Pub Date : 2022-01-21DOI: 10.1080/18387357.2022.2026235
J. Otto, Elina Makela, Serenah Alam, H. Lim, Rouge Maccar, A. Hall, David Neef, Sam Ryan, Cate Bourke, Gavin Foster, K. Vivekananda
ABSTRACT Objectives: Peer support has recently been integrated into post-discharge adult mental health services in Australia. This study establishes a consensus on the underpinning, context-specific peer support principles for both consumer and carer peer support and develops and pilot tests a scale to assess the quality of peer support. Methods: A co-design mixed methods approach was taken to iteratively develop peer support principles and to design co-responding survey items. Initial testing of the scale was undertaken with a convenience sample of 33 consumers and 35 carers who received peer support in the preceding nine months. Data were triangulated across multiple data sets for integration across consumers and carers. Scale internal reliability was assessed and comparisons between consumers and carers were investigated. Results: High rates of agreement on scale items measuring five co-designed peer support principles indicated strong service quality. Mann–Whitney U tests demonstrated no difference between consumer and carer responses and scale reliability was α = .93. Open-ended questions were filtered through the five peer support principles and on the whole showed convergence on the peer support principles by the various stakeholders. Discussion: To date, this is the first known development and application of an integrated scale for both consumers and carers in a post-discharge clinical mental health setting. Opportunity exists for further testing fidelity to peer support principles across various post-discharge peer support settings.
{"title":"Co-designing consumer and carer peer support principles to assess quality","authors":"J. Otto, Elina Makela, Serenah Alam, H. Lim, Rouge Maccar, A. Hall, David Neef, Sam Ryan, Cate Bourke, Gavin Foster, K. Vivekananda","doi":"10.1080/18387357.2022.2026235","DOIUrl":"https://doi.org/10.1080/18387357.2022.2026235","url":null,"abstract":"ABSTRACT Objectives: Peer support has recently been integrated into post-discharge adult mental health services in Australia. This study establishes a consensus on the underpinning, context-specific peer support principles for both consumer and carer peer support and develops and pilot tests a scale to assess the quality of peer support. Methods: A co-design mixed methods approach was taken to iteratively develop peer support principles and to design co-responding survey items. Initial testing of the scale was undertaken with a convenience sample of 33 consumers and 35 carers who received peer support in the preceding nine months. Data were triangulated across multiple data sets for integration across consumers and carers. Scale internal reliability was assessed and comparisons between consumers and carers were investigated. Results: High rates of agreement on scale items measuring five co-designed peer support principles indicated strong service quality. Mann–Whitney U tests demonstrated no difference between consumer and carer responses and scale reliability was α = .93. Open-ended questions were filtered through the five peer support principles and on the whole showed convergence on the peer support principles by the various stakeholders. Discussion: To date, this is the first known development and application of an integrated scale for both consumers and carers in a post-discharge clinical mental health setting. Opportunity exists for further testing fidelity to peer support principles across various post-discharge peer support settings.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77113344","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 : 2022-01-11DOI: 10.1080/18387357.2021.2022502
S. McDaid, T. Adell, J. Cameron, G. Davidson, L. Knifton, C. McCartan, C. Mulholland
ABSTRACT Objective: Mental health promotion and primary prevention have been evident in government policies in recent decades and this focus may also be visible in response to the COVID-19 pandemic. However, there has yet to be a review of promotion and prevention in current mental health plans in relatively high-income countries with small populations. The objective of this review was to analyse recent government mental health plans in relatively high-income countries with small populations in order to compare and contrast their plans on promotion and prevention. Method: The review focussed on mental health policies, strategies or action plans published in English between 2017 and 2020 in Finland, New Zealand, the Republic of Ireland, Scotland and Wales. The research team developed an analytical framework for the review based on online interviews with policy and mental health experts and WHO guidance. Individual plans were then reviewed against the policy framework to produce an analysis in table form which provided the basis for a narrative discussion of developments. Results: There is evidence of attention in current mental health plans to ‘whole of population’ mental health and prevention which suggests a consensus on the need for action at this end of the spectrum. The extent of commitments to prevention and to reducing inequalities in mental health varies and is evidenced by commitments to cross-departmental structures for action on mental health and dedicated actions to reduce inequalities. Discussion: The results of this review can help to inform the development of national mental health policies.
{"title":"Recent policy developments in promotion and prevention: a scoping review of national plans in Finland, Ireland, New Zealand, Scotland and Wales","authors":"S. McDaid, T. Adell, J. Cameron, G. Davidson, L. Knifton, C. McCartan, C. Mulholland","doi":"10.1080/18387357.2021.2022502","DOIUrl":"https://doi.org/10.1080/18387357.2021.2022502","url":null,"abstract":"ABSTRACT\u0000 Objective: Mental health promotion and primary prevention have been evident in government policies in recent decades and this focus may also be visible in response to the COVID-19 pandemic. However, there has yet to be a review of promotion and prevention in current mental health plans in relatively high-income countries with small populations. The objective of this review was to analyse recent government mental health plans in relatively high-income countries with small populations in order to compare and contrast their plans on promotion and prevention. Method: The review focussed on mental health policies, strategies or action plans published in English between 2017 and 2020 in Finland, New Zealand, the Republic of Ireland, Scotland and Wales. The research team developed an analytical framework for the review based on online interviews with policy and mental health experts and WHO guidance. Individual plans were then reviewed against the policy framework to produce an analysis in table form which provided the basis for a narrative discussion of developments. Results: There is evidence of attention in current mental health plans to ‘whole of population’ mental health and prevention which suggests a consensus on the need for action at this end of the spectrum. The extent of commitments to prevention and to reducing inequalities in mental health varies and is evidenced by commitments to cross-departmental structures for action on mental health and dedicated actions to reduce inequalities. Discussion: The results of this review can help to inform the development of national mental health policies.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81787139","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 : 2022-01-11DOI: 10.1080/18387357.2021.2018940
A. AL-Sagarat, Lourance A. Al Hadid, Amy Tapsell, L. Moxham, Marwa A Al Barmawi, A. Khalifeh
ABSTRACT Objectives The study aims were to evaluate the emotional well-being of nursing students in Jordan by measuring student levels of anxiety, depression, behavioural control, positive affect, and general distress, and to identify predictors of emotional well-being in nursing students. Background Owing to a unique number of stressors, nursing students have been shown to experience high levels of stress. This stress may impact their learning, physical health, and mental health, as well as lead to burnout and potentially self-harmful behaviours. Identifying the predictors of psychological distress among nursing students is therefore critical. Method A descriptive cross-sectional survey design was utilised. The Mental Health Inventory (MHI-38) was administered to a convenience sample of nursing students (n = 230) from a university in Jordan. Multiple regression analysis was performed to determine predictors of psychological distress and well-being. In presenting this research, the STROBE checklist was followed. Results Nursing students had higher levels of psychological distress and moderate levels of emotional well-being. Nursing students scored high on general positive affect; however scores on domains related to the loss of behavioural/emotional control and anxiety were also high. Discussion A significant proportion of nursing students within this study were experiencing psychological distress. Implications for practice This study may be the first to evaluate the emotional well-being among nursing students in Jordan. Research evidence can inform decision makers in that they devise strategies and interventions that aim to build students’ coping skills and promote emotional well-being.
{"title":"Evaluating and identifying predictors of emotional well-being in nursing students in Jordan: a cross-sectional study","authors":"A. AL-Sagarat, Lourance A. Al Hadid, Amy Tapsell, L. Moxham, Marwa A Al Barmawi, A. Khalifeh","doi":"10.1080/18387357.2021.2018940","DOIUrl":"https://doi.org/10.1080/18387357.2021.2018940","url":null,"abstract":"ABSTRACT Objectives The study aims were to evaluate the emotional well-being of nursing students in Jordan by measuring student levels of anxiety, depression, behavioural control, positive affect, and general distress, and to identify predictors of emotional well-being in nursing students. Background Owing to a unique number of stressors, nursing students have been shown to experience high levels of stress. This stress may impact their learning, physical health, and mental health, as well as lead to burnout and potentially self-harmful behaviours. Identifying the predictors of psychological distress among nursing students is therefore critical. Method A descriptive cross-sectional survey design was utilised. The Mental Health Inventory (MHI-38) was administered to a convenience sample of nursing students (n = 230) from a university in Jordan. Multiple regression analysis was performed to determine predictors of psychological distress and well-being. In presenting this research, the STROBE checklist was followed. Results Nursing students had higher levels of psychological distress and moderate levels of emotional well-being. Nursing students scored high on general positive affect; however scores on domains related to the loss of behavioural/emotional control and anxiety were also high. Discussion A significant proportion of nursing students within this study were experiencing psychological distress. Implications for practice This study may be the first to evaluate the emotional well-being among nursing students in Jordan. Research evidence can inform decision makers in that they devise strategies and interventions that aim to build students’ coping skills and promote emotional well-being.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84270960","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 : 2022-01-06DOI: 10.1080/18387357.2021.2022501
J. Modrzejewska, A. Modrzejewska, K. Czepczor-Bernat
ABSTRACT Objective The aim of our study was to identify body-related predictors (quality of life, negative emotions, body dissatisfaction) of depression during the COVID-19 pandemic while controlling for sex, age and BMI. Method Participants (N = 167, Mage = 37.70 years ± 11.37) completed: the Beck Depression Inventory-II, the Body Image Quality of Life Inventory, the short form of the Situational Inventory of Body Image Dysphoria, the Contour Drawing Rating Scale and the socio-demographic survey. Results Body-related quality of life had the most credible and negative association among the included predictors. Body-related negative emotions and body dissatisfaction were both positively and credibly related, with similar strength. Conclusions Our outcomes mean that body image attitudes and emotions, and the extent to which these impact on quality of life during COVID-19 are important in predicting the level of depression symptoms. Expanding the scope of knowledge in this field will help to understand the mechanisms generating relationships between depression and body image, especially in the context of the effects of the COVID-19 pandemic and will allow for more effective assistance in the treatment of depression.
{"title":"Body-related predictors of depression: a cross-sectional study among adults during COVID-19","authors":"J. Modrzejewska, A. Modrzejewska, K. Czepczor-Bernat","doi":"10.1080/18387357.2021.2022501","DOIUrl":"https://doi.org/10.1080/18387357.2021.2022501","url":null,"abstract":"ABSTRACT Objective The aim of our study was to identify body-related predictors (quality of life, negative emotions, body dissatisfaction) of depression during the COVID-19 pandemic while controlling for sex, age and BMI. Method Participants (N = 167, Mage = 37.70 years ± 11.37) completed: the Beck Depression Inventory-II, the Body Image Quality of Life Inventory, the short form of the Situational Inventory of Body Image Dysphoria, the Contour Drawing Rating Scale and the socio-demographic survey. Results Body-related quality of life had the most credible and negative association among the included predictors. Body-related negative emotions and body dissatisfaction were both positively and credibly related, with similar strength. Conclusions Our outcomes mean that body image attitudes and emotions, and the extent to which these impact on quality of life during COVID-19 are important in predicting the level of depression symptoms. Expanding the scope of knowledge in this field will help to understand the mechanisms generating relationships between depression and body image, especially in the context of the effects of the COVID-19 pandemic and will allow for more effective assistance in the treatment of depression.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90991115","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 : 2022-01-06DOI: 10.1080/18387357.2021.2012088
J. Marks, N. Sriskandarajah, M. Aurélio, S. Gillard, M. Rinaldi, R. Foster, M. Ussher
ABSTRACT Objective There is growing evidence for the benefits of peer support in mental health services. Less is known about the specific mechanisms whereby peer support brings about change. The aim of this study was to explore the experiences of adults using mental health services and peer workers to investigate whether the contents of an intentionally provided one-to-one peer support intervention can be adequately described using a standard taxonomy of behaviour change techniques (BCTs). Method This qualitative comparative case study involved semi-structured interviews with 11 peer workers and 10 people they supported, in 2017–2018. They participated in a randomised controlled trial of a peer support intervention. Data were coded using both an analytical framework, derived from Michie and colleague’s taxonomy of BCTs, and inductive thematic analysis. Results The findings revealed that the intervention included BCTs from all 16 BCT groupings in the taxonomy, with the emphasis on the groupings of ‘social support’, ‘comparison of behaviour’, ‘comparison of outcomes’, ‘regulation’ ‘shaping knowledge’, ‘identity’ and ‘covert learning’. Thematic analysis revealed a new group, ‘relational aspects’, consisting of five new BCTs: sharing of the peer worker’s experiential knowledge; promoting reciprocity, autonomy, and confidentiality; and validation of a safe and trusting relationship. Discussion A standard taxonomy of BCTs was shown to be broadly applicable to describing the contents of an intentional one-to-one peer support intervention for adults using mental health services. The taxonomy may need to be extended to consider additional BCTs related to encouraging the therapeutic relationship.
{"title":"Experiences of peer workers and mental health service users with a peer support intervention: applying and critiquing a behaviour change techniques taxonomy","authors":"J. Marks, N. Sriskandarajah, M. Aurélio, S. Gillard, M. Rinaldi, R. Foster, M. Ussher","doi":"10.1080/18387357.2021.2012088","DOIUrl":"https://doi.org/10.1080/18387357.2021.2012088","url":null,"abstract":"ABSTRACT Objective There is growing evidence for the benefits of peer support in mental health services. Less is known about the specific mechanisms whereby peer support brings about change. The aim of this study was to explore the experiences of adults using mental health services and peer workers to investigate whether the contents of an intentionally provided one-to-one peer support intervention can be adequately described using a standard taxonomy of behaviour change techniques (BCTs). Method This qualitative comparative case study involved semi-structured interviews with 11 peer workers and 10 people they supported, in 2017–2018. They participated in a randomised controlled trial of a peer support intervention. Data were coded using both an analytical framework, derived from Michie and colleague’s taxonomy of BCTs, and inductive thematic analysis. Results The findings revealed that the intervention included BCTs from all 16 BCT groupings in the taxonomy, with the emphasis on the groupings of ‘social support’, ‘comparison of behaviour’, ‘comparison of outcomes’, ‘regulation’ ‘shaping knowledge’, ‘identity’ and ‘covert learning’. Thematic analysis revealed a new group, ‘relational aspects’, consisting of five new BCTs: sharing of the peer worker’s experiential knowledge; promoting reciprocity, autonomy, and confidentiality; and validation of a safe and trusting relationship. Discussion A standard taxonomy of BCTs was shown to be broadly applicable to describing the contents of an intentional one-to-one peer support intervention for adults using mental health services. The taxonomy may need to be extended to consider additional BCTs related to encouraging the therapeutic relationship.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87135125","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 : 2022-01-02DOI: 10.1080/18387357.2022.2032776
A. de Wet, C. Sunkel, Chrisma Pretorius
ABSTRACT Objective Peer support in mental health has gained much attention especially in high income countries (HICs). Peer support can be delivered informally or formally. Both informal peer support and formal peer support work in mental health (PSW-MH) hold promise for service users’ recovery and increasingly delivered in low- and middle-income countries (LMICs) too, to overcome large treatment gaps between mental health care needs and limitations in services. Method 37 semi-structured interviews and 3 focus groups with 14 service users, 12 service providers and 12 carers of service users at three tertiary psychiatric hospitals in the Western Cape, South Africa, were conducted. Data were analysed using reflexive thematic analysis. Results Support as facilitator to recovery was generated as a theme, including peer support; described as beneficial for both service users and peer support workers. Discussion The benefits lead to the exploration of the opportunities and challenges for PSW-MH in the study context. While there is still a long way to go to the successful inclusion of formal peer support within health care services in South African contexts, we have discussed the possible ways in which such inclusion can be beneficial on various levels, if the challenges to PSW-MH are heeded.
{"title":"Opportunities and challenges: a case for formal peer support work in mental health in a South African context","authors":"A. de Wet, C. Sunkel, Chrisma Pretorius","doi":"10.1080/18387357.2022.2032776","DOIUrl":"https://doi.org/10.1080/18387357.2022.2032776","url":null,"abstract":"ABSTRACT Objective Peer support in mental health has gained much attention especially in high income countries (HICs). Peer support can be delivered informally or formally. Both informal peer support and formal peer support work in mental health (PSW-MH) hold promise for service users’ recovery and increasingly delivered in low- and middle-income countries (LMICs) too, to overcome large treatment gaps between mental health care needs and limitations in services. Method 37 semi-structured interviews and 3 focus groups with 14 service users, 12 service providers and 12 carers of service users at three tertiary psychiatric hospitals in the Western Cape, South Africa, were conducted. Data were analysed using reflexive thematic analysis. Results Support as facilitator to recovery was generated as a theme, including peer support; described as beneficial for both service users and peer support workers. Discussion The benefits lead to the exploration of the opportunities and challenges for PSW-MH in the study context. While there is still a long way to go to the successful inclusion of formal peer support within health care services in South African contexts, we have discussed the possible ways in which such inclusion can be beneficial on various levels, if the challenges to PSW-MH are heeded.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73194933","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 : 2022-01-02DOI: 10.1080/18387357.2021.2020140
Rebecca Nixdorf, L. Nugent, Rabeea'h W Aslam, S. Barber, Ashleigh Charles, Lion Gai Meir, Alina Grayzman, Ramona Hiltensperger, Jasmine Kalha, Palak Korde, Rachel Mtei, Jackie Niwemuhwezi, Mary Ramesh, G. Ryan, M. Slade, Lisa Wenzel, C. Mahlke
ABSTRACT Objective Using Peer Support in Developing Empowering Mental Health Services (UPSIDES) is evaluating implementation of a peer support worker (PSW) intervention at six recruiting sites (Germany, India, Israel, Tanzania, and Uganda) (ISRCTN26008944). The aim of this study is to evaluate the pre-trial pilot phase. Method The initial training to prepare individuals for the PSW role and the implementation of the peer support (PS) intervention was evaluated using a multi-method design comprising six focus groups (FG; n = 22) and questionnaires capturing the perspectives of service users, PSWs, peer trainers, and mental health staff members (n = 21). Results Findings were organised across eleven key implementation themes: organisational culture, PSW training, PSW role definition, staff willingness and ability to work with PSWs, resource availability, financial arrangements, support for PSW well-being, PSW access to a peer network, acceptance, preparation, and other challenges. Discussion The following recommendations are made, based on this pilot phase: the PS training should train on practical skills using role-playing exercises; PSWs should work in teams, including role reflection with colleagues (intervision) or with a highly experienced coach (supervision); necessary resources and tools for networking should be provided; and continuous awareness-raising about PS is needed.
{"title":"A multi-national peer support intervention: the UPSIDES pilot phase","authors":"Rebecca Nixdorf, L. Nugent, Rabeea'h W Aslam, S. Barber, Ashleigh Charles, Lion Gai Meir, Alina Grayzman, Ramona Hiltensperger, Jasmine Kalha, Palak Korde, Rachel Mtei, Jackie Niwemuhwezi, Mary Ramesh, G. Ryan, M. Slade, Lisa Wenzel, C. Mahlke","doi":"10.1080/18387357.2021.2020140","DOIUrl":"https://doi.org/10.1080/18387357.2021.2020140","url":null,"abstract":"ABSTRACT Objective Using Peer Support in Developing Empowering Mental Health Services (UPSIDES) is evaluating implementation of a peer support worker (PSW) intervention at six recruiting sites (Germany, India, Israel, Tanzania, and Uganda) (ISRCTN26008944). The aim of this study is to evaluate the pre-trial pilot phase. Method The initial training to prepare individuals for the PSW role and the implementation of the peer support (PS) intervention was evaluated using a multi-method design comprising six focus groups (FG; n = 22) and questionnaires capturing the perspectives of service users, PSWs, peer trainers, and mental health staff members (n = 21). Results Findings were organised across eleven key implementation themes: organisational culture, PSW training, PSW role definition, staff willingness and ability to work with PSWs, resource availability, financial arrangements, support for PSW well-being, PSW access to a peer network, acceptance, preparation, and other challenges. Discussion The following recommendations are made, based on this pilot phase: the PS training should train on practical skills using role-playing exercises; PSWs should work in teams, including role reflection with colleagues (intervision) or with a highly experienced coach (supervision); necessary resources and tools for networking should be provided; and continuous awareness-raising about PS is needed.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80714930","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 : 2022-01-02DOI: 10.1080/18387357.2022.2036040
K. Vivekananda, Phillip Tchernegovski, Chiara McDowell, Cate Bourke, A. Sweeney, Steve Gillard
{"title":"Introduction to first issue from editors","authors":"K. Vivekananda, Phillip Tchernegovski, Chiara McDowell, Cate Bourke, A. Sweeney, Steve Gillard","doi":"10.1080/18387357.2022.2036040","DOIUrl":"https://doi.org/10.1080/18387357.2022.2036040","url":null,"abstract":"","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74902224","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 : 2022-01-01DOI: 10.1080/18387357.2021.2010585
Casimir Klim, C Ann Vitous, Deborah Keller-Cohen, Eduardo Vega, Jane Forman, Adrienne Lapidos, Kristen M Abraham, Paul N Pfeiffer
Objective: We characterized peer support specialists' self-disclosures related to suicide and recipient responses to inform services for high-risk individuals that may include peer support.
Method: We used an inductive approach and thematic analysis to identify themes from audio recordings of initial sessions between peer support specialists trained in suicide-related self-disclosure and 10 study participants who were admitted to inpatient psychiatry units with suicidal ideation or a suicide attempt.
Results: The first theme, "I've been suicidal, but those details are not important", reflects that peers mentioned suicide-related aspects of their histories briefly, often as part of introductions, without participants responding specifically to those aspects. The second theme, "Being suicidal is one of the challenges I've faced", reflects that in more detailed disclosures by peer specialists and in participant responses, suicide is a part of the mental health challenges and life stressors discussed, not the focus. The third theme "Let's focus on my recovery and what I've learned" reflects that peers steered their self-disclosures away from suicide and towards what was helpful in their recovery.
Conclusions: Suicide-related self-disclosures embedded within peer specialists' introduction or overall recovery narrative convey a shared experience while focusing conversation on mental health challenges other than suicide.
{"title":"Characterizing suicide-related self-disclosure by peer specialists: a qualitative analysis of audio-recorded sessions.","authors":"Casimir Klim, C Ann Vitous, Deborah Keller-Cohen, Eduardo Vega, Jane Forman, Adrienne Lapidos, Kristen M Abraham, Paul N Pfeiffer","doi":"10.1080/18387357.2021.2010585","DOIUrl":"https://doi.org/10.1080/18387357.2021.2010585","url":null,"abstract":"<p><strong>Objective: </strong>We characterized peer support specialists' self-disclosures related to suicide and recipient responses to inform services for high-risk individuals that may include peer support.</p><p><strong>Method: </strong>We used an inductive approach and thematic analysis to identify themes from audio recordings of initial sessions between peer support specialists trained in suicide-related self-disclosure and 10 study participants who were admitted to inpatient psychiatry units with suicidal ideation or a suicide attempt.</p><p><strong>Results: </strong>The first theme, \"I've been suicidal, but those details are not important\", reflects that peers mentioned suicide-related aspects of their histories briefly, often as part of introductions, without participants responding specifically to those aspects. The second theme, \"Being suicidal is one of the challenges I've faced\", reflects that in more detailed disclosures by peer specialists and in participant responses, suicide is a part of the mental health challenges and life stressors discussed, not the focus. The third theme \"Let's focus on my recovery and what I've learned\" reflects that peers steered their self-disclosures away from suicide and towards what was helpful in their recovery.</p><p><strong>Conclusions: </strong>Suicide-related self-disclosures embedded within peer specialists' introduction or overall recovery narrative convey a shared experience while focusing conversation on mental health challenges other than suicide.</p>","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9231833/pdf/nihms-1761112.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10825835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-28DOI: 10.1080/18387357.2021.2020138
J. Chisholm, M. Petrakis
ABSTRACT Recovery-oriented practice (ROP) is being steadily adopted worldwide. The current research aimed to examine perspectives of clinicians about having people with lived experience of mental health working in service teams. The data was collected pre-implementation of ROP at a clinical mental health service. The method was a 14-item survey. The research design was mixed methods, and narrative and exploratory in nature. The present paper explores the quantitative and qualitative data from seven of the items in the survey. Participants were 203 multidisciplinary clinicians consisting of 142 females, 46 males. Fifteen did not specify their sex. Results showed that nearly 9 out of 10 clinicians were keen to have peer workers in their teams. Nine out of 10 believed peer workers’ add value to consumers’ mental health outcomes. There were mixed opinions about whether peer workers should have equal status in teams. Most clinicians did not think peer workers were a burden on the workforce. Around 3 in 10 clinicians did not believe peer workers would make their jobs easier. Most clinicians thought peer workers added value to their work. Qualitative responses reflected these data. This study concludes there is considerable hesitancy about the role of peer workers in the clinical mental health space. Clinicians do believe peer workers should be employed in their team but are not sure of the benefits and liabilities. The present paper is a second in a series presenting data from clinicians’ perspectives about ROP.
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