Pub Date : 2022-09-02DOI: 10.1080/18387357.2022.2143205
A. Reupert
The promotion of wellbeing and the prevention of mental illness requires both an individual and a population response. Even though mental health is experienced at an individual level, its impacts one ’ s family (Reupert et al., 2015), and may have further negative economic and societal consequences on a workforce and population level. A population response needs to account for structural determinants of mental health, including economic, geopolitical and environmental factors, such as poverty, violence and inequality. Due to these individual as well as broad ranging impacts, its incumbent on government policy, legislature
{"title":"From individuals to populations: approaches to promoting mental health and preventing mental illness","authors":"A. Reupert","doi":"10.1080/18387357.2022.2143205","DOIUrl":"https://doi.org/10.1080/18387357.2022.2143205","url":null,"abstract":"The promotion of wellbeing and the prevention of mental illness requires both an individual and a population response. Even though mental health is experienced at an individual level, its impacts one ’ s family (Reupert et al., 2015), and may have further negative economic and societal consequences on a workforce and population level. A population response needs to account for structural determinants of mental health, including economic, geopolitical and environmental factors, such as poverty, violence and inequality. Due to these individual as well as broad ranging impacts, its incumbent on government policy, legislature","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"105 1","pages":"181 - 183"},"PeriodicalIF":1.4,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79273288","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 : 2022-07-07DOI: 10.1080/18387357.2022.2097100
M. Guszkowska, Anna Dąbrowska-Zimakowska, A. Tarnowski
ABSTRACT Objective: The aim of the study was to determine potential mood changes reported by Polish undergraduates during the second wave of the COVID-19 pandemic and how mood may be differ, according to gender, field and year of study. Differences in coping strategies depending on mood changes were also Investigated. Method: The study involved 1330 students (767 women and 563 men) aged 18–30 years studying various faculties at the Józef Piłsudski University of Physical Education in Warsaw, Poland. A modified version of the the Coping Orientations to Problem Experienced University of Wales Institute of Science and Technology Mood Adjective Check List UMACL was used to identify mood changes, and brief version of the Coping Orientations to Problems Experienced COPE was used to identify the coping strategies employed. Results: A decrease in hedonic tone and energetic arousal and an increase in tense arousal was reported during the pandemic, with a deterioration in students’ mood. Mood deterioration was lower in male students and sport and physical education students. Students who reported mood improvement were most likely to use positive reframing, acceptance, active coping, humour, and physical activity. Students with deteriorated mood used self-blaming, venting, denial, behavioural disengagement, and doing something else most frequently. Discussion: Female students, those studying physiotherapy, tourism and recreation, and other majors (nursing, occupational therapy, cosmetology), and first-year master's students are more likely to report negative psychological impact during the COVID-19 pandemic. The use of emotional and avoidance coping strategies may increase the affective cost of pandemic stress.
{"title":"Polish University students’ mood changes during the second wave of the COVID-19 pandemic; relationships with gender, academic variables and coping","authors":"M. Guszkowska, Anna Dąbrowska-Zimakowska, A. Tarnowski","doi":"10.1080/18387357.2022.2097100","DOIUrl":"https://doi.org/10.1080/18387357.2022.2097100","url":null,"abstract":"ABSTRACT Objective: The aim of the study was to determine potential mood changes reported by Polish undergraduates during the second wave of the COVID-19 pandemic and how mood may be differ, according to gender, field and year of study. Differences in coping strategies depending on mood changes were also Investigated. Method: The study involved 1330 students (767 women and 563 men) aged 18–30 years studying various faculties at the Józef Piłsudski University of Physical Education in Warsaw, Poland. A modified version of the the Coping Orientations to Problem Experienced University of Wales Institute of Science and Technology Mood Adjective Check List UMACL was used to identify mood changes, and brief version of the Coping Orientations to Problems Experienced COPE was used to identify the coping strategies employed. Results: A decrease in hedonic tone and energetic arousal and an increase in tense arousal was reported during the pandemic, with a deterioration in students’ mood. Mood deterioration was lower in male students and sport and physical education students. Students who reported mood improvement were most likely to use positive reframing, acceptance, active coping, humour, and physical activity. Students with deteriorated mood used self-blaming, venting, denial, behavioural disengagement, and doing something else most frequently. Discussion: Female students, those studying physiotherapy, tourism and recreation, and other majors (nursing, occupational therapy, cosmetology), and first-year master's students are more likely to report negative psychological impact during the COVID-19 pandemic. The use of emotional and avoidance coping strategies may increase the affective cost of pandemic stress.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"10 1","pages":"88 - 102"},"PeriodicalIF":1.4,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87662845","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 : 2022-06-17DOI: 10.1080/18387357.2022.2085124
T. Shimazaki, K. Takenaka
ABSTRACT Objective This study examines the reliability and validity of the scale for outcome expectations (OE) and efficacy expectations (EE), two especially critical variables for predicting mental health promotion behaviour. Further, the relation between the two types of expectation and mental health promotion behaviour and whether these expectations varied according to changes in demographics were tested. Method An online, cross-sectional study was conducted with 2485 participants in Japan. Participants were asked about demographic characteristics, OE, EE and current practices of mental health promotion behaviours. Results Confirmatory factor analysis showed reliability and validity in both OE and EE. Further, the relation between the two types of expectation and mental health promotion behaviour was confirmed. Both OE (path coefficient = 0.18, p < 0.01) and EE (path coefficient = 0.62, p < 0.01) were associated with mental health promotion behaviour. Among variations in demographic characteristics of participants, small to medium effect sized generation gap of expectancy was found (OE: f = 0.13, p < 0.01; EE: f = 0.20, p < 0.01). Discussion The present study demonstrates the potential for determinant roles of OE and EE for mental health promotion behaviours. These findings may encourage mental health promotion behaviours for individuals from any demographic background.
摘要目的本研究检验结果期望(OE)和疗效期望(EE)量表的信度和效度，这是预测心理健康促进行为的两个关键变量。此外，还测试了两种期望与心理健康促进行为之间的关系，以及这些期望是否会随着人口统计学的变化而变化。方法对日本2485名参与者进行在线横断面研究。参与者被问及人口统计学特征、OE、EE和目前心理健康促进行为的做法。结果验证性因子分析结果显示OE和EE量表均具有信度和效度。进一步证实了两种期望与心理健康促进行为之间的关系。OE(通径系数= 0.18,p < 0.01)和EE(通径系数= 0.62,p < 0.01)均与心理健康促进行为相关。在参与者人口统计学特征的变化中，发现了小到中等效应的预期代沟(OE: f = 0.13, p < 0.01;EE: f = 0.20, p < 0.01)。本研究证明了情感表达和情感表达对心理健康促进行为的决定作用。这些发现可能鼓励来自任何人口统计背景的个人采取促进心理健康的行为。
{"title":"Outcome and efficacy expectation for mental health promotion behaviours: the effects of predicting behaviours and variations in demographics","authors":"T. Shimazaki, K. Takenaka","doi":"10.1080/18387357.2022.2085124","DOIUrl":"https://doi.org/10.1080/18387357.2022.2085124","url":null,"abstract":"ABSTRACT Objective This study examines the reliability and validity of the scale for outcome expectations (OE) and efficacy expectations (EE), two especially critical variables for predicting mental health promotion behaviour. Further, the relation between the two types of expectation and mental health promotion behaviour and whether these expectations varied according to changes in demographics were tested. Method An online, cross-sectional study was conducted with 2485 participants in Japan. Participants were asked about demographic characteristics, OE, EE and current practices of mental health promotion behaviours. Results Confirmatory factor analysis showed reliability and validity in both OE and EE. Further, the relation between the two types of expectation and mental health promotion behaviour was confirmed. Both OE (path coefficient = 0.18, p < 0.01) and EE (path coefficient = 0.62, p < 0.01) were associated with mental health promotion behaviour. Among variations in demographic characteristics of participants, small to medium effect sized generation gap of expectancy was found (OE: f = 0.13, p < 0.01; EE: f = 0.20, p < 0.01). Discussion The present study demonstrates the potential for determinant roles of OE and EE for mental health promotion behaviours. These findings may encourage mental health promotion behaviours for individuals from any demographic background.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"21 1","pages":"266 - 280"},"PeriodicalIF":1.4,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88192735","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 : 2022-05-30DOI: 10.1080/18387357.2022.2075411
Henry von Doussa, M. Hegarty, Bronwyn Sanders, Rose Cuff, Katrina Tivendale, S. McLean, M. Goodyear
ABSTRACT Objective Early interventions for children whose parents have a mental illness, comprising the provision of age-appropriate information about mental health, positive coping strategies, and meaningful social and emotional connections, are identified as preventive interventions for childhood health and wellbeing. The aim of this study was to evaluate the CHAMPS (Children and Mentally Ill Parents) peer support program that is designed to connect, support and educate this cohort of children and their parents/carers. Method The CHAMPS program was reviewed and co-designed by clinicians, parent participants, peer workers and children in 2017 and 2019. The revised modularised program incorporates peer facilitators and shared lived experience as a way for participants to build understanding of their own experiences and strategies for coping. Children, parent/carers and program facilitators were interviewed for this study. Results This paper presents findings from interviews conducted with 8- to 12-year-old children (N = 20) who completed CHAMPS; parents/carers (N = 17) and program facilitators (N = 10). Children reported that the program lessened isolation and feelings of self-blame for their parents’ struggles; and parents reported benefits from supported communication with their children in explaining their diagnosis and in understanding the needs of their child. Discussion It was concluded that early intervention peer support programs for children can have multiple positive impacts on the family, highlighting the importance of psychoeducation and improved family communication, as well as connections to peers for supporting families where parents have a mental illness.
{"title":"Peer support for children of parents with mental illness (COPMI) in Australia: responses from children, parents and facilitators of the CHAMPS peer support program","authors":"Henry von Doussa, M. Hegarty, Bronwyn Sanders, Rose Cuff, Katrina Tivendale, S. McLean, M. Goodyear","doi":"10.1080/18387357.2022.2075411","DOIUrl":"https://doi.org/10.1080/18387357.2022.2075411","url":null,"abstract":"ABSTRACT Objective Early interventions for children whose parents have a mental illness, comprising the provision of age-appropriate information about mental health, positive coping strategies, and meaningful social and emotional connections, are identified as preventive interventions for childhood health and wellbeing. The aim of this study was to evaluate the CHAMPS (Children and Mentally Ill Parents) peer support program that is designed to connect, support and educate this cohort of children and their parents/carers. Method The CHAMPS program was reviewed and co-designed by clinicians, parent participants, peer workers and children in 2017 and 2019. The revised modularised program incorporates peer facilitators and shared lived experience as a way for participants to build understanding of their own experiences and strategies for coping. Children, parent/carers and program facilitators were interviewed for this study. Results This paper presents findings from interviews conducted with 8- to 12-year-old children (N = 20) who completed CHAMPS; parents/carers (N = 17) and program facilitators (N = 10). Children reported that the program lessened isolation and feelings of self-blame for their parents’ struggles; and parents reported benefits from supported communication with their children in explaining their diagnosis and in understanding the needs of their child. Discussion It was concluded that early intervention peer support programs for children can have multiple positive impacts on the family, highlighting the importance of psychoeducation and improved family communication, as well as connections to peers for supporting families where parents have a mental illness.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"69 1","pages":"55 - 66"},"PeriodicalIF":1.4,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77219572","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 : 2022-05-04DOI: 10.1080/18387357.2022.2037356
S. Gillard
Important arguments have been made about peer support in mental health services; where people with personal experiences of mental distress and of using mental health services are employed and trained to provide support for others currently receiving care from statefunded, regulated or partnered mental health service providers. It has been suggested that peer support struggles to survive within the highly procedural and risk-adverse environment of mental health services (Faulkner & Kalathil, 2012); that mutuality in the peer-to-peer relationship is undermined where one person is trained and paid to provide support to another (Mead, Hilton, & Curtis, 2001) or where the peer worker can be required to write notes and share information with clinical colleagues about the person they are supporting (Scott & Doughty, 2012); that people employed as peer workers face the impossible challenge of having to simultaneously prove that they are both ‘well enough’ to be trusted and ‘sufficiently unwell’ to retain a perceived requisite authenticity (Voronka, 2019). As such, we might query whether peer support as it is increasingly being introduced into mental health services is peer support at all, at least as was understood in the context of the mutual aid movement (Borkman, 1999), long before ‘peer support’ as terminology became lingua franca. There are other important points to be made here. First, the contemporary reality is that people are increasingly likely to be offered a peer worker by their mental health service provider. In England, as of the end of 2019, around 750 peer workers were employed in mental health services in the National Health Service (Watkins, Morris, & Fox, 2020) with plans to increase this number to nearly 5000 in the years to come (NHSE, 2019). Similar policy-led initiatives are increasing the volume of peer support on offer within health systems around the world. As such, those critiques advanced above become reason to pay attention to this institutionally provided peer support. If, as other research to date has claimed, peer support offers something distinctive from other forms of mental health support (Mead & Filson, 2017; Oborn, Barrett, Gibson, & Gillard, 2019), then there is a role for research to ensure that that added value is realised in practice, rather than diluted by organisational constraints (Gillard, Edwards, Gibson, Owen, &Wright, 2013). Systematic reviews have begun to explore how the outcomes of peer support might be associated with the way in which peer workers are supported in their role (King & Simmons, 2018; White et al., 2020), and this literature needs more explicit development. Second, it is of course vital that that peer support is experienced as safe for those involved. In particular, the research literature is replete with studies that have indicated how, where appropriate organisational support is not in place (Mirbahaeddin & Chreim, 2022), peer workers can find themselves facing difficulties with workplace
{"title":"Guest editorial: re-balancing the discourse, inviting critique and welcoming marginalised voices in research about peer support in mental health services","authors":"S. Gillard","doi":"10.1080/18387357.2022.2037356","DOIUrl":"https://doi.org/10.1080/18387357.2022.2037356","url":null,"abstract":"Important arguments have been made about peer support in mental health services; where people with personal experiences of mental distress and of using mental health services are employed and trained to provide support for others currently receiving care from statefunded, regulated or partnered mental health service providers. It has been suggested that peer support struggles to survive within the highly procedural and risk-adverse environment of mental health services (Faulkner & Kalathil, 2012); that mutuality in the peer-to-peer relationship is undermined where one person is trained and paid to provide support to another (Mead, Hilton, & Curtis, 2001) or where the peer worker can be required to write notes and share information with clinical colleagues about the person they are supporting (Scott & Doughty, 2012); that people employed as peer workers face the impossible challenge of having to simultaneously prove that they are both ‘well enough’ to be trusted and ‘sufficiently unwell’ to retain a perceived requisite authenticity (Voronka, 2019). As such, we might query whether peer support as it is increasingly being introduced into mental health services is peer support at all, at least as was understood in the context of the mutual aid movement (Borkman, 1999), long before ‘peer support’ as terminology became lingua franca. There are other important points to be made here. First, the contemporary reality is that people are increasingly likely to be offered a peer worker by their mental health service provider. In England, as of the end of 2019, around 750 peer workers were employed in mental health services in the National Health Service (Watkins, Morris, & Fox, 2020) with plans to increase this number to nearly 5000 in the years to come (NHSE, 2019). Similar policy-led initiatives are increasing the volume of peer support on offer within health systems around the world. As such, those critiques advanced above become reason to pay attention to this institutionally provided peer support. If, as other research to date has claimed, peer support offers something distinctive from other forms of mental health support (Mead & Filson, 2017; Oborn, Barrett, Gibson, & Gillard, 2019), then there is a role for research to ensure that that added value is realised in practice, rather than diluted by organisational constraints (Gillard, Edwards, Gibson, Owen, &Wright, 2013). Systematic reviews have begun to explore how the outcomes of peer support might be associated with the way in which peer workers are supported in their role (King & Simmons, 2018; White et al., 2020), and this literature needs more explicit development. Second, it is of course vital that that peer support is experienced as safe for those involved. In particular, the research literature is replete with studies that have indicated how, where appropriate organisational support is not in place (Mirbahaeddin & Chreim, 2022), peer workers can find themselves facing difficulties with workplace","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"20 1","pages":"87 - 90"},"PeriodicalIF":1.4,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90481980","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 : 2022-02-11DOI: 10.1080/18387357.2022.2033128
Tanya Mackay, Nisba Ahmed, Humma Andleeb, J. Billsborough, R. Currie, Raj Hazzard, Fozia Haider, Naima Iqbal, Ffion Matthews, Andreja Mesarič, J. Parker, V. Pinfold, Laura Richmond, D. Robotham, Rose Thompson
ABSTRACT Objective To explore emergent values for community-based peer support in three projects and use of peer research methodology. Background Peer support refers to the support people with shared lived experiences provide to each other. Its roots are in the civil rights movement, providing alternatives to clinical treatments. This method of support is delivered in different settings, with varying degrees of structure. In this paper, it includes shared experience of mental health issues. Methods We reviewed interview data from two evaluations and one development project - mental health (n = 69), women-only (n = 40), and maternal mental health (n = 24), respectively. Each project used peer research methods. Peer support values from each project were compared, along with reflections from mostly peer researchers who worked on them (n = 11). Results Six peer support values emerged and were found to be identifiable and applicable in different contexts. Decisions on facilitation and leadership varied across projects and generated some concerns over professionalisation, including non-peer leadership. Frameworks were viewed as broadly useful, but peer support is heterogenous, and peer researchers were concerned about over-rigid application of guidance. Discussion We propose caution applying frameworks for peer support. Values must remain flexible and peer-led, evolving in new contexts such as COVID-19. Evaluators have a responsibility to consider any potentially negative consequences of their work and mitigate them. This means ensuring research outputs are useful to the peer support community, and knowledge production is based upon methodologies, such as peer research, that complement and are consistent with the values of peer support itself.
{"title":"The evolution of community peer support values: reflections from three UK mental health project teams","authors":"Tanya Mackay, Nisba Ahmed, Humma Andleeb, J. Billsborough, R. Currie, Raj Hazzard, Fozia Haider, Naima Iqbal, Ffion Matthews, Andreja Mesarič, J. Parker, V. Pinfold, Laura Richmond, D. Robotham, Rose Thompson","doi":"10.1080/18387357.2022.2033128","DOIUrl":"https://doi.org/10.1080/18387357.2022.2033128","url":null,"abstract":"ABSTRACT\u0000 Objective To explore emergent values for community-based peer support in three projects and use of peer research methodology. Background Peer support refers to the support people with shared lived experiences provide to each other. Its roots are in the civil rights movement, providing alternatives to clinical treatments. This method of support is delivered in different settings, with varying degrees of structure. In this paper, it includes shared experience of mental health issues. Methods We reviewed interview data from two evaluations and one development project - mental health (n = 69), women-only (n = 40), and maternal mental health (n = 24), respectively. Each project used peer research methods. Peer support values from each project were compared, along with reflections from mostly peer researchers who worked on them (n = 11). Results Six peer support values emerged and were found to be identifiable and applicable in different contexts. Decisions on facilitation and leadership varied across projects and generated some concerns over professionalisation, including non-peer leadership. Frameworks were viewed as broadly useful, but peer support is heterogenous, and peer researchers were concerned about over-rigid application of guidance. Discussion We propose caution applying frameworks for peer support. Values must remain flexible and peer-led, evolving in new contexts such as COVID-19. Evaluators have a responsibility to consider any potentially negative consequences of their work and mitigate them. This means ensuring research outputs are useful to the peer support community, and knowledge production is based upon methodologies, such as peer research, that complement and are consistent with the values of peer support itself.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"36 1","pages":"157 - 169"},"PeriodicalIF":1.4,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85131940","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 : 2022-02-05DOI: 10.1080/18387357.2022.2032777
Catalina Sarmiento, G. Reid
ABSTRACT Objective Mental health walk-in clinics (MHWCs) provide unscheduled and immediate support to children and families and remove common administrative barriers. This study explored the implementation of MHWCs across Ontario, CA. Method A brief provincial survey was conducted to identify agencies that provided MHWCs, which were then invited to complete an in-depth survey. The in-depth survey questions were formatted as multiple choice, yes/no, Likert scale, and open-ended questions, taking 20–25 min with the option of online or phone-based completion. Results A total of 18 (86%) agencies participated in the in-depth survey between September 2020 and April 2021. MHWCs are being used to provide timely and accessible services, as well as to serve as a point of intake. MHWCs are provided in different locations (e.g. agencies, schools) using different modalities (e.g. consulting break) and approaches (e.g. cognitive behavioural therapy, narrative therapy, solution focused therapy). Most agencies quickly adapted to COVID-19 restrictions by providing virtual MHWCs. The most common reasons for implementing MHWCs were to reduce waitlists, the strong evidence base, and an effort to meet families’ needs. Different benefits and challenges associated with the implementation of MHWCs were reported. Discussion The results of this provincial study help better understand the implementation of MHWCs and how agencies adapted to COVID-19 and associated restrictions.
{"title":"Mental health walk-in clinics for children and families: a provincial survey","authors":"Catalina Sarmiento, G. Reid","doi":"10.1080/18387357.2022.2032777","DOIUrl":"https://doi.org/10.1080/18387357.2022.2032777","url":null,"abstract":"ABSTRACT Objective Mental health walk-in clinics (MHWCs) provide unscheduled and immediate support to children and families and remove common administrative barriers. This study explored the implementation of MHWCs across Ontario, CA. Method A brief provincial survey was conducted to identify agencies that provided MHWCs, which were then invited to complete an in-depth survey. The in-depth survey questions were formatted as multiple choice, yes/no, Likert scale, and open-ended questions, taking 20–25 min with the option of online or phone-based completion. Results A total of 18 (86%) agencies participated in the in-depth survey between September 2020 and April 2021. MHWCs are being used to provide timely and accessible services, as well as to serve as a point of intake. MHWCs are provided in different locations (e.g. agencies, schools) using different modalities (e.g. consulting break) and approaches (e.g. cognitive behavioural therapy, narrative therapy, solution focused therapy). Most agencies quickly adapted to COVID-19 restrictions by providing virtual MHWCs. The most common reasons for implementing MHWCs were to reduce waitlists, the strong evidence base, and an effort to meet families’ needs. Different benefits and challenges associated with the implementation of MHWCs were reported. Discussion The results of this provincial study help better understand the implementation of MHWCs and how agencies adapted to COVID-19 and associated restrictions.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"38 1","pages":"43 - 54"},"PeriodicalIF":1.4,"publicationDate":"2022-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89420195","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 : 2022-02-01DOI: 10.1080/18387357.2021.2020139
R. Brown, P. Heidari, Kaitlyn Taylor, Joan Veltkamp, J. Broadbear, S. Rao
ABSTRACT Objective No research to date has investigated the utility of a single session peer-informed and peer-led intervention for carers of people with borderline personality disorder (BPD). Two single session format group interventions – a 2.5-hour information session and an all-day (7-hour) workshop – were conceptualised, written, and facilitated by a carer peer with the assistance of a clinician experienced in supporting people with BPD. This study aimed to evaluate the effectiveness of these interventions. Method Participants completed the Burden Assessment Scale (BAS), Kessler-10 (K10) and the BPD attitude and knowledge survey (e-KALM) before and after the intervention as well as a set of questions seeking participants’ thoughts about the usefulness of the content of the intervention and their overall satisfaction. Results 225 carers who attended the 7-hour workshop and 100 carers who completed the 2.5-hour information session completed the pre-intervention survey. The carer participants’ e-KALM scores improved significantly following interventions. Following the 7-hour workshop, K10 (p < 0.05) and BAS (p < 0.001) scores had a statistically significant improvement. Participants from both interventions reported that they appreciated the opportunity to be heard and supported and were very satisfied overall with the format and content. Discussion Both single session carer intervention formats resulted in meaningful improvements in participants’ knowledge about and attitudes towards BPD. The full-day workshop also reduced the perceived burden associated with care-giving; highlighting the community need for longer-term carer support.
{"title":"Assessment of peer-conceptualised, written and led single-session group interventions for carers supporting a person with borderline personality disorder","authors":"R. Brown, P. Heidari, Kaitlyn Taylor, Joan Veltkamp, J. Broadbear, S. Rao","doi":"10.1080/18387357.2021.2020139","DOIUrl":"https://doi.org/10.1080/18387357.2021.2020139","url":null,"abstract":"ABSTRACT Objective No research to date has investigated the utility of a single session peer-informed and peer-led intervention for carers of people with borderline personality disorder (BPD). Two single session format group interventions – a 2.5-hour information session and an all-day (7-hour) workshop – were conceptualised, written, and facilitated by a carer peer with the assistance of a clinician experienced in supporting people with BPD. This study aimed to evaluate the effectiveness of these interventions. Method Participants completed the Burden Assessment Scale (BAS), Kessler-10 (K10) and the BPD attitude and knowledge survey (e-KALM) before and after the intervention as well as a set of questions seeking participants’ thoughts about the usefulness of the content of the intervention and their overall satisfaction. Results 225 carers who attended the 7-hour workshop and 100 carers who completed the 2.5-hour information session completed the pre-intervention survey. The carer participants’ e-KALM scores improved significantly following interventions. Following the 7-hour workshop, K10 (p < 0.05) and BAS (p < 0.001) scores had a statistically significant improvement. Participants from both interventions reported that they appreciated the opportunity to be heard and supported and were very satisfied overall with the format and content. Discussion Both single session carer intervention formats resulted in meaningful improvements in participants’ knowledge about and attitudes towards BPD. The full-day workshop also reduced the perceived burden associated with care-giving; highlighting the community need for longer-term carer support.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"229 1","pages":"134 - 145"},"PeriodicalIF":1.4,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89210794","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 : 2022-02-01DOI: 10.1080/18387357.2021.2020142
A. Mercuri, J. Burton, Anna Epifanio, Peter McKenzie
ABSTRACT Objective: Descriptive data from an innovative carer lived experience led and developed Carer Peer Support (CPS) program will be presented to highlight current carer experiences in public adult clinical mental health services in Victoria, Australia, and the benefits of CPS. Method: Descriptive data regarding the frequency of themes collected over two years, including carer demographics, themes discussed, and actions supported in CPS, are presented. Results: The data reveals how CPS identifies carer needs and experiences in adult mental health services and how the program engages with clinical staff and the service to result in positive outcomes for carers and families. Discussion: The data findings are instrumental in furthering Carer Lived Experience (CLE) work, determining key priorities for CLE systemic work as well as adult mental health service development and delivery.
{"title":"Understanding carer experiences in public adult mental health services using Carer Peer Support data","authors":"A. Mercuri, J. Burton, Anna Epifanio, Peter McKenzie","doi":"10.1080/18387357.2021.2020142","DOIUrl":"https://doi.org/10.1080/18387357.2021.2020142","url":null,"abstract":"ABSTRACT Objective: Descriptive data from an innovative carer lived experience led and developed Carer Peer Support (CPS) program will be presented to highlight current carer experiences in public adult clinical mental health services in Victoria, Australia, and the benefits of CPS. Method: Descriptive data regarding the frequency of themes collected over two years, including carer demographics, themes discussed, and actions supported in CPS, are presented. Results: The data reveals how CPS identifies carer needs and experiences in adult mental health services and how the program engages with clinical staff and the service to result in positive outcomes for carers and families. Discussion: The data findings are instrumental in furthering Carer Lived Experience (CLE) work, determining key priorities for CLE systemic work as well as adult mental health service development and delivery.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"2 1","pages":"102 - 121"},"PeriodicalIF":1.4,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88783996","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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