structured personal interview techniques. Thematic content analysis was adapted to derive the major themes apparent in the succinctly rich information gathered from the participants. Findings The findings cast light on the significant role of nature and open green spaces in psychotherapeutic healing post-discharge of intensive care survivors. Originality/value The study is novel and adds to the existing literature in an advanced manner. To the best of the author’s knowledge, no other study was witnessed, especially in the Indian context, confirming the relationship between humans and nature with ICU patients as a subset.
{"title":"Impact of nature on the mental health and well-being of the ICU survivors: an interpretative phenomenological analysis","authors":"Supreet Kaur","doi":"10.1108/jpmh-01-2023-0006","DOIUrl":"https://doi.org/10.1108/jpmh-01-2023-0006","url":null,"abstract":"Purpose The purpose of this study is to comprehend the traumatic experiences of intensive care unit (ICU) patients during the COVID-19 pandemic and the impact of the same post-discharge. It assesses the role of nature and open green spaces on the mental health and well-being of critically ill patients. Design/methodology/approach Using interpretative phenomenological analysis, this study highlights the major factors contributing to adverse mental health and well-being. The subjects were interviewed using semi-structured personal interview techniques. Thematic content analysis was adapted to derive the major themes apparent in the succinctly rich information gathered from the participants. Findings The findings cast light on the significant role of nature and open green spaces in psychotherapeutic healing post-discharge of intensive care survivors. Originality/value The study is novel and adds to the existing literature in an advanced manner. To the best of the author’s knowledge, no other study was witnessed, especially in the Indian context, confirming the relationship between humans and nature with ICU patients as a subset.","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135617795","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 : 2023-09-20DOI: 10.1108/jpmh-04-2023-0033
Sarah Wigham, Eileen Kaner, Jane Bourne, Kanar Ahmed, Simon Hackett
Purpose Mental well-being is associated with positive outcomes throughout the life course. This study aims to examine interventions delivered by allied health professionals (AHPs) to alleviate community stressors adversely impacting public mental health and well-being. Design/methodology/approach Review inclusion criteria comprised experimental and qualitative process evaluations of public mental health interventions delivered by AHPs. Electronic searches in Cinahl, Embase, Medline, PsycINFO and the Cochrane Library, were combined with grey literature searches of National Institute for Health and Care Excellence public health guidance. A narrative synthesis and the Effective Public Health Practice Project appraisal tool were used to evaluate the evidence. Findings A total of 45-articles were included in the review describing AHP-delivered interventions addressing social disadvantage, trauma, bullying, loneliness, work-related stress, transitional stress, intersectionality, pain and bereavement. No articles were identified evaluating interventions delivered by operating department practitioners or orthoptists. A conceptual map was developed summarising the stressors, and a typology of public mental health interventions defined including: place-based interventions, discrete/one-off interventions, multi-component lifestyle and social connector interventions and interventions targeting groups at risk of mental health conditions. Research limitations/implications Many mental health conditions begin in childhood, and a strength of the review is the life course perspective. A further strength is compiling a compendium of public mental health outcome measures used by AHPs to inform future research. The authors excluded many articles focussed on clinical interventions/populations, which did not meet review inclusion criteria. While playing a key role in delivering public mental health interventions, clinical psychologists are not defined as AHPs and were excluded from the review, and this may be construed a limitation. Given heterogeneity of study designs and interventions evaluated numerical analyses of pooled findings was not appropriate. Practical implications The review highlights the breadth of community stressors on which AHPs can intervene and contribute in public mental health contexts, stressors which correspond to those identified in UK Government guidance as currently important and relevant to address. The findings can inform developing community public mental health pathways that align with the UK National Health Service (NHS) Long Term Plan, on prevention and early intervention to protect community mental health and well-being. Further can inform the NHS strategic direction for AHPs including informing ways of increasing utilisation of core AHP skills to optimise contributions in public mental health agendas. Social implications It is surprising there were not more AHP delivered evaluations of interventions for other stressors important to ad
{"title":"Public mental health and wellbeing interventions delivered by allied health professionals (AHPs): mapping the evidence and identification of gaps. A systematic review","authors":"Sarah Wigham, Eileen Kaner, Jane Bourne, Kanar Ahmed, Simon Hackett","doi":"10.1108/jpmh-04-2023-0033","DOIUrl":"https://doi.org/10.1108/jpmh-04-2023-0033","url":null,"abstract":"Purpose Mental well-being is associated with positive outcomes throughout the life course. This study aims to examine interventions delivered by allied health professionals (AHPs) to alleviate community stressors adversely impacting public mental health and well-being. Design/methodology/approach Review inclusion criteria comprised experimental and qualitative process evaluations of public mental health interventions delivered by AHPs. Electronic searches in Cinahl, Embase, Medline, PsycINFO and the Cochrane Library, were combined with grey literature searches of National Institute for Health and Care Excellence public health guidance. A narrative synthesis and the Effective Public Health Practice Project appraisal tool were used to evaluate the evidence. Findings A total of 45-articles were included in the review describing AHP-delivered interventions addressing social disadvantage, trauma, bullying, loneliness, work-related stress, transitional stress, intersectionality, pain and bereavement. No articles were identified evaluating interventions delivered by operating department practitioners or orthoptists. A conceptual map was developed summarising the stressors, and a typology of public mental health interventions defined including: place-based interventions, discrete/one-off interventions, multi-component lifestyle and social connector interventions and interventions targeting groups at risk of mental health conditions. Research limitations/implications Many mental health conditions begin in childhood, and a strength of the review is the life course perspective. A further strength is compiling a compendium of public mental health outcome measures used by AHPs to inform future research. The authors excluded many articles focussed on clinical interventions/populations, which did not meet review inclusion criteria. While playing a key role in delivering public mental health interventions, clinical psychologists are not defined as AHPs and were excluded from the review, and this may be construed a limitation. Given heterogeneity of study designs and interventions evaluated numerical analyses of pooled findings was not appropriate. Practical implications The review highlights the breadth of community stressors on which AHPs can intervene and contribute in public mental health contexts, stressors which correspond to those identified in UK Government guidance as currently important and relevant to address. The findings can inform developing community public mental health pathways that align with the UK National Health Service (NHS) Long Term Plan, on prevention and early intervention to protect community mental health and well-being. Further can inform the NHS strategic direction for AHPs including informing ways of increasing utilisation of core AHP skills to optimise contributions in public mental health agendas. Social implications It is surprising there were not more AHP delivered evaluations of interventions for other stressors important to ad","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136263381","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 : 2023-09-13DOI: 10.1108/jpmh-02-2023-0012
Adam T. Schmidt, Jacquelynn Duron, Becca K. Bergquist, Alexandra C. Bammel, Kelsey A. Maloney, Abigail Williams-Butler, Gerri R. Hanten
Purpose Though prosocial attributes are linked to positive outcomes among justice-involved adolescents and are a mainstay of numerous interventions, few measures have been specifically designed to evaluate prosocial functioning within this population. Although multiple instruments measuring aspects of prosocial behavior exist, these instruments were not designed to measure prosocial behaviors among youth in juvenile justice settings. This study aims to provide a preliminary validation of a new measure of prosocial attributes (the Prosocial Status Inventory – PSI), which was designed to comprehensively evaluate in greater depth the prosocial functioning of urban, justice-involved youth. Design/methodology/approach Youth ( n = 51) were recruited as part of a larger study and were participants in a community-based mentoring program in a large, urban county in the Southern USA. Youth completed the PSI at baseline prior to their participation in the community-based mentoring program. The authors obtained follow-up data on recidivism from the county juvenile justice department. Findings PSI scores were positively related to a lower rate of recidivism and a decrease in offending frequency over a 12-month follow-up period. Originality/value The current findings complement previous work, suggesting that prosocial attributes are measurable and related to important outcomes among justice-involved youth and support the utility of strengths-based treatment approaches. Moreover, it provides preliminary evidence of the utility of a new self-report measure to assess these traits within a juvenile justice population.
{"title":"Prosocial attributes relate to lower recidivism in justice-involved youth: preliminary evidence using a novel measure of prosocial functioning","authors":"Adam T. Schmidt, Jacquelynn Duron, Becca K. Bergquist, Alexandra C. Bammel, Kelsey A. Maloney, Abigail Williams-Butler, Gerri R. Hanten","doi":"10.1108/jpmh-02-2023-0012","DOIUrl":"https://doi.org/10.1108/jpmh-02-2023-0012","url":null,"abstract":"Purpose Though prosocial attributes are linked to positive outcomes among justice-involved adolescents and are a mainstay of numerous interventions, few measures have been specifically designed to evaluate prosocial functioning within this population. Although multiple instruments measuring aspects of prosocial behavior exist, these instruments were not designed to measure prosocial behaviors among youth in juvenile justice settings. This study aims to provide a preliminary validation of a new measure of prosocial attributes (the Prosocial Status Inventory – PSI), which was designed to comprehensively evaluate in greater depth the prosocial functioning of urban, justice-involved youth. Design/methodology/approach Youth ( n = 51) were recruited as part of a larger study and were participants in a community-based mentoring program in a large, urban county in the Southern USA. Youth completed the PSI at baseline prior to their participation in the community-based mentoring program. The authors obtained follow-up data on recidivism from the county juvenile justice department. Findings PSI scores were positively related to a lower rate of recidivism and a decrease in offending frequency over a 12-month follow-up period. Originality/value The current findings complement previous work, suggesting that prosocial attributes are measurable and related to important outcomes among justice-involved youth and support the utility of strengths-based treatment approaches. Moreover, it provides preliminary evidence of the utility of a new self-report measure to assess these traits within a juvenile justice population.","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134992502","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 : 2023-08-29DOI: 10.1108/jpmh-04-2023-0035
Talita Cristiele Gomes Vieira, Luana Alves Ciriaco, Silvana Silva Santos, Gabriel Lucas de Souza, Polibio José de Campos Souza
Purpose This article aims to analyze the incorporation of harm reduction health workers with lived experience in all services focused on the care for drug users in Belo Horizonte’s mental health network, one of the largest Brazilian Psychosocial Care Networks (Rede de Atenção Psicossocial [RAPS]), and reports the findings of a qualitative study on the life stories, recovery journeys and the professional practice of harm reducers in Belo Horizonte. Design/methodology/approach For the development of this research, the authors chose the following methodological tools: documentary research; follow-up of harm reduction interventions; access to harm reducers’ field diaries; joint writing of the life stories of the harm reducers. Findings It indicates that these professionals, as harm reducers empowered by their life experience, have developed various elements and active ingredients of peer support. Their practices and the results of their actions have consolidated their inclusion as Belo Horizonte RAPS’ health workers and highlight that recovery-oriented care and peer support are a real possibility in Brazil. Originality/value In this research, harm reducers are coauthors and report their own life experience. In this article, they also talk about the impact of this experience on their work and on the lives of users of mental health services, emphasizing the protagonism and exercise of citizenship by harm reducers.
目的本文旨在分析在巴西最大的心理社会护理网络之一贝洛奥里藏特的心理健康网络（Rede de Atenção Psicossocial[RAPS]）中，具有生活经验的减少伤害卫生工作者在所有专注于照顾吸毒者的服务中的参与情况，康复之旅和贝洛奥里藏特减少伤害的专业实践。设计/方法/方法为了本研究的发展，作者选择了以下方法论工具：文献研究；减少伤害干预措施的后续行动；查阅减少伤害人员的现场日记；共同撰写减少伤害者的生活故事。研究结果表明，这些专业人士，作为被生活经验赋予权力的减少伤害者，已经发展出了同伴支持的各种要素和积极成分。他们的做法和行动结果巩固了他们作为贝洛奥里藏特RAPS卫生工作者的地位，并强调在巴西，以康复为导向的护理和同伴支持是切实可行的。Originality/value在这项研究中，减少伤害者是合著者，并报告他们自己的生活经历。在这篇文章中，他们还谈到了这种经历对他们的工作和心理健康服务使用者生活的影响，强调了减少伤害者的积极性和行使公民权。
{"title":"The Belo Horizonte’s harm reducers as a possible and effective peer support experience","authors":"Talita Cristiele Gomes Vieira, Luana Alves Ciriaco, Silvana Silva Santos, Gabriel Lucas de Souza, Polibio José de Campos Souza","doi":"10.1108/jpmh-04-2023-0035","DOIUrl":"https://doi.org/10.1108/jpmh-04-2023-0035","url":null,"abstract":"\u0000Purpose\u0000This article aims to analyze the incorporation of harm reduction health workers with lived experience in all services focused on the care for drug users in Belo Horizonte’s mental health network, one of the largest Brazilian Psychosocial Care Networks (Rede de Atenção Psicossocial [RAPS]), and reports the findings of a qualitative study on the life stories, recovery journeys and the professional practice of harm reducers in Belo Horizonte.\u0000\u0000\u0000Design/methodology/approach\u0000For the development of this research, the authors chose the following methodological tools: documentary research; follow-up of harm reduction interventions; access to harm reducers’ field diaries; joint writing of the life stories of the harm reducers.\u0000\u0000\u0000Findings\u0000It indicates that these professionals, as harm reducers empowered by their life experience, have developed various elements and active ingredients of peer support. Their practices and the results of their actions have consolidated their inclusion as Belo Horizonte RAPS’ health workers and highlight that recovery-oriented care and peer support are a real possibility in Brazil.\u0000\u0000\u0000Originality/value\u0000In this research, harm reducers are coauthors and report their own life experience. In this article, they also talk about the impact of this experience on their work and on the lives of users of mental health services, emphasizing the protagonism and exercise of citizenship by harm reducers.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45231804","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 : 2023-08-22DOI: 10.1108/jpmh-12-2022-0125
E. Flanagan, J. Tondora, Annie Harper, P. Benedict, J. Giard, Billy Bromage, Bridgett Williamson, Paul Acker, Cheri L. Bragg, V. Adams, M. Rowe
Purpose This paper aims to describe the Recovering Citizenship Learning Collaborative (RCLC), a training, consultation and implementation effort for 13 local mental health authorities and two state hospitals. Design/methodology/approach The learning collaborative used a Recovering Citizenship approach, which holds that recovery occurs in the context of people’s lives in their communities and society, that is, their citizenship. The RCLC was implemented by the Connecticut Department of Mental Health and Addiction Services (DMHAS) in the USA and the Yale Program for Recovery and Community Health along with lived experience leaders. The RCLC supported system change through training DMHAS staff on concepts of recovery and citizenship and developing agency action plans, with the long-term goal of improving citizenship-oriented care at the agency-level and recovery and citizenship-related outcomes for people receiving services. Findings Lessons learned include the importance of assessing organizational readiness for change, addressing leadership investment and attention to systemic barrier, and offering tools to promote structure and accountability. Next steps are supporting agency action plans through technical assistance, state-wide educational offerings and a resource library. Research limitations/implications Systemic barriers are considerable and must be addressed before system transformation is possible. Practical implications The authors are hopeful that the RCLC has been part of overcoming those challenges and can be a tool for building foundations for improving citizen practices and people’s citizenship-related outcomes. Social implications Next steps are sustaining agency action plans, ongoing agency-specific technical assistance, ongoing state-wide educational offerings and a resource library. Originality/value The RCLC has provided tools and supports to build the foundation for improved citizenship practices and client outcomes at the multiagency system level.
{"title":"The Recovering Citizenship Learning Collaborative: a system-wide intervention to increase citizenship practices and outcomes","authors":"E. Flanagan, J. Tondora, Annie Harper, P. Benedict, J. Giard, Billy Bromage, Bridgett Williamson, Paul Acker, Cheri L. Bragg, V. Adams, M. Rowe","doi":"10.1108/jpmh-12-2022-0125","DOIUrl":"https://doi.org/10.1108/jpmh-12-2022-0125","url":null,"abstract":"\u0000Purpose\u0000This paper aims to describe the Recovering Citizenship Learning Collaborative (RCLC), a training, consultation and implementation effort for 13 local mental health authorities and two state hospitals.\u0000\u0000\u0000Design/methodology/approach\u0000The learning collaborative used a Recovering Citizenship approach, which holds that recovery occurs in the context of people’s lives in their communities and society, that is, their citizenship. The RCLC was implemented by the Connecticut Department of Mental Health and Addiction Services (DMHAS) in the USA and the Yale Program for Recovery and Community Health along with lived experience leaders. The RCLC supported system change through training DMHAS staff on concepts of recovery and citizenship and developing agency action plans, with the long-term goal of improving citizenship-oriented care at the agency-level and recovery and citizenship-related outcomes for people receiving services.\u0000\u0000\u0000Findings\u0000Lessons learned include the importance of assessing organizational readiness for change, addressing leadership investment and attention to systemic barrier, and offering tools to promote structure and accountability. Next steps are supporting agency action plans through technical assistance, state-wide educational offerings and a resource library.\u0000\u0000\u0000Research limitations/implications\u0000Systemic barriers are considerable and must be addressed before system transformation is possible.\u0000\u0000\u0000Practical implications\u0000The authors are hopeful that the RCLC has been part of overcoming those challenges and can be a tool for building foundations for improving citizen practices and people’s citizenship-related outcomes.\u0000\u0000\u0000Social implications\u0000Next steps are sustaining agency action plans, ongoing agency-specific technical assistance, ongoing state-wide educational offerings and a resource library.\u0000\u0000\u0000Originality/value\u0000The RCLC has provided tools and supports to build the foundation for improved citizenship practices and client outcomes at the multiagency system level.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43772850","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 : 2023-08-08DOI: 10.1108/jpmh-02-2023-0020
Beatrice Meda Wendeln, Lindsay Sheehan
Purpose The purpose of this study was to evaluate the effects of an online mental health ally program on several measurements of readiness to help and stigma reduction. Allyship is one way to support people with mental health challenges beyond traditional care services. Design/methodology/approach The efficacy of the program was evaluated in pre and postintervention surveys (n = 26) including measures of self-care, help-seeking intentions, peer-support self-efficacy, advocacy, knowledge of resources and stigma. A within-subject, repeated measures design was conducted analyzing changes at completion. Twenty-six participants who completed the program (either with or without lived experience of mental illness) were included in the study. A subgroup of participants (n = 11) who reported lived experiences of mental illness were assigned additional measures of internalized stigma, stigma stress, stigma resistance and self-esteem. Findings Analysis of mean differences indicated a statistically significant change in scores pre and postcompletion. The program increased peer-support, help-seeking intentions and self-esteem, while reducing internalized stigma and stigma stress. Findings provide preliminary support for program effectiveness in training individuals to support others and themselves through mental health challenges. Research limitations/implications Trained allies might improve the lives of individuals with mental health challenges by reducing discrimination and improving social support. We discuss the implication of allies to complement the mental health system. Originality/value To the best of the authors’ knowledge, this is the first exploratory study on the efficacy of an online ally training program for individuals with mental illness. The NoStigmas Ally Program is a novel and original development in ally training.
{"title":"Exploratory study of an ally training program for mental health support","authors":"Beatrice Meda Wendeln, Lindsay Sheehan","doi":"10.1108/jpmh-02-2023-0020","DOIUrl":"https://doi.org/10.1108/jpmh-02-2023-0020","url":null,"abstract":"\u0000Purpose\u0000The purpose of this study was to evaluate the effects of an online mental health ally program on several measurements of readiness to help and stigma reduction. Allyship is one way to support people with mental health challenges beyond traditional care services.\u0000\u0000\u0000Design/methodology/approach\u0000The efficacy of the program was evaluated in pre and postintervention surveys (n = 26) including measures of self-care, help-seeking intentions, peer-support self-efficacy, advocacy, knowledge of resources and stigma. A within-subject, repeated measures design was conducted analyzing changes at completion. Twenty-six participants who completed the program (either with or without lived experience of mental illness) were included in the study. A subgroup of participants (n = 11) who reported lived experiences of mental illness were assigned additional measures of internalized stigma, stigma stress, stigma resistance and self-esteem.\u0000\u0000\u0000Findings\u0000Analysis of mean differences indicated a statistically significant change in scores pre and postcompletion. The program increased peer-support, help-seeking intentions and self-esteem, while reducing internalized stigma and stigma stress. Findings provide preliminary support for program effectiveness in training individuals to support others and themselves through mental health challenges.\u0000\u0000\u0000Research limitations/implications\u0000Trained allies might improve the lives of individuals with mental health challenges by reducing discrimination and improving social support. We discuss the implication of allies to complement the mental health system.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, this is the first exploratory study on the efficacy of an online ally training program for individuals with mental illness. The NoStigmas Ally Program is a novel and original development in ally training.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43112998","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 : 2023-08-03DOI: 10.1108/jpmh-06-2023-0051
Sarah Waters, Hilda Palmer
Purpose The purpose of this paper is to discuss the response of the relevant authorities to evidence that female primary schoolteachers have an elevated suicide risk in the UK. The paper situates the recent tragic death of a primary school head teacher, following an Ofsted inspection at her school, within the wider context of teacher suicide deaths and asks what, if any, action the authorities have taken to prevent avoidable suicide deaths from occurring. Design/methodology/approach The paper examines a recent case of suicide by a primary head teacher within the wider context of statistical data on suicides by primary schoolteachers and in relation to previous cases of suicide linked to a school inspection. Findings The paper suggests that the relevant authorities have failed to act in relation to evidence of high suicide risk amongst female primary schoolteachers and to previous suicide deaths linked to the impact of a school inspection. Without learning from suicide deaths and acting on available evidence, there is a risk that preventable suicide deaths will continue to occur. Originality/value The paper draws together case study evidence and statistical data to make the case for regulatory reform to ensure that work-related suicides are investigated, monitored and prevented.
{"title":"Ofsted suicides: who is responsible for suicide prevention?","authors":"Sarah Waters, Hilda Palmer","doi":"10.1108/jpmh-06-2023-0051","DOIUrl":"https://doi.org/10.1108/jpmh-06-2023-0051","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to discuss the response of the relevant authorities to evidence that female primary schoolteachers have an elevated suicide risk in the UK. The paper situates the recent tragic death of a primary school head teacher, following an Ofsted inspection at her school, within the wider context of teacher suicide deaths and asks what, if any, action the authorities have taken to prevent avoidable suicide deaths from occurring.\u0000\u0000\u0000Design/methodology/approach\u0000The paper examines a recent case of suicide by a primary head teacher within the wider context of statistical data on suicides by primary schoolteachers and in relation to previous cases of suicide linked to a school inspection.\u0000\u0000\u0000Findings\u0000The paper suggests that the relevant authorities have failed to act in relation to evidence of high suicide risk amongst female primary schoolteachers and to previous suicide deaths linked to the impact of a school inspection. Without learning from suicide deaths and acting on available evidence, there is a risk that preventable suicide deaths will continue to occur.\u0000\u0000\u0000Originality/value\u0000The paper draws together case study evidence and statistical data to make the case for regulatory reform to ensure that work-related suicides are investigated, monitored and prevented.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42929866","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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