Pub Date : 2022-03-31DOI: 10.1108/mhrj-05-2021-0043
Amie L. Robinson, Nima G. Moghaddam
Purpose The purpose of this paper is to evaluate the effectiveness of psychological treatments and identify required adaptations to increase acceptability and improve outcomes for people with dementia or mild cognitive impairment who experience psychological distress. Design/methodology/approach The Cochrane Dementia and Cognitive Improvement Group Specialised Register and other databases were searched for eligible studies. Inclusion criteria identified nine randomised controlled trials comparing a psychological intervention (cognitive behavioural therapy, relaxation training therapies, multimodal therapies, psychodynamic therapy, counselling and cognitive rehabilitation) with usual care, with measures of depression and/or anxiety as an outcome. The appraisal of papers was conducted using the Mixed Methods Appraisal Tool. Data was analysed using meta-analysis. Findings A small, significant effect size before to after intervention was revealed, suggesting that psychological treatments may be effective in reducing psychological distress in people with dementia, with several therapy adaptations identified. Research limitations/implications Because of methodological limitations and a small number of studies evaluated, the quality of evidence was low for outcomes for depression, and there were no significant outcomes in anxiety. Originality/value The current review offers a unique contribution in identifying specific adaptations deemed helpful in improving the accessibility and acceptability of therapy for people with dementia, suggesting therapy can be adjusted enough to support this client-group. Future studies should use high-quality trials using standardised psychological interventions, of sufficient length, with long-term follow-up and offer of specific adaptations to increase accessibility and outcomes.
{"title":"Psychological treatments and therapy adaptations for psychological distress in dementia and mild cognitive impairment: a systematic review and meta-analysis","authors":"Amie L. Robinson, Nima G. Moghaddam","doi":"10.1108/mhrj-05-2021-0043","DOIUrl":"https://doi.org/10.1108/mhrj-05-2021-0043","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to evaluate the effectiveness of psychological treatments and identify required adaptations to increase acceptability and improve outcomes for people with dementia or mild cognitive impairment who experience psychological distress.\u0000\u0000\u0000Design/methodology/approach\u0000The Cochrane Dementia and Cognitive Improvement Group Specialised Register and other databases were searched for eligible studies. Inclusion criteria identified nine randomised controlled trials comparing a psychological intervention (cognitive behavioural therapy, relaxation training therapies, multimodal therapies, psychodynamic therapy, counselling and cognitive rehabilitation) with usual care, with measures of depression and/or anxiety as an outcome. The appraisal of papers was conducted using the Mixed Methods Appraisal Tool. Data was analysed using meta-analysis.\u0000\u0000\u0000Findings\u0000A small, significant effect size before to after intervention was revealed, suggesting that psychological treatments may be effective in reducing psychological distress in people with dementia, with several therapy adaptations identified.\u0000\u0000\u0000Research limitations/implications\u0000Because of methodological limitations and a small number of studies evaluated, the quality of evidence was low for outcomes for depression, and there were no significant outcomes in anxiety.\u0000\u0000\u0000Originality/value\u0000The current review offers a unique contribution in identifying specific adaptations deemed helpful in improving the accessibility and acceptability of therapy for people with dementia, suggesting therapy can be adjusted enough to support this client-group. Future studies should use high-quality trials using standardised psychological interventions, of sufficient length, with long-term follow-up and offer of specific adaptations to increase accessibility and outcomes.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43428870","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 : 2022-03-25DOI: 10.1108/mhrj-02-2021-0010
Megan Middlemiss, L. Caygill, Sarah Craven-Staines, J. Powell
Purpose Exposure to trauma in childhood can have lasting impacts upon development and psychological well-being. Services can be sought to help young people heal from their experiences; however, literature suggests that their care may not always be trauma-informed. This paper aims to generate a theory to explain caregivers’ experiences of accessing mental health and therapeutic services for young people exposed to developmental trauma. Design/methodology/approach A constructivist grounded theory approach was used, using an iterative process of data collection and analysis. Nine individuals including foster carers, adoptive parents and a special guardian were interviewed following purposive and theoretical sampling. Techniques of initial, focused and theoretical coding, alongside constant comparative analysis were used to develop the end theory. Findings The theory demonstrates that multiple factors can impact upon caregivers’ experiences when accessing support for young people exposed to trauma. Six themes emerged documenting caregivers’ journeys from the decision to seek support to the ending of service involvement. Barriers, challenges and positive experiences are described. Results are contextualised through consideration of wider organisations and systems. Originality/value The theory highlights challenges caregivers face when accessing mental health and therapeutic support for young people exposed to developmental trauma. It provides new insights into what caregivers consider to be trauma-informed experiences of care in these settings. Tentative recommendations are provided in the hope of improving future care.
{"title":"Caregivers’ experiences of therapeutic support for children exposed to developmental trauma","authors":"Megan Middlemiss, L. Caygill, Sarah Craven-Staines, J. Powell","doi":"10.1108/mhrj-02-2021-0010","DOIUrl":"https://doi.org/10.1108/mhrj-02-2021-0010","url":null,"abstract":"\u0000Purpose\u0000Exposure to trauma in childhood can have lasting impacts upon development and psychological well-being. Services can be sought to help young people heal from their experiences; however, literature suggests that their care may not always be trauma-informed. This paper aims to generate a theory to explain caregivers’ experiences of accessing mental health and therapeutic services for young people exposed to developmental trauma.\u0000\u0000\u0000Design/methodology/approach\u0000A constructivist grounded theory approach was used, using an iterative process of data collection and analysis. Nine individuals including foster carers, adoptive parents and a special guardian were interviewed following purposive and theoretical sampling. Techniques of initial, focused and theoretical coding, alongside constant comparative analysis were used to develop the end theory.\u0000\u0000\u0000Findings\u0000The theory demonstrates that multiple factors can impact upon caregivers’ experiences when accessing support for young people exposed to trauma. Six themes emerged documenting caregivers’ journeys from the decision to seek support to the ending of service involvement. Barriers, challenges and positive experiences are described. Results are contextualised through consideration of wider organisations and systems.\u0000\u0000\u0000Originality/value\u0000The theory highlights challenges caregivers face when accessing mental health and therapeutic support for young people exposed to developmental trauma. It provides new insights into what caregivers consider to be trauma-informed experiences of care in these settings. Tentative recommendations are provided in the hope of improving future care.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43386891","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 : 2022-03-18DOI: 10.1108/mhrj-02-2021-0014
Kiran Badesha, Sarah Wilde, David L. Dawson
Purpose A rapid increase in global smartphone ownership and digital health technologies offers the potential for mobile phone applications (apps) to deliver mental health interventions. The purpose of this paper is to bring together evidence reporting on mental health mobile apps to gain an understanding of the quality of current evidence, the positive and adverse effects of apps and the mechanisms underlying such effects. Design/methodology/approach A systematic search was carried out across six databases, for any systematic reviews or meta-analyses conducted up to 2020. Review quality was assessed using the Assessment of Multiple Systematic Reviews. Findings Across a total of 24 articles, a variety of clinical outcomes were assessed. Most compelling support was shown for apps targeting anxiety symptoms; some evidence favoured the use of apps for depression symptoms. Less evidence was available for the remaining clinical symptoms such as bipolar disorder, schizophrenia, post-traumatic stress disorder, sleep disorders and substance use. Overall, there was limited evidence pertaining to adverse effects and change mechanisms and a lack of quality reporting across a large proportion of included reviews. The included reviews demonstrate the need for further robust research before apps are recommended clinically. Originality/value This paper makes a valuable contribution to the current status of research and reviews investigating mental health mobile apps. Recommendations are made for improved adherence to review guidelines and to ensure risk of bias is minimised.
{"title":"Mental health mobile app use to manage psychological difficulties: an umbrella review","authors":"Kiran Badesha, Sarah Wilde, David L. Dawson","doi":"10.1108/mhrj-02-2021-0014","DOIUrl":"https://doi.org/10.1108/mhrj-02-2021-0014","url":null,"abstract":"\u0000Purpose\u0000A rapid increase in global smartphone ownership and digital health technologies offers the potential for mobile phone applications (apps) to deliver mental health interventions. The purpose of this paper is to bring together evidence reporting on mental health mobile apps to gain an understanding of the quality of current evidence, the positive and adverse effects of apps and the mechanisms underlying such effects.\u0000\u0000\u0000Design/methodology/approach\u0000A systematic search was carried out across six databases, for any systematic reviews or meta-analyses conducted up to 2020. Review quality was assessed using the Assessment of Multiple Systematic Reviews.\u0000\u0000\u0000Findings\u0000Across a total of 24 articles, a variety of clinical outcomes were assessed. Most compelling support was shown for apps targeting anxiety symptoms; some evidence favoured the use of apps for depression symptoms. Less evidence was available for the remaining clinical symptoms such as bipolar disorder, schizophrenia, post-traumatic stress disorder, sleep disorders and substance use. Overall, there was limited evidence pertaining to adverse effects and change mechanisms and a lack of quality reporting across a large proportion of included reviews. The included reviews demonstrate the need for further robust research before apps are recommended clinically.\u0000\u0000\u0000Originality/value\u0000This paper makes a valuable contribution to the current status of research and reviews investigating mental health mobile apps. Recommendations are made for improved adherence to review guidelines and to ensure risk of bias is minimised.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46055866","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 : 2022-03-18DOI: 10.1108/mhrj-11-2021-0078
S. Saad, Jolan Ayman Bshawri, Sara Mohammed Alsaedi, Rahaf Emad Radi, Raneem Marwan Ghonim, Haya Mohammed Nasraldain, Abdullah Abdulqadeer Gadeer
Purpose Several previous studies showed strong social stigma toward mental illness patients from the health-care providers (HCPs) in Saudi Arabia. This stigma affects the level of care provided by HCPs. Stigma is a major barrier in treating schizophrenia and obsessive-compulsive disorder (OCD) patients. Thus, it is important to clarify the difference regarding the social stigma between both diagnoses. This study aimed to identify and compare the existence of social stigma among HCPs towards schizophrenia patients compared to OCD patients. Design/methodology/approach A total of 283 HCPs from King Abdullah Medical City (KAMC), Makkah, Saudi Arabia, were enrolled in this cross-sectional questionnaire-based study between middle and end of January 2021. The scale included a demographic questionnaire plus two vignette cases reflecting OCD and schizophrenia patients’ symptoms without mentioning diagnosis. Each case was followed with 18 questions, which measured some of the thoughts and attitudes of the social stigma of mental illnesses including negative stereotypes, discrimination, social distancing and emotional and cognitive prejudices against mental illness patients. The scale was validated by a pilot study (which included 15 other participants) with acceptable validity and reliability (Cronbach’s alpha: 81.4%). Findings Most participants’ responses were “low” in the total score of their stigma score for both diagnosis [OCD (84.1%), mean ± SD (1.15 ± 0.366) and schizophrenia (74.2%), mean ± SD (1.25 ± 0.438)]. However, those who responded “high” in their stigma score regarding the schizophrenia section were higher in their number than those who responded “high” in the OCD section (25.8% vs 15.9%). Most participants had “low” total stigma scores for both diagnoses [OCD (84.1%), mean ± SD (1.15 ± 0.366) and schizophrenia (74.2%), mean ± SD (1.25 ± 0.438)]. However, of those with “high” stigma score responses, more were for the schizophrenia section compared to the OCD section (25.8% vs 15.9%). Being flexible to recruit any of them was more related to promoting them if they deserve promotion. The sample that answered wrong regarding OCD vignette diagnosis and had “high” stigma score was higher (n = 40) than the sample that answered correctly and had “high” stigma score (n = 5). In contrast, the sample that answered wrong regarding the schizophrenia case diagnosis and had “high” stigma score (n = 41) was not significantly different in terms of its number compared to the one that answered correctly and had “high” stigma score (n = 32). Research limitations/implications One aspect that reduces the strength of this study is that the target number of the participants could not be reached, meaning a 95% confidence level with a ±5% margin of error could not be reached. Another limitation is the lack of contact between HCPs at the KAMC in Makkah with mental illness patients owing to lack of psychiatric inpatient departments. However, this limita
{"title":"Social stigma among health-care providers toward patients with schizophrenia and obsessive-compulsive disorders at tertiary hospital in Makkah, Saudi Arabia","authors":"S. Saad, Jolan Ayman Bshawri, Sara Mohammed Alsaedi, Rahaf Emad Radi, Raneem Marwan Ghonim, Haya Mohammed Nasraldain, Abdullah Abdulqadeer Gadeer","doi":"10.1108/mhrj-11-2021-0078","DOIUrl":"https://doi.org/10.1108/mhrj-11-2021-0078","url":null,"abstract":"\u0000Purpose\u0000Several previous studies showed strong social stigma toward mental illness patients from the health-care providers (HCPs) in Saudi Arabia. This stigma affects the level of care provided by HCPs. Stigma is a major barrier in treating schizophrenia and obsessive-compulsive disorder (OCD) patients. Thus, it is important to clarify the difference regarding the social stigma between both diagnoses. This study aimed to identify and compare the existence of social stigma among HCPs towards schizophrenia patients compared to OCD patients.\u0000\u0000\u0000Design/methodology/approach\u0000A total of 283 HCPs from King Abdullah Medical City (KAMC), Makkah, Saudi Arabia, were enrolled in this cross-sectional questionnaire-based study between middle and end of January 2021. The scale included a demographic questionnaire plus two vignette cases reflecting OCD and schizophrenia patients’ symptoms without mentioning diagnosis. Each case was followed with 18 questions, which measured some of the thoughts and attitudes of the social stigma of mental illnesses including negative stereotypes, discrimination, social distancing and emotional and cognitive prejudices against mental illness patients. The scale was validated by a pilot study (which included 15 other participants) with acceptable validity and reliability (Cronbach’s alpha: 81.4%).\u0000\u0000\u0000Findings\u0000Most participants’ responses were “low” in the total score of their stigma score for both diagnosis [OCD (84.1%), mean ± SD (1.15 ± 0.366) and schizophrenia (74.2%), mean ± SD (1.25 ± 0.438)]. However, those who responded “high” in their stigma score regarding the schizophrenia section were higher in their number than those who responded “high” in the OCD section (25.8% vs 15.9%). Most participants had “low” total stigma scores for both diagnoses [OCD (84.1%), mean ± SD (1.15 ± 0.366) and schizophrenia (74.2%), mean ± SD (1.25 ± 0.438)]. However, of those with “high” stigma score responses, more were for the schizophrenia section compared to the OCD section (25.8% vs 15.9%). Being flexible to recruit any of them was more related to promoting them if they deserve promotion. The sample that answered wrong regarding OCD vignette diagnosis and had “high” stigma score was higher (n = 40) than the sample that answered correctly and had “high” stigma score (n = 5). In contrast, the sample that answered wrong regarding the schizophrenia case diagnosis and had “high” stigma score (n = 41) was not significantly different in terms of its number compared to the one that answered correctly and had “high” stigma score (n = 32).\u0000\u0000\u0000Research limitations/implications\u0000One aspect that reduces the strength of this study is that the target number of the participants could not be reached, meaning a 95% confidence level with a ±5% margin of error could not be reached. Another limitation is the lack of contact between HCPs at the KAMC in Makkah with mental illness patients owing to lack of psychiatric inpatient departments. However, this limita","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43577838","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 : 2022-03-15DOI: 10.1108/mhrj-10-2021-0074
Jackie A Wales, Nicola Brewin, I. Williamson, Jakub Štický, Rachael Lawrence, Alison Eivors
Purpose Effective transitions from child and adolescent to adult services are important for continuity of care for patients with eating disorders. This study aims to examine the relative importance of a series of statements about the transition process, elicited from an earlier service evaluation, from the perspectives of patients, parents/carers and clinicians. Design/methodology/approach Twenty-eight participants completed a Q-sort task ranking 40 statements, developed from an earlier study, using a normal distribution pattern on a scale, which ranged from strongly agree to strongly disagree, to identify their priorities for transition. Analysis resulted in the extraction of four factors explaining 52% of the variance. Findings Four distinct factors were elicited: “parents and carers need including too”, “facilitating effective transfer between services”, “supporting the patient through transition” and providing “timely, patient-centred care”. The study enabled similarities and differences in priorities to be observed for the three respondent groups. Practical implications These rankings, noting the differences between the respondent groups, can be used to inform the development of effective transition protocols. This study suggests these protocols should ensure a person-centred approach; timely planning; include parents/carers; provide continuous care and have good transfer of information and sensible timing of transitions. Differences in priorities/opinions can be addressed through open communication channels. Originality/value To the best of the authors’ knowledge, this is the first UK-wide study examining priorities for transition from the perspectives of patients, parents/carers and clinicians.
{"title":"Transitioning services for eating disorder treatment, the relative importance of factors from patient, carer and clinician perspectives: a Q-methodology study","authors":"Jackie A Wales, Nicola Brewin, I. Williamson, Jakub Štický, Rachael Lawrence, Alison Eivors","doi":"10.1108/mhrj-10-2021-0074","DOIUrl":"https://doi.org/10.1108/mhrj-10-2021-0074","url":null,"abstract":"\u0000Purpose\u0000Effective transitions from child and adolescent to adult services are important for continuity of care for patients with eating disorders. This study aims to examine the relative importance of a series of statements about the transition process, elicited from an earlier service evaluation, from the perspectives of patients, parents/carers and clinicians.\u0000\u0000\u0000Design/methodology/approach\u0000Twenty-eight participants completed a Q-sort task ranking 40 statements, developed from an earlier study, using a normal distribution pattern on a scale, which ranged from strongly agree to strongly disagree, to identify their priorities for transition. Analysis resulted in the extraction of four factors explaining 52% of the variance.\u0000\u0000\u0000Findings\u0000Four distinct factors were elicited: “parents and carers need including too”, “facilitating effective transfer between services”, “supporting the patient through transition” and providing “timely, patient-centred care”. The study enabled similarities and differences in priorities to be observed for the three respondent groups.\u0000\u0000\u0000Practical implications\u0000These rankings, noting the differences between the respondent groups, can be used to inform the development of effective transition protocols. This study suggests these protocols should ensure a person-centred approach; timely planning; include parents/carers; provide continuous care and have good transfer of information and sensible timing of transitions. Differences in priorities/opinions can be addressed through open communication channels.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, this is the first UK-wide study examining priorities for transition from the perspectives of patients, parents/carers and clinicians.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48009880","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 : 2022-03-10DOI: 10.1108/mhrj-04-2021-0035
Emma Larsson-Thomas, Sukhi Ruprai, Louise Manonga, Tennyson Lee
Purpose People with personality disorders often present with interpersonal difficulties which affect their relationship with significant others but also with staff involved in their care. Administrators work in “frontline positions” where they are required to face challenging situations yet their role has not been studied. This study aims to describe the role and contribution of an administrator in a personality disorder service. Design/methodology/approach A mixed-methods design was used. All incoming calls to a specialist personality disorder service over three months were documented. A semi-structured focus group (n = 7) with clinicians working in the service was conducted. The data was analysed using thematic analysis. Clinical vignettes are presented to highlight typical interactions. Findings The qualitative results highlighted that the administrator is key in psychological preparations, managing pressure and maintaining clinical boundaries. Traits identified as useful in an administrator working in a personality disorder service are flexibility, consistency and assertiveness. Tensions between administrators and clinicians were related to the role definition of the administrator, boundaries, countertransference and process interaction. The majority of incoming calls were from patients scheduling and cancelling appointments. Only 3% of calls evoked negative feelings in the administrator such as feeling “annoyed” or “drained”. Practical implications Results highlight a need for careful selection, training and supervision of staff. A key recommendation is the need for integration and close coordination of the administrator within the clinical team. Originality/value This study represents one of the first efforts to explore the contribution of administrators within personality disorder services. It explores the impact of the administrator on the team.
{"title":"Administrators within personality disorder services: their role and contribution in maintaining the overall structure and treatment approach","authors":"Emma Larsson-Thomas, Sukhi Ruprai, Louise Manonga, Tennyson Lee","doi":"10.1108/mhrj-04-2021-0035","DOIUrl":"https://doi.org/10.1108/mhrj-04-2021-0035","url":null,"abstract":"\u0000Purpose\u0000People with personality disorders often present with interpersonal difficulties which affect their relationship with significant others but also with staff involved in their care. Administrators work in “frontline positions” where they are required to face challenging situations yet their role has not been studied. This study aims to describe the role and contribution of an administrator in a personality disorder service.\u0000\u0000\u0000Design/methodology/approach\u0000A mixed-methods design was used. All incoming calls to a specialist personality disorder service over three months were documented. A semi-structured focus group (n = 7) with clinicians working in the service was conducted. The data was analysed using thematic analysis. Clinical vignettes are presented to highlight typical interactions.\u0000\u0000\u0000Findings\u0000The qualitative results highlighted that the administrator is key in psychological preparations, managing pressure and maintaining clinical boundaries. Traits identified as useful in an administrator working in a personality disorder service are flexibility, consistency and assertiveness. Tensions between administrators and clinicians were related to the role definition of the administrator, boundaries, countertransference and process interaction. The majority of incoming calls were from patients scheduling and cancelling appointments. Only 3% of calls evoked negative feelings in the administrator such as feeling “annoyed” or “drained”.\u0000\u0000\u0000Practical implications\u0000Results highlight a need for careful selection, training and supervision of staff. A key recommendation is the need for integration and close coordination of the administrator within the clinical team.\u0000\u0000\u0000Originality/value\u0000This study represents one of the first efforts to explore the contribution of administrators within personality disorder services. It explores the impact of the administrator on the team.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47765813","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 : 2022-02-15DOI: 10.1108/mhrj-07-2021-0057
Cherrie Park, A. N. Mendoza
Purpose Although the effects of the empty nest syndrome on mental health have long been examined, middle-aged empty nesters were generally at the focus of this examination. However, the number of older empty nesters, namely, empty nesters 60 years old or above, is expected to increase as the population is aging. Therefore, the purpose of this review was to examine previous studies concerning mental health outcomes specifically among older empty nesters and to identify major contributors to their mental health. Design/methodology/approach The authors conducted a scoping review by following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) extension for scoping reviews guidelines. Findings A total of 18 studies selected for this review had been all conducted in Asia. A majority indicated that older empty nesters were at higher risks of poor mental health than their peers who were not empty nesters. Major contributors to their mental health included gender, education, income, living arrangement, health behaviors, personality, coping styles, resilience, a sense of coherence and social support. Originality/value To the best of the authors’ knowledge, this is the first scoping review which concerns older empty nesters and their mental health outcomes. This review offers recommendations for researchers, policy makers, and healthcare providers based on the findings and knowledge gaps in the current literature.
{"title":"A scoping review of older empty nesters’ mental health and its contributors","authors":"Cherrie Park, A. N. Mendoza","doi":"10.1108/mhrj-07-2021-0057","DOIUrl":"https://doi.org/10.1108/mhrj-07-2021-0057","url":null,"abstract":"\u0000Purpose\u0000Although the effects of the empty nest syndrome on mental health have long been examined, middle-aged empty nesters were generally at the focus of this examination. However, the number of older empty nesters, namely, empty nesters 60 years old or above, is expected to increase as the population is aging. Therefore, the purpose of this review was to examine previous studies concerning mental health outcomes specifically among older empty nesters and to identify major contributors to their mental health.\u0000\u0000\u0000Design/methodology/approach\u0000The authors conducted a scoping review by following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) extension for scoping reviews guidelines.\u0000\u0000\u0000Findings\u0000A total of 18 studies selected for this review had been all conducted in Asia. A majority indicated that older empty nesters were at higher risks of poor mental health than their peers who were not empty nesters. Major contributors to their mental health included gender, education, income, living arrangement, health behaviors, personality, coping styles, resilience, a sense of coherence and social support.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, this is the first scoping review which concerns older empty nesters and their mental health outcomes. This review offers recommendations for researchers, policy makers, and healthcare providers based on the findings and knowledge gaps in the current literature.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43700889","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 : 2022-02-08DOI: 10.1108/mhrj-01-2021-0001
Hanvedes Daovisan, J. Mamom
Purpose Lao PDR is a developing country with increasing female participation in the informal labour market. However, these informal female workers are often emotionally and physically drained due to stress in the workplace. This study aims to examine the determinants of job stress on physical symptoms associated with the mental health stigma of informal female workers in Lao PDR. Design/methodology/approach A convergent parallel approach was used with 1,037 structured interviews and 15 in-depth interviews between October 2017 and June 2019. Fractional response regression was used to analyse the quantitative data and thematic analysis to analyse the qualitative data. Findings The quantitative data showed a positive effect on job stress and physical symptoms associated with mental health stigma. The qualitative data illustrated that job characteristics, work environment, time pressure, job control, complexity related to workload, physical working conditions and physical demand were associated with emotional distress, depressive symptoms and long-term self-stigma. Practical implications The study findings provide guidance for developing strategies for female workers in an informal economy to help mitigate the impacts of job stress related to physical symptoms and mental health stigma. Originality/value This study offers a deeper understanding of the emotional and physical stress experienced by informal female workers in the workplace in Lao PDR, showing that job stress due to the physical workload leads to mental health stigma.
{"title":"Are informal female workers better? Determinants of job stress on physical symptoms with risk-taking mental health stigma: a convergent-parallel approach","authors":"Hanvedes Daovisan, J. Mamom","doi":"10.1108/mhrj-01-2021-0001","DOIUrl":"https://doi.org/10.1108/mhrj-01-2021-0001","url":null,"abstract":"\u0000Purpose\u0000Lao PDR is a developing country with increasing female participation in the informal labour market. However, these informal female workers are often emotionally and physically drained due to stress in the workplace. This study aims to examine the determinants of job stress on physical symptoms associated with the mental health stigma of informal female workers in Lao PDR.\u0000\u0000\u0000Design/methodology/approach\u0000A convergent parallel approach was used with 1,037 structured interviews and 15 in-depth interviews between October 2017 and June 2019. Fractional response regression was used to analyse the quantitative data and thematic analysis to analyse the qualitative data.\u0000\u0000\u0000Findings\u0000The quantitative data showed a positive effect on job stress and physical symptoms associated with mental health stigma. The qualitative data illustrated that job characteristics, work environment, time pressure, job control, complexity related to workload, physical working conditions and physical demand were associated with emotional distress, depressive symptoms and long-term self-stigma.\u0000\u0000\u0000Practical implications\u0000The study findings provide guidance for developing strategies for female workers in an informal economy to help mitigate the impacts of job stress related to physical symptoms and mental health stigma.\u0000\u0000\u0000Originality/value\u0000This study offers a deeper understanding of the emotional and physical stress experienced by informal female workers in the workplace in Lao PDR, showing that job stress due to the physical workload leads to mental health stigma.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46319263","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 : 2022-02-08DOI: 10.1108/mhrj-04-2021-0036
Chris Griffiths, K. Walker, Andy Willis, L. Pollard
Purpose Depression, physical health, well-being, sleep and physical activity are interlinked. Healthy levels of physical activity and effective night-time sleep can reduce depressive symptoms. In the context of their lives and symptoms of depression, this paper aims to understand participants’ experiences of using a Fitbit, physical activity and sleep and the barriers and facilitators for healthy sleep and physical activity. Design/methodology/approach Qualitative methods were used to conduct interviews with 19 patients (4 male; 15 female) diagnosed with treatment-resistant depression undergoing transcranial magnetic stimulation (TMS) treatment for depression. Reflexive thematic analysis was used. Findings Healthy sleep and physical activity levels are interlinked and reduce depressive symptoms as well as improving well-being and physical health. A Fitbit is useful to enhance physical activity, self-awareness, motivation, healthier lifestyles and effective sleep. Barriers to healthy sleep and physical activity levels included depressive symptoms, environmental factors and anxieties. Facilitators for healthy sleep and physical activity levels included knowledge of the benefits, support from family and friends and applying sleep hygiene. Practical implications There is a need to provide interventions using wearable activity trackers that build on the links between increased physical activity, improved sleep, enhanced well-being, better physical health and lower depressive symptoms. Originality/value To the best of the authors’ knowledge, this is the first time that patients undergoing TMS have had their experiences of sleep, activity and using a Fitbit investigated and reported.
{"title":"Treatment resistant depression (TRD) service outpatient’s experience of sleep, activity, and using a Fitbit wearable activity and sleep tracker","authors":"Chris Griffiths, K. Walker, Andy Willis, L. Pollard","doi":"10.1108/mhrj-04-2021-0036","DOIUrl":"https://doi.org/10.1108/mhrj-04-2021-0036","url":null,"abstract":"Purpose Depression, physical health, well-being, sleep and physical activity are interlinked. Healthy levels of physical activity and effective night-time sleep can reduce depressive symptoms. In the context of their lives and symptoms of depression, this paper aims to understand participants’ experiences of using a Fitbit, physical activity and sleep and the barriers and facilitators for healthy sleep and physical activity. Design/methodology/approach Qualitative methods were used to conduct interviews with 19 patients (4 male; 15 female) diagnosed with treatment-resistant depression undergoing transcranial magnetic stimulation (TMS) treatment for depression. Reflexive thematic analysis was used. Findings Healthy sleep and physical activity levels are interlinked and reduce depressive symptoms as well as improving well-being and physical health. A Fitbit is useful to enhance physical activity, self-awareness, motivation, healthier lifestyles and effective sleep. Barriers to healthy sleep and physical activity levels included depressive symptoms, environmental factors and anxieties. Facilitators for healthy sleep and physical activity levels included knowledge of the benefits, support from family and friends and applying sleep hygiene. Practical implications There is a need to provide interventions using wearable activity trackers that build on the links between increased physical activity, improved sleep, enhanced well-being, better physical health and lower depressive symptoms. Originality/value To the best of the authors’ knowledge, this is the first time that patients undergoing TMS have had their experiences of sleep, activity and using a Fitbit investigated and reported.","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46967213","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 : 2022-02-07DOI: 10.1108/mhrj-03-2021-0024
R. Kothari, Danielle White, Laura Craster, Eva Vicianova, Sophie Dennard, F. Bailey, J. Kemp, D. Tracy, Natasha Sarkissian
Purpose In 1999, the national health service (NHS) was made responsible for the commissioning of prison health care. Mental health inreach teams (MHIT) were set up to mirror community mental health teams and provide secondary care to prisoners diagnosed with severe and enduring mental illnesses (SEMI). Since then, the provision of mental health care to prisoners without a diagnosis of a SEMI has been variable. A rapid review of NHS health care in prisons conducted by Public Health England (PHE) (2016) highlighted the need for provision to be more integrated and meet the needs of prisoners without a diagnosis of a SEMI. In response, an integrated mental health and substance misuse service was implemented within her majesty’s prison/young offenders institution Pentonville. This study aims to evaluate its impact and share lessons learned. Design/methodology/approach Routinely collected and anonymised data were reviewed for prisoners referred between 1 May 2018 and 31 December 2019. Data are presented on the quantity of referrals over time, and the type of support offered. Chi-square goodness of fit tests was conducted to determine whether the prisoners referred to the service were representative of the wider prison population in terms of age and ethnicity. Findings Referrals showed a general pattern of increase over time and were representative of the wider prison population in terms of age and ethnicity, indicating equitable access. Lessons learned are discussed. Demand for therapeutic and substance misuse services was higher than that for SEMIs. Notable was the high quantity of referrals which provides further evidence for the disparity between high need and limited provision within prison settings, particularly for therapeutic interventions. Originality/value To the best of the author’s knowledge, this is the first service evaluation of a recently implemented integrated and holistic model of prison mental health care in line with recommendations from PHE (2016).
{"title":"The impact of integrating mental health services within a prison setting","authors":"R. Kothari, Danielle White, Laura Craster, Eva Vicianova, Sophie Dennard, F. Bailey, J. Kemp, D. Tracy, Natasha Sarkissian","doi":"10.1108/mhrj-03-2021-0024","DOIUrl":"https://doi.org/10.1108/mhrj-03-2021-0024","url":null,"abstract":"\u0000Purpose\u0000In 1999, the national health service (NHS) was made responsible for the commissioning of prison health care. Mental health inreach teams (MHIT) were set up to mirror community mental health teams and provide secondary care to prisoners diagnosed with severe and enduring mental illnesses (SEMI). Since then, the provision of mental health care to prisoners without a diagnosis of a SEMI has been variable. A rapid review of NHS health care in prisons conducted by Public Health England (PHE) (2016) highlighted the need for provision to be more integrated and meet the needs of prisoners without a diagnosis of a SEMI. In response, an integrated mental health and substance misuse service was implemented within her majesty’s prison/young offenders institution Pentonville. This study aims to evaluate its impact and share lessons learned.\u0000\u0000\u0000Design/methodology/approach\u0000Routinely collected and anonymised data were reviewed for prisoners referred between 1 May 2018 and 31 December 2019. Data are presented on the quantity of referrals over time, and the type of support offered. Chi-square goodness of fit tests was conducted to determine whether the prisoners referred to the service were representative of the wider prison population in terms of age and ethnicity.\u0000\u0000\u0000Findings\u0000Referrals showed a general pattern of increase over time and were representative of the wider prison population in terms of age and ethnicity, indicating equitable access. Lessons learned are discussed. Demand for therapeutic and substance misuse services was higher than that for SEMIs. Notable was the high quantity of referrals which provides further evidence for the disparity between high need and limited provision within prison settings, particularly for therapeutic interventions.\u0000\u0000\u0000Originality/value\u0000To the best of the author’s knowledge, this is the first service evaluation of a recently implemented integrated and holistic model of prison mental health care in line with recommendations from PHE (2016).\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48008014","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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