Pub Date : 2023-05-03DOI: 10.1080/18387357.2023.2206037
Kate Blake-Holmes, E. Maynard, M. Brandon
ABSTRACT This article explores the psychological impact of growing up with a parent with a mental illness. A life course Model of Acquiescence is developed to show how coping strategies developed by children go on to have impact into adulthood. Undertaking biographical narrative interviews with 20 adults who had grown up with a parent with a mental illness produced accounts from childhood to the current day. Thematic narrative analysis was used to gain insight into how the participants made sense of their parent’s mental illness and their own role within it. Participants recalled experiences and family circumstances that were traumatic, unsafe and overwhelming. They dealt with these by attributing adversities to the mental illness and focusing solely on the vulnerabilities of their parents, thus adopting a caring role and ignoring their own needs. Most presented themselves as resilient, adaptable and resourceful, in employment and with intact relationships. However, despite this apparent success, all expressed a profound sense of lost opportunity and low self-esteem. In the Model of Acquiescence, we illustrate how and why children adapt to challenging and complex family experiences and explain how the personal and interpersonal process of parentification develops. An individual positions themselves as insignificant, powerless and silenced, only able to affect change or maintain relationships by anticipating, identifying and meeting other people’s needs. This model underlines the need to support such children’s psychological wellbeing using a whole family approach to understand the impact of parental mental illness and centre the child’s needs.
{"title":"The impact of acquiescence: a model of coping developed from children of parents with mental illness","authors":"Kate Blake-Holmes, E. Maynard, M. Brandon","doi":"10.1080/18387357.2023.2206037","DOIUrl":"https://doi.org/10.1080/18387357.2023.2206037","url":null,"abstract":"ABSTRACT This article explores the psychological impact of growing up with a parent with a mental illness. A life course Model of Acquiescence is developed to show how coping strategies developed by children go on to have impact into adulthood. Undertaking biographical narrative interviews with 20 adults who had grown up with a parent with a mental illness produced accounts from childhood to the current day. Thematic narrative analysis was used to gain insight into how the participants made sense of their parent’s mental illness and their own role within it. Participants recalled experiences and family circumstances that were traumatic, unsafe and overwhelming. They dealt with these by attributing adversities to the mental illness and focusing solely on the vulnerabilities of their parents, thus adopting a caring role and ignoring their own needs. Most presented themselves as resilient, adaptable and resourceful, in employment and with intact relationships. However, despite this apparent success, all expressed a profound sense of lost opportunity and low self-esteem. In the Model of Acquiescence, we illustrate how and why children adapt to challenging and complex family experiences and explain how the personal and interpersonal process of parentification develops. An individual positions themselves as insignificant, powerless and silenced, only able to affect change or maintain relationships by anticipating, identifying and meeting other people’s needs. This model underlines the need to support such children’s psychological wellbeing using a whole family approach to understand the impact of parental mental illness and centre the child’s needs.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85877787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-26DOI: 10.1080/18387357.2023.2200007
A. Wormald, Sarah Summerville, M. McGinley, Niamh Davoren, Yvonne Curtin, D. Fortune
ABSTRACT Objective: The aim of this study was to provide evidence of the acceptability of the primary care psychology services that have been enhanced by the employment of assistant psychologists in Ireland to the parents of children with psychological difficulties. Method: Data were collected from a sample of 74 parents who responded to quantitative and qualitative questions on the experience of service questionnaire. Reflexive thematic analysis was used to analyse the questionnaire responses. Results: On average 88% of participants selected ‘certainly true’ in response to the statements in the experience of service questionnaire statement they were ‘Totally satisfied’. Three major themes were developed; ‘communication is more than talking’, ‘structure can facilitate or impede’, and ‘emotional reactions’. ‘Communication is more than talking’ is organised around communication The ‘structure can facilitate or impede’ acknowledges that systems influence psychological supports. ‘Emotional reactions’ captured parents’ experiences, such as joy, frustration, and solidarity. Discussion: The results demonstrate that the newly enhanced mental health service is acceptable to parents. Their voices provide ideas about what helps and hinders their experience of care.
{"title":"Parents’ experiences of an assistant psychologist enhanced primary care mental health service in Ireland","authors":"A. Wormald, Sarah Summerville, M. McGinley, Niamh Davoren, Yvonne Curtin, D. Fortune","doi":"10.1080/18387357.2023.2200007","DOIUrl":"https://doi.org/10.1080/18387357.2023.2200007","url":null,"abstract":"ABSTRACT Objective: The aim of this study was to provide evidence of the acceptability of the primary care psychology services that have been enhanced by the employment of assistant psychologists in Ireland to the parents of children with psychological difficulties. Method: Data were collected from a sample of 74 parents who responded to quantitative and qualitative questions on the experience of service questionnaire. Reflexive thematic analysis was used to analyse the questionnaire responses. Results: On average 88% of participants selected ‘certainly true’ in response to the statements in the experience of service questionnaire statement they were ‘Totally satisfied’. Three major themes were developed; ‘communication is more than talking’, ‘structure can facilitate or impede’, and ‘emotional reactions’. ‘Communication is more than talking’ is organised around communication The ‘structure can facilitate or impede’ acknowledges that systems influence psychological supports. ‘Emotional reactions’ captured parents’ experiences, such as joy, frustration, and solidarity. Discussion: The results demonstrate that the newly enhanced mental health service is acceptable to parents. Their voices provide ideas about what helps and hinders their experience of care.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85461029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-12DOI: 10.1080/18387357.2023.2200009
Thi Truc Quynh Ho, Ba Phu Nguyen, V. Nguyen, Thi Khanh Linh Tran
ABSTRACT Objective: Life satisfaction is one of the most important indicators of psychological health for college students. Therefore, investigating the factors that influence the level of life satisfaction of college students can help develop intervention programs to improve student life satisfaction. This study investigates the mediating effect of resilience in the link between risk of smartphone addiction (RSA) and life satisfaction among college students. Method: A cross-sectional study design was used. Four hundred twenty-three Vietnamese university students (Mage = 18.78, SD = 0.925) completed The Smartphone addiction scale – Short version (SAS –SV), The Connor – Davidson Resilience scale (CD-RISC-10) and The Life satisfaction scale (SWLS). The SPSS 20 and PROCESS 3.5 (Model 4) were used to test the hypotheses. Results: The results indicated that RSA did not predict life satisfaction among Vietnamese students (B = −0.052, SE = 0.035, p > 0.05, 95% CI = [−0.120, 0.017]). More importantly, resilience fully mediated the link between RSA and life satisfaction (B = −0.020, SE = 0.010, 95% CI = [−0.041, −0.004]). Discussion: The findings of this study not only contribute to expanding the mechanism of the association between RSA and life satisfaction, but also provide a theoretical basis for interventions to improve life satisfaction for students.
摘要目的:生活满意度是大学生心理健康的重要指标之一。因此，研究影响大学生生活满意度水平的因素，有助于制定干预方案，提高大学生生活满意度。本研究探讨弹性在大学生智能手机成瘾风险(RSA)与生活满意度之间的中介作用。方法:采用横断面研究设计。423名越南大学生(Mage = 18.78, SD = 0.925)完成了智能手机成瘾简易量表(SAS - sv)、Connor - Davidson弹性量表(CD-RISC-10)和生活满意度量表(SWLS)。采用SPSS 20和PROCESS 3.5(模型4)对假设进行检验。结果:RSA不能预测越南学生的生活满意度(B = - 0.052, SE = 0.035, p > 0.05, 95% CI =[- 0.120, 0.017])。更重要的是，弹性完全介导了RSA与生活满意度之间的关系(B =−0.020,SE = 0.010, 95% CI =[−0.041，−0.004])。讨论:本研究的发现不仅有助于拓展RSA与生活满意度的关联机制，也为提高学生生活满意度的干预提供了理论依据。
{"title":"Resilience fully mediated in the link between risk of smartphone addiction and life satisfaction among college students","authors":"Thi Truc Quynh Ho, Ba Phu Nguyen, V. Nguyen, Thi Khanh Linh Tran","doi":"10.1080/18387357.2023.2200009","DOIUrl":"https://doi.org/10.1080/18387357.2023.2200009","url":null,"abstract":"ABSTRACT Objective: Life satisfaction is one of the most important indicators of psychological health for college students. Therefore, investigating the factors that influence the level of life satisfaction of college students can help develop intervention programs to improve student life satisfaction. This study investigates the mediating effect of resilience in the link between risk of smartphone addiction (RSA) and life satisfaction among college students. Method: A cross-sectional study design was used. Four hundred twenty-three Vietnamese university students (Mage = 18.78, SD = 0.925) completed The Smartphone addiction scale – Short version (SAS –SV), The Connor – Davidson Resilience scale (CD-RISC-10) and The Life satisfaction scale (SWLS). The SPSS 20 and PROCESS 3.5 (Model 4) were used to test the hypotheses. Results: The results indicated that RSA did not predict life satisfaction among Vietnamese students (B = −0.052, SE = 0.035, p > 0.05, 95% CI = [−0.120, 0.017]). More importantly, resilience fully mediated the link between RSA and life satisfaction (B = −0.020, SE = 0.010, 95% CI = [−0.041, −0.004]). Discussion: The findings of this study not only contribute to expanding the mechanism of the association between RSA and life satisfaction, but also provide a theoretical basis for interventions to improve life satisfaction for students.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77870220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-12DOI: 10.1080/18387357.2023.2200010
Farshad Ghasemi, Javad Gholami, A. Issazadegan, Z. Mohammadnia
ABSTRACT Objective: This study evaluated a three-session self-guided, online Acceptance and Commitment Therapy (ACT) treatment program aimed at improving teachers’ psychological well-being (PWB) with diverse occupational attributes. Method: A total of 80 participants were screened with the Ryff’s Scales of Psychological Well-being to understand individual differences among teachers in terms of experienced PWB. Based on specific eligibility criteria, 40 teachers were randomised to intervention (n = 20) or waitlist control condition (n = 20) group. Additionally, intervention group participants’ attitudes regarding the effects of the program were recorded online during interviews and analyzed through content analysis. Results: The results of the primary phase indicated significant differences in teachers’ PWB based on their professional experience, teaching context, and education level. These occupational variables, as well as teachers’ income, significantly contributed to the variances in teachers’ PWB. Regarding the effects of the program, we found improvements in teachers’ PWB at post-assessment with a moderate effect size (η2 = .60). In the end, the interview results indicated that teacher participants had positive attitudes toward the program and its implementation method by emphasising its practicality and feasibility. Discussion: Given the small number of participants, the results provide tentative support for the efficacy of a self-guided, online ACT-based treatment program for improving PWB in teachers. The results also present implications for school counsellors and teacher educators to use the program in an educational system with poor infrastructure during times of crisis.
{"title":"A pilot study of acceptance and commitment therapy to improve teachers’ psychological well-being","authors":"Farshad Ghasemi, Javad Gholami, A. Issazadegan, Z. Mohammadnia","doi":"10.1080/18387357.2023.2200010","DOIUrl":"https://doi.org/10.1080/18387357.2023.2200010","url":null,"abstract":"ABSTRACT Objective: This study evaluated a three-session self-guided, online Acceptance and Commitment Therapy (ACT) treatment program aimed at improving teachers’ psychological well-being (PWB) with diverse occupational attributes. Method: A total of 80 participants were screened with the Ryff’s Scales of Psychological Well-being to understand individual differences among teachers in terms of experienced PWB. Based on specific eligibility criteria, 40 teachers were randomised to intervention (n = 20) or waitlist control condition (n = 20) group. Additionally, intervention group participants’ attitudes regarding the effects of the program were recorded online during interviews and analyzed through content analysis. Results: The results of the primary phase indicated significant differences in teachers’ PWB based on their professional experience, teaching context, and education level. These occupational variables, as well as teachers’ income, significantly contributed to the variances in teachers’ PWB. Regarding the effects of the program, we found improvements in teachers’ PWB at post-assessment with a moderate effect size (η2 = .60). In the end, the interview results indicated that teacher participants had positive attitudes toward the program and its implementation method by emphasising its practicality and feasibility. Discussion: Given the small number of participants, the results provide tentative support for the efficacy of a self-guided, online ACT-based treatment program for improving PWB in teachers. The results also present implications for school counsellors and teacher educators to use the program in an educational system with poor infrastructure during times of crisis.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87234594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-27DOI: 10.1080/18387357.2023.2185269
Geoffrey Lau, S. Bennett, P. Meredith, J. Chapman, M. Wyder
ABSTRACT Objective: The aim of this study was to investigate the utility of a workforce leadership initiative, the Therapy Capability Framework (TCF), designed to enhance the provision of evidence-informed psychosocial therapies by publicly funded mental health case managers. To understand the experiences and perceptions of ‘first-time users' of the TCF was conceived as an important first step to help guide service-wide implementation. Method: In 2018, a qualitative descriptive research methodology using two in-depth focus groups with frontline mental health clinicians in case management roles was adopted to explore their perceptions and experiences of the TCF and TCF Process across Metro South Addiction and Mental Health Services in Brisbane, Australia. An inductive approach to thematic analysis guided the generation of themes and subthemes. Results: Participants understood the purpose of the TCF; however, they identified several factors influencing their experience, including specific features of the framework; how it was used; and organisational, workforce, and leadership factors that restricted its potential utility and impact. Discussion: Clinicians reported the TCF as having the potential to facilitate incremental change in the existing case management model. This paper represents a phase of evaluation and continuous improvement of the TCF, which can assist publicly funded mental health leaders to augment the provision of evidence-informed psychosocial therapies.
{"title":"The therapy capability framework and mapping process: perspectives of mental health clinical case managers","authors":"Geoffrey Lau, S. Bennett, P. Meredith, J. Chapman, M. Wyder","doi":"10.1080/18387357.2023.2185269","DOIUrl":"https://doi.org/10.1080/18387357.2023.2185269","url":null,"abstract":"ABSTRACT Objective: The aim of this study was to investigate the utility of a workforce leadership initiative, the Therapy Capability Framework (TCF), designed to enhance the provision of evidence-informed psychosocial therapies by publicly funded mental health case managers. To understand the experiences and perceptions of ‘first-time users' of the TCF was conceived as an important first step to help guide service-wide implementation. Method: In 2018, a qualitative descriptive research methodology using two in-depth focus groups with frontline mental health clinicians in case management roles was adopted to explore their perceptions and experiences of the TCF and TCF Process across Metro South Addiction and Mental Health Services in Brisbane, Australia. An inductive approach to thematic analysis guided the generation of themes and subthemes. Results: Participants understood the purpose of the TCF; however, they identified several factors influencing their experience, including specific features of the framework; how it was used; and organisational, workforce, and leadership factors that restricted its potential utility and impact. Discussion: Clinicians reported the TCF as having the potential to facilitate incremental change in the existing case management model. This paper represents a phase of evaluation and continuous improvement of the TCF, which can assist publicly funded mental health leaders to augment the provision of evidence-informed psychosocial therapies.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78389886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-24DOI: 10.1080/18387357.2023.2166855
Sarah J. Bolognino, Tyler L. Renshaw, Mary L. Phan
ABSTRACT Objective Mindful breathing meditation (MBM) and loving-kindness meditation (LKM) are common components of effective mindfulness-based interventions (MBIs). This study examined the differential effects of MBM and LKM on purported therapeutic process variables and mental health outcomes via component analysis. Method The research design was a randomized controlled trial with four conditions: MBM, LKM, combined (MBM + LKM), and a relaxation control. All conditions consisted of 10-min. audio-recorded guided meditations that were self-implemented over the course of two weeks. Participants were college undergraduates (N = 52). Results Findings indicated statistically significant and very large main effects of time, regardless of condition. Statistically significant time by condition interactions were only observed for one process variable (i.e., defusion) and one mental health outcome (i.e., depression). Follow-up descriptive evaluation of between-group effect sizes indicated patterns of favorable effects for MBM and LKM over the combined and relaxation control conditions. Treatment integrity and treatment acceptability data indicated very favorable social validity across conditions. Discussion We conclude that our findings make a modest yet value-added contribution to the MBI component analysis literature, suggesting differentiated performance among isolated MBM and LKM exercises compared to combined and control conditions. Yet further research is warranted to improve upon the limitations of this study.
{"title":"Differential effects of mindful breathing and loving kindness meditations: a component analysis study","authors":"Sarah J. Bolognino, Tyler L. Renshaw, Mary L. Phan","doi":"10.1080/18387357.2023.2166855","DOIUrl":"https://doi.org/10.1080/18387357.2023.2166855","url":null,"abstract":"ABSTRACT Objective Mindful breathing meditation (MBM) and loving-kindness meditation (LKM) are common components of effective mindfulness-based interventions (MBIs). This study examined the differential effects of MBM and LKM on purported therapeutic process variables and mental health outcomes via component analysis. Method The research design was a randomized controlled trial with four conditions: MBM, LKM, combined (MBM + LKM), and a relaxation control. All conditions consisted of 10-min. audio-recorded guided meditations that were self-implemented over the course of two weeks. Participants were college undergraduates (N = 52). Results Findings indicated statistically significant and very large main effects of time, regardless of condition. Statistically significant time by condition interactions were only observed for one process variable (i.e., defusion) and one mental health outcome (i.e., depression). Follow-up descriptive evaluation of between-group effect sizes indicated patterns of favorable effects for MBM and LKM over the combined and relaxation control conditions. Treatment integrity and treatment acceptability data indicated very favorable social validity across conditions. Discussion We conclude that our findings make a modest yet value-added contribution to the MBI component analysis literature, suggesting differentiated performance among isolated MBM and LKM exercises compared to combined and control conditions. Yet further research is warranted to improve upon the limitations of this study.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80858019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-23DOI: 10.1080/18387357.2023.2169179
A. Howell, E. Mack, Rosalia R. Scavuzzo, Christina A. Tomaras
ABSTRACT Objective. There is concern regarding use of the phrase ‘committed suicide’, given its connotations of immorality. Limited research has examined influences on people’s use of this phrase. The current studies examined whether portraying a suicide as highly immoral affects perceptions of the phrase ‘committed suicide’. Method. Undergraduate participants in western Canada read a suicide vignette in which the suicide was depicted either neutrally or as sinful (Study 1, N = 188) or as either altruistic or vengeful (Study 2, N = 204). They then judged, from the perspective of the deceased person’s family, the preference for statements employing ‘committed suicide’ or ‘died by suicide’ (Study 1) or the acceptability of statements employing ‘committed suicide’, ‘ended her[his] life’, ‘took her[his] own life’, or ‘died by suicide’ (Study 2). Results. In Study 1, ‘committed suicide’ statements received higher preference judgments for the scenario depicted as sinful. In Study 2, phrases alternative to ‘committed suicide’ received higher acceptability ratings for the altruistic scenario. Discussion. We consider limitations of our work, directions for future research on the language of suicide, and implications of our findings.
{"title":"Effects of context on perceptions of the language of suicide","authors":"A. Howell, E. Mack, Rosalia R. Scavuzzo, Christina A. Tomaras","doi":"10.1080/18387357.2023.2169179","DOIUrl":"https://doi.org/10.1080/18387357.2023.2169179","url":null,"abstract":"ABSTRACT Objective. There is concern regarding use of the phrase ‘committed suicide’, given its connotations of immorality. Limited research has examined influences on people’s use of this phrase. The current studies examined whether portraying a suicide as highly immoral affects perceptions of the phrase ‘committed suicide’. Method. Undergraduate participants in western Canada read a suicide vignette in which the suicide was depicted either neutrally or as sinful (Study 1, N = 188) or as either altruistic or vengeful (Study 2, N = 204). They then judged, from the perspective of the deceased person’s family, the preference for statements employing ‘committed suicide’ or ‘died by suicide’ (Study 1) or the acceptability of statements employing ‘committed suicide’, ‘ended her[his] life’, ‘took her[his] own life’, or ‘died by suicide’ (Study 2). Results. In Study 1, ‘committed suicide’ statements received higher preference judgments for the scenario depicted as sinful. In Study 2, phrases alternative to ‘committed suicide’ received higher acceptability ratings for the altruistic scenario. Discussion. We consider limitations of our work, directions for future research on the language of suicide, and implications of our findings.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87547528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-09DOI: 10.1080/18387357.2022.2161402
Ó. Walsh, A. Sheridan, M. Barry
ABSTRACT Despite the increasing recognition of the importance of mental health promotion, its implementation in practice remains underdeveloped in most countries. Having a standalone strategy ensures commitment to delivering on mental health promotion within the political and policy system. Objective This paper outlines the process of developing the first Mental Health Promotion Plan for the health service in Ireland. The process of developing the Plan, together with key reflections and learnings from the experience are outlined. Method The framework for the development of the Mental Health Promotion Plan, and the processes involved are outlined. The development process constituted three distinct phases over a two and a half year period: (i) planning; (ii) identifying core actions; (iii) stakeholder engagement. The steps involved in each of these phases are described. Results The Mental Health Promotion Plan takes a lifecourse and settings-based approach, including 27 actions for enhancing protective factors for mental health and minimising risk factors. A wide range of stakeholders from across sectors contributed to the development process. Discussion The development of this Plan marks a watershed in placing mental health promotion on the policy agenda at a national level, building on the existing health promotion policy and practice infrastructure in Ireland.
{"title":"The process of developing a mental health promotion plan for the Irish health service","authors":"Ó. Walsh, A. Sheridan, M. Barry","doi":"10.1080/18387357.2022.2161402","DOIUrl":"https://doi.org/10.1080/18387357.2022.2161402","url":null,"abstract":"ABSTRACT Despite the increasing recognition of the importance of mental health promotion, its implementation in practice remains underdeveloped in most countries. Having a standalone strategy ensures commitment to delivering on mental health promotion within the political and policy system. Objective This paper outlines the process of developing the first Mental Health Promotion Plan for the health service in Ireland. The process of developing the Plan, together with key reflections and learnings from the experience are outlined. Method The framework for the development of the Mental Health Promotion Plan, and the processes involved are outlined. The development process constituted three distinct phases over a two and a half year period: (i) planning; (ii) identifying core actions; (iii) stakeholder engagement. The steps involved in each of these phases are described. Results The Mental Health Promotion Plan takes a lifecourse and settings-based approach, including 27 actions for enhancing protective factors for mental health and minimising risk factors. A wide range of stakeholders from across sectors contributed to the development process. Discussion The development of this Plan marks a watershed in placing mental health promotion on the policy agenda at a national level, building on the existing health promotion policy and practice infrastructure in Ireland.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84745870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-02DOI: 10.1080/18387357.2023.2180847
A. Reupert
The mental health workforce, plus those who research in the field, have a moral imperative to promote and deliver interventions and programs that have been evaluated for efficacy and continued safe use. Accessibility, equity, effectiveness, acceptability and value for money are other critical considerations in service design and delivery. Identifying which programs and interventions fulfil those requirements necessitates an evaluation andmonitoring of practices, involving both process and outcome evaluation methodologies, and the measurement of client satisfaction. For researchers this means that they need to ensure that their research is grounded in the routine experiences of end users, and the experiences of practitioners and program deliverers, with clear impacts highlighted for how services and programs might need to be replaced, changed or adapted. However, while research may be available, that in of itself does not always transfer to best practice. There is often a disconnect between research and practice, sometimes caused by research that is not replicable in the real world nor reflective of the complexity of issues seen in practice. There may be dissemination issues including a lack of training opportunities. Another obstacle to the transfer of research to practice may be the unwillingness of governments and organisations to change infrastructure and systems, perhaps due to funding constraints. Instead or as well, individual practitioners may be unwilling to make changes to their practice due to time constraints or a general unwillingness to change; ultimately if we ask practitioners to change their behaviour it is implying that what they were doing previously was somehow inadequate and no one wants to hear that. The need to promote the uptake of research to practice is a key tenet of this journal and the processes to do so, often referred to as implementation science, have been showcased in this journal over many years (e.g. Howe et al., 2011; Reupert, 2021). Historically, conceptualisations of the term ‘evidence-based practice’ involved a hierarchy of evidence ratings and where it is argued that the more rigorous the methodology, the stronger the evidence. There is, however, increasing acknowledgement in the medical, public health and mental health fields that how we define ‘best practice’ is broader than relying on the results of large scale randomised controlled trials, and is instead a collaborative decision-making process that considers three key components namely
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