Pub Date : 2021-05-10DOI: 10.1108/MHRJ-04-2020-0023
F. Rocca, Chloe Finamore, S. Stamp, Fiona Kuhn-Thompson, O. Dale
Purpose National Institute for Clinical and Health Excellence guidelines (2009) state that low intensity psychological interventions should not be used for borderline personality disorder. However, an emerging body of evidence suggests brief interventions such as psychoeducation may be relevant for those presenting with borderline personality difficulties. The purpose of this study is to evaluate the benefit of learning about thinking, emotions and relationships (LATER), a co-produced psychoeducation programme for borderline personality difficulties in a community-based setting. Design/methodology/approach Participants (n = 125) self-referred to LATER, a group-based psychoeducation programme delivered at the [NHS Trust] Recovery College. Participants were assessed pre- and post-intervention using the tailor-made psychological education group evaluation scale, the borderline evaluation of severity over time and work and social adjustment scale. Paired t-tests were conducted on pre- and post-scores, and effect sizes were calculated. Findings After LATER, participants reported a significant decrease in negative thoughts and feelings, destructive behaviours and overall borderline symptom severity, but no significant increase in positive behaviours. Significant decreases were found in areas of work and social impairment. Participants’ overall understanding of personality difficulties significantly improved. Effect sizes were small to moderate. Research limitations/implications Limitations of the study include the lack of a control group, adjustment for confounders and follow-up. Replication with a more robust methodology is needed. Originality/value This study contributes to the evidence for the usefulness of brief interventions for personality difficulties, particularly in the context of a stepped model of care and adds to the research on co-production.
{"title":"Psychoeducation for borderline personality difficulties: a preliminary study","authors":"F. Rocca, Chloe Finamore, S. Stamp, Fiona Kuhn-Thompson, O. Dale","doi":"10.1108/MHRJ-04-2020-0023","DOIUrl":"https://doi.org/10.1108/MHRJ-04-2020-0023","url":null,"abstract":"\u0000Purpose\u0000National Institute for Clinical and Health Excellence guidelines (2009) state that low intensity psychological interventions should not be used for borderline personality disorder. However, an emerging body of evidence suggests brief interventions such as psychoeducation may be relevant for those presenting with borderline personality difficulties. The purpose of this study is to evaluate the benefit of learning about thinking, emotions and relationships (LATER), a co-produced psychoeducation programme for borderline personality difficulties in a community-based setting.\u0000\u0000\u0000Design/methodology/approach\u0000Participants (n = 125) self-referred to LATER, a group-based psychoeducation programme delivered at the [NHS Trust] Recovery College. Participants were assessed pre- and post-intervention using the tailor-made psychological education group evaluation scale, the borderline evaluation of severity over time and work and social adjustment scale. Paired t-tests were conducted on pre- and post-scores, and effect sizes were calculated.\u0000\u0000\u0000Findings\u0000After LATER, participants reported a significant decrease in negative thoughts and feelings, destructive behaviours and overall borderline symptom severity, but no significant increase in positive behaviours. Significant decreases were found in areas of work and social impairment. Participants’ overall understanding of personality difficulties significantly improved. Effect sizes were small to moderate.\u0000\u0000\u0000Research limitations/implications\u0000Limitations of the study include the lack of a control group, adjustment for confounders and follow-up. Replication with a more robust methodology is needed.\u0000\u0000\u0000Originality/value\u0000This study contributes to the evidence for the usefulness of brief interventions for personality difficulties, particularly in the context of a stepped model of care and adds to the research on co-production.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2021-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45509290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-06DOI: 10.1108/MHRJ-04-2020-0024
A. O'Reilly, A. Donnelly, J. Rogers, Olive Maloney, G. O’Brien, Elizabeth Doyle
Purpose Measuring 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. Design/methodology/approach A 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. Findings Overall, 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. Originality/value This 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.
{"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":null,"pages":null},"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}
Pub Date : 2021-04-01DOI: 10.1108/MHRJ-01-2020-0003
Gemma N Parry, S. Hodge, Alan Barrett
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.
{"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":null,"pages":null},"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}
Pub Date : 2021-03-04DOI: 10.1108/MHRJ-12-2020-0088
Maria Axiotidou, Doxa Papakonstantinou
Purpose Mental 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. Design/methodology/approach The authors conducted a systematic literature search in Medline, Science Direct, PsycINFO databases between 2000 and 2019. The review concluded in 13 studies. Findings This 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. Practical implications The 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. Originality/value This 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.
{"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":null,"pages":null},"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}
Pub Date : 2021-03-01DOI: 10.1108/MHRJ-08-2020-0055
N. Alattar, A. Felton, T. Stickley
Purpose Stigma 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. Design/methodology/approach This 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. Findings Stigma 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. Originality/value The 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.
{"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":null,"pages":null},"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}
Pub Date : 2021-02-11DOI: 10.1108/MHRJ-09-2020-0065
E. Staite, L. Howey, Clare Anderson, P. Maddison
Purpose Data 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. Design/methodology/approach This 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. Findings There 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. Practical implications Despite 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. Originality/value This 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.
数据显示，英国有越来越多的年轻人需要获得心理健康服务，包括危机小组。目前的全球大流行病加剧了这一需要。关于危机小组在改善成人功能方面的有效性，有各种各样的证据，据作者所知，没有人在英国儿童和青少年心理健康服务(CAMHS)危机小组的干预下对年轻人的功能进行实证检验。因此，本文的目的是使用CAMHS危机小组数据，来自支持英格兰东北部140万人的NHS信托，以检查年轻人在危机后的功能。这项服务评估比较了2018年12月至2019年12月期间，通过结果评定量表(ORS)衡量的年轻人在接受CAMHS危机小组治疗前和治疗后的功能。研究结果共有109名参与者参与了分析。治疗结束时，ORS评分显著升高(t(108) = - 4.2046, p < 0.001)，效应值较小(d = - 0.36)。16例(15%)患者表现出显著和可靠的变化(即功能改善)。另外4名(4%)患者没有表现出任何变化(即尽管处于危机状态，功能并未恶化)。没有患者在接受危机服务后功能明显恶化。尽管分析可能过于保守，但在CAMHS危机小组的干预下，15%的患者不仅显著改善了功能，而且能够在精神健康危机后恢复到“健康”的功能水平。CAMHS危机小组的干预也趋于稳定，因为一些年轻人的功能在精神健康危机后没有恶化。然而，还需要改进，以增加在CAMHS危机小组干预后功能未显着改善的患者人数。原创性/价值本文评估了英格兰东北部CAMHS危机小组在心理健康危机和干预后的年轻人的功能。
{"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":null,"pages":null},"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}
Pub Date : 2021-02-04DOI: 10.1108/MHRJ-01-2020-0005
Jackie A Wales, Nicola Brewin, K. Susi, Alison Eivors, Debbie Whight, Rheanne Leatherland
Purpose There 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. Design/methodology/approach Qualitative 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. Findings A 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. Research limitations/implications The 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. Originality/value This 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.
{"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":null,"pages":null},"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}
Pub Date : 2021-02-01DOI: 10.1108/MHRJ-08-2020-0058
H. Xie
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.
{"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":null,"pages":null},"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}
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