Pub Date : 2022-04-18DOI: 10.1108/jmhtep-02-2021-0017
Anne Honey, K. Boydell, Nathan Clissold, Francesca Coniglio, T. Do, Leonie Dunn, Candice Jade Fuller, K. Gill, Helen Glover, Monique Hines, J. Scanlan, Barbara Tooth, D. Wagner
Purpose This paper aims to explore the use of lived experience research in peer work. Design/methodology/approach A suite of user-friendly and engaging lived experience research resources was introduced to consumers by peer workers. In-depth interviews were conducted with 33 consumer participants and five peer workers about their experiences. The data were analysed using qualitative content analysis. Findings The role of the peer workers appeared critical in ensuring that participants, despite their varied needs, preferences and backgrounds, derived optimum benefit from each resource. Features in resource delivery that promoted a positive experience included presenting the resources in the context of an existing relationship, providing clear explanations, going through resources together, encouraging reflection, taking enough time; and flexible delivery. Peer workers viewed the resources as potentially useful in their everyday peer work and as a valuable addition to their peer work toolkit. Practical implications The benefit of lived experience research to consumers is likely to be optimised by supportive and thoughtful delivery of the resources. Peer workers have the skills and are in an ideal position to do this. Bringing lived experience research to consumers provides peer workers with a potentially unique and helpful approach for supporting and promoting recovery and is congruent with their overall practice. Originality/value Lived experience research has the potential to benefit consumers directly but is rarely brought to their attention. This paper is the first to examine the potential role of peer workers in introducing learnings from lived experience research to consumers.
{"title":"Peer workers disseminating lived experience research: a perfect match?","authors":"Anne Honey, K. Boydell, Nathan Clissold, Francesca Coniglio, T. Do, Leonie Dunn, Candice Jade Fuller, K. Gill, Helen Glover, Monique Hines, J. Scanlan, Barbara Tooth, D. Wagner","doi":"10.1108/jmhtep-02-2021-0017","DOIUrl":"https://doi.org/10.1108/jmhtep-02-2021-0017","url":null,"abstract":"\u0000Purpose\u0000This paper aims to explore the use of lived experience research in peer work.\u0000\u0000\u0000Design/methodology/approach\u0000A suite of user-friendly and engaging lived experience research resources was introduced to consumers by peer workers. In-depth interviews were conducted with 33 consumer participants and five peer workers about their experiences. The data were analysed using qualitative content analysis.\u0000\u0000\u0000Findings\u0000The role of the peer workers appeared critical in ensuring that participants, despite their varied needs, preferences and backgrounds, derived optimum benefit from each resource. Features in resource delivery that promoted a positive experience included presenting the resources in the context of an existing relationship, providing clear explanations, going through resources together, encouraging reflection, taking enough time; and flexible delivery. Peer workers viewed the resources as potentially useful in their everyday peer work and as a valuable addition to their peer work toolkit.\u0000\u0000\u0000Practical implications\u0000The benefit of lived experience research to consumers is likely to be optimised by supportive and thoughtful delivery of the resources. Peer workers have the skills and are in an ideal position to do this. Bringing lived experience research to consumers provides peer workers with a potentially unique and helpful approach for supporting and promoting recovery and is congruent with their overall practice.\u0000\u0000\u0000Originality/value\u0000Lived experience research has the potential to benefit consumers directly but is rarely brought to their attention. This paper is the first to examine the potential role of peer workers in introducing learnings from lived experience research to consumers.\u0000","PeriodicalId":75090,"journal":{"name":"The journal of mental health training, education, and practice","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90582031","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 : 2022-04-12DOI: 10.1108/jmhtep-10-2021-0124
A. Sundström, Camilla Hakelind
Purpose Assessment of complex clinical skills and abilities is a challenge in mental health education. In the present study, an objective structured clinical examination (OSCE) was adapted to psychology and implemented in a Master in Psychology program. The purpose of the present study was to examine aspects of validity of this OSCE. Design/methodology/approach A total of 55 students enrolled in the Master in the Psychology program at Umeå University, Sweden, participated in two OSCE occasions. In addition to OSCE data, questionnaires were administered immediately after the OSCE to students (n = 18) and examiners (n = 13) to examine their perceptions of the OSCE. Findings The results provided support for different aspects of validity. The level of internal consistency was close to acceptable, and there was a good correspondence between global ratings and checklist scores for many stations. However, adding an additional category to the global rating scale and reviewing some of the station checklists might improve the assessment further. The present cut-score of the OSCE was comparable to a cut-score set by the borderline regression model. In general, students and examiners perceived the OSCE as a high-quality examination, although examiners raised some issues that could improve the OSCE further. Originality/value In conclusion, OSCE is a promising assessment in psychology, both from a psychometric perspective and from a test-taker and examiner perspective. The present study is an important contribution to the field as there are only a few examples where OSCE has been used in clinical psychology, and to the best of the authors’ knowledge, this paper is the first to evaluate the validity of such an assessment.
{"title":"Examining clinical skills and abilities in psychology – implementation and evaluation of an objective structured clinical examination in psychology","authors":"A. Sundström, Camilla Hakelind","doi":"10.1108/jmhtep-10-2021-0124","DOIUrl":"https://doi.org/10.1108/jmhtep-10-2021-0124","url":null,"abstract":"\u0000Purpose\u0000Assessment of complex clinical skills and abilities is a challenge in mental health education. In the present study, an objective structured clinical examination (OSCE) was adapted to psychology and implemented in a Master in Psychology program. The purpose of the present study was to examine aspects of validity of this OSCE.\u0000\u0000\u0000Design/methodology/approach\u0000A total of 55 students enrolled in the Master in the Psychology program at Umeå University, Sweden, participated in two OSCE occasions. In addition to OSCE data, questionnaires were administered immediately after the OSCE to students (n = 18) and examiners (n = 13) to examine their perceptions of the OSCE.\u0000\u0000\u0000Findings\u0000The results provided support for different aspects of validity. The level of internal consistency was close to acceptable, and there was a good correspondence between global ratings and checklist scores for many stations. However, adding an additional category to the global rating scale and reviewing some of the station checklists might improve the assessment further. The present cut-score of the OSCE was comparable to a cut-score set by the borderline regression model. In general, students and examiners perceived the OSCE as a high-quality examination, although examiners raised some issues that could improve the OSCE further.\u0000\u0000\u0000Originality/value\u0000In conclusion, OSCE is a promising assessment in psychology, both from a psychometric perspective and from a test-taker and examiner perspective. The present study is an important contribution to the field as there are only a few examples where OSCE has been used in clinical psychology, and to the best of the authors’ knowledge, this paper is the first to evaluate the validity of such an assessment.\u0000","PeriodicalId":75090,"journal":{"name":"The journal of mental health training, education, and practice","volume":"191 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76422893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-30DOI: 10.1108/jmhtep-05-2020-0023
N. Evans, D. Edwards, Phil Chick
Purpose The purpose of this mixed methods rapid study was to identify the barriers and facilitators to implement relational and environmental risk management approaches to manage suicidality in inpatient services. Design/methodology/approach To achieve this within a short timeframe, a rapid review approach was chosen. Both research (qualitative and quantitative studies) and non-research material (policies, guidance and reports) were retrieved. The review was conducted across five databases: MEDLINE, EMBASE, EMCARE, PsycINFO and CINAHL for English language citations within the last ten years (2009 –2019). Findings A total of 17 primary research papers and a further 73 reviews and grey literature were included. There was evidence that the removal of anti-ligature equipment, by which regular checks of the environment to identify and remove ligature points and increased levels of observation are carried out well, reduces suicide in hospital. Research limitations/implications There is a gap in research investigating “engagement activities” eliciting exactly what they are and determining how they might be effective. There is a need for new innovative ways for managing risk of suicide in hospitals that bring together meaningful engagement and maintaining safety. Originality/value Keeping people safe during an inpatient stay in a mental health service is a core function of mental health practitioners. This paper brings together what is already known about risk management and highlights areas for further investigation.
{"title":"Managing suicidality in inpatient care: a rapid review","authors":"N. Evans, D. Edwards, Phil Chick","doi":"10.1108/jmhtep-05-2020-0023","DOIUrl":"https://doi.org/10.1108/jmhtep-05-2020-0023","url":null,"abstract":"Purpose\u0000The purpose of this mixed methods rapid study was to identify the barriers and facilitators to implement relational and environmental risk management approaches to manage suicidality in inpatient services.\u0000\u0000\u0000Design/methodology/approach\u0000To achieve this within a short timeframe, a rapid review approach was chosen. Both research (qualitative and quantitative studies) and non-research material (policies, guidance and reports) were retrieved. The review was conducted across five databases: MEDLINE, EMBASE, EMCARE, PsycINFO and CINAHL for English language citations within the last ten years (2009 –2019).\u0000\u0000\u0000Findings\u0000A total of 17 primary research papers and a further 73 reviews and grey literature were included. There was evidence that the removal of anti-ligature equipment, by which regular checks of the environment to identify and remove ligature points and increased levels of observation are carried out well, reduces suicide in hospital.\u0000\u0000\u0000Research limitations/implications\u0000There is a gap in research investigating “engagement activities” eliciting exactly what they are and determining how they might be effective. There is a need for new innovative ways for managing risk of suicide in hospitals that bring together meaningful engagement and maintaining safety.\u0000\u0000\u0000Originality/value\u0000Keeping people safe during an inpatient stay in a mental health service is a core function of mental health practitioners. This paper brings together what is already known about risk management and highlights areas for further investigation.","PeriodicalId":75090,"journal":{"name":"The journal of mental health training, education, and practice","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90203980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-17DOI: 10.1108/jmhtep-03-2022-131
T. Sodi, D. Jidong, D. Bailey
The contributions focus mainly on three themes: mental health support experienced by black and minority ethnic (BME) groups in different contexts and responses to a range of challenges;traditional healing and mental health;and relationships between traditional practice and mainstream mental health services. [...]the articles in this themed Issue highlight the importance of continuing to explore how different knowledge systems can contribute to developing contemporary responses to mental ill health that reflect global advances in understanding. In the light of wider agendas relating to decolonisation we hope that this collection of articles will encourage western-oriented mental health professionals to learn about other knowledge systems and context-specific approaches that promote the mental health of individuals and communities in other parts of the world.
{"title":"Guest editorial: indigenous knowledge systems and mental health","authors":"T. Sodi, D. Jidong, D. Bailey","doi":"10.1108/jmhtep-03-2022-131","DOIUrl":"https://doi.org/10.1108/jmhtep-03-2022-131","url":null,"abstract":"The contributions focus mainly on three themes: mental health support experienced by black and minority ethnic (BME) groups in different contexts and responses to a range of challenges;traditional healing and mental health;and relationships between traditional practice and mainstream mental health services. [...]the articles in this themed Issue highlight the importance of continuing to explore how different knowledge systems can contribute to developing contemporary responses to mental ill health that reflect global advances in understanding. In the light of wider agendas relating to decolonisation we hope that this collection of articles will encourage western-oriented mental health professionals to learn about other knowledge systems and context-specific approaches that promote the mental health of individuals and communities in other parts of the world.","PeriodicalId":75090,"journal":{"name":"The journal of mental health training, education, and practice","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84782167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-08DOI: 10.1108/jmhtep-08-2020-0059
M. Saki, Sabah Khoshnood, F. Mohammadipour, F. Ebrahimzadeh, F. Rezaei
Purpose Hope and death anxiety as the important sources of adjustment can affect the attitude, health status and quality of life in patients undergoing hemodialysis. Hopelessness and death anxiety are considered as the important factors in patients undergoing hemodialysis, because these can avoid non-adherence and increase mortality rate. This study aims to investigate the effect of the cognitive–behavioral intervention on hope and death anxiety in patients undergoing hemodialysis. Design/methodology/approach In this randomized controlled clinical trial, 84 patients undergoing hemodialysis were included, who were then divided into two groups as the cognitive–behavioral intervention group (n = 42) and the control group (n = 42). The experimental group received eight sessions of individual chair-side cognitive–behavioral intervention. To measure the hope level and death anxiety, Hearth Hope Scale and Templer’s Death Anxiety Scale were used as tools once at the beginning and once at the end of the study. Findings The mean scores of the hope levels in the intervention group significantly improved compared to the control group. Furthermore, the mean scores of the death anxiety levels significantly decreased in the intervention group compared to the control group. Originality/value Cognitive–behavioral interventions are significantly effective on promoting the level of hope and decreasing the level of death anxiety in patients undergoing hemodialysis. Therefore, applying this psychological intervention to design the individual education programs is recommended.
{"title":"The effect of cognitive–behavioral intervention on hope and death anxiety level in patients undergoing hemodialysis","authors":"M. Saki, Sabah Khoshnood, F. Mohammadipour, F. Ebrahimzadeh, F. Rezaei","doi":"10.1108/jmhtep-08-2020-0059","DOIUrl":"https://doi.org/10.1108/jmhtep-08-2020-0059","url":null,"abstract":"\u0000Purpose\u0000Hope and death anxiety as the important sources of adjustment can affect the attitude, health status and quality of life in patients undergoing hemodialysis. Hopelessness and death anxiety are considered as the important factors in patients undergoing hemodialysis, because these can avoid non-adherence and increase mortality rate. This study aims to investigate the effect of the cognitive–behavioral intervention on hope and death anxiety in patients undergoing hemodialysis.\u0000\u0000\u0000Design/methodology/approach\u0000In this randomized controlled clinical trial, 84 patients undergoing hemodialysis were included, who were then divided into two groups as the cognitive–behavioral intervention group (n = 42) and the control group (n = 42). The experimental group received eight sessions of individual chair-side cognitive–behavioral intervention. To measure the hope level and death anxiety, Hearth Hope Scale and Templer’s Death Anxiety Scale were used as tools once at the beginning and once at the end of the study.\u0000\u0000\u0000Findings\u0000The mean scores of the hope levels in the intervention group significantly improved compared to the control group. Furthermore, the mean scores of the death anxiety levels significantly decreased in the intervention group compared to the control group.\u0000\u0000\u0000Originality/value\u0000Cognitive–behavioral interventions are significantly effective on promoting the level of hope and decreasing the level of death anxiety in patients undergoing hemodialysis. Therefore, applying this psychological intervention to design the individual education programs is recommended.\u0000","PeriodicalId":75090,"journal":{"name":"The journal of mental health training, education, and practice","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85232295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-08DOI: 10.1108/jmhtep-10-2021-0127
Molefeng Isaac Riba, I. Saunderson
Purpose The purpose of this paper is to discuss stigma and insensitive communication surrounding mental illness discourse amongst adolescents in the Polokwane Local Municipality against the background of a Foucauldian lens. Design/methodology/approach The literature reviewed included a discussion of perspectives on stigma and insensitive communication, contextualisation of the dual health–belief system in South Africa and the Foucauldian governmentality theoretical perspective. The methodology was based on a Foucauldian orientation and Geertz’ interpretivism. The methods followed to analyse the discourse were Foucauldian discourse analysis (FDA), coupled with Geertz' “thick description.” The data were collected from six focus group discussions, which consisted of a total of 36 informants. Findings The findings indicated the dominance of the biomedicine discourse, neoliberal rationalisations for self-care and the policy of deinstitutionalisation. Practical implications The implications for practice using an FDA approach combined with an interpretivist stance exposes the actions, institutions, possibilities for action whilst understanding core beliefs in a complex dual health and religious belief setting. The addition of Geertz’s interpretivism adds a cultural flare and insight, which adds to the depth of the analysis. Originality/value The complexity of beliefs, experiences and health choices calls for culturally sensitive discourse about mental illness and also highlights how discourse about individual conduct and self-care is embedded in the discourse used by adolescents.
{"title":"Stigma and insensitive communication in mental illness discourse as experienced by adolescents in Polokwane, South Africa: a Foucauldian lens","authors":"Molefeng Isaac Riba, I. Saunderson","doi":"10.1108/jmhtep-10-2021-0127","DOIUrl":"https://doi.org/10.1108/jmhtep-10-2021-0127","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to discuss stigma and insensitive communication surrounding mental illness discourse amongst adolescents in the Polokwane Local Municipality against the background of a Foucauldian lens.\u0000\u0000\u0000Design/methodology/approach\u0000The literature reviewed included a discussion of perspectives on stigma and insensitive communication, contextualisation of the dual health–belief system in South Africa and the Foucauldian governmentality theoretical perspective. The methodology was based on a Foucauldian orientation and Geertz’ interpretivism. The methods followed to analyse the discourse were Foucauldian discourse analysis (FDA), coupled with Geertz' “thick description.” The data were collected from six focus group discussions, which consisted of a total of 36 informants.\u0000\u0000\u0000Findings\u0000The findings indicated the dominance of the biomedicine discourse, neoliberal rationalisations for self-care and the policy of deinstitutionalisation.\u0000\u0000\u0000Practical implications\u0000The implications for practice using an FDA approach combined with an interpretivist stance exposes the actions, institutions, possibilities for action whilst understanding core beliefs in a complex dual health and religious belief setting. The addition of Geertz’s interpretivism adds a cultural flare and insight, which adds to the depth of the analysis.\u0000\u0000\u0000Originality/value\u0000The complexity of beliefs, experiences and health choices calls for culturally sensitive discourse about mental illness and also highlights how discourse about individual conduct and self-care is embedded in the discourse used by adolescents.\u0000","PeriodicalId":75090,"journal":{"name":"The journal of mental health training, education, and practice","volume":"128 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89017445","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 : 2022-02-22DOI: 10.1108/jmhtep-09-2020-0068
L. Johnson, Kelly E. Elsegood, Frances Browne
Purpose This study aims to gauge the usefulness of a Recovery College relaxation course for both staff and service users within a secure mental health setting. Design/methodology/approach The course compromised of seven stand alone sessions, each teaching a different relaxation skill. Pre- and Post questionnaires were administered comprising of two closed and one open ended questions. Findings Participants (n = 49) reported an average decrease of 32% in pre- and post-session tension. Ninety-two percent of evaluative responses endorsed sessions as “worthwhile” and 92% endorsed the relaxation skills as “useful in the future”. Participants described the workshops as “enjoyable” and “relaxing”. Practical implications In the spirit of Recovery Colleges, the course offers the opportunity for individuals with lived experience to participate in the production and delivery of interventions. Improving both staff and service user well-being is cost-effective and may help to normalise and de-stigmatise difficulties with stress and anxiety. Originality/value To the best of the authors’ knowledge, this appears to be the first evaluation of a co-produced and co-delivered relaxation course for both staff and service users within inpatient mental health settings. This paper presents a preliminary evaluation of a novel intervention to improve staff and service user well-being.
{"title":"Outcomes of a co-produced and co-delivered relaxation course for service users and staff at a secure mental health service","authors":"L. Johnson, Kelly E. Elsegood, Frances Browne","doi":"10.1108/jmhtep-09-2020-0068","DOIUrl":"https://doi.org/10.1108/jmhtep-09-2020-0068","url":null,"abstract":"\u0000Purpose\u0000This study aims to gauge the usefulness of a Recovery College relaxation course for both staff and service users within a secure mental health setting.\u0000\u0000\u0000Design/methodology/approach\u0000The course compromised of seven stand alone sessions, each teaching a different relaxation skill. Pre- and Post questionnaires were administered comprising of two closed and one open ended questions.\u0000\u0000\u0000Findings\u0000Participants (n = 49) reported an average decrease of 32% in pre- and post-session tension. Ninety-two percent of evaluative responses endorsed sessions as “worthwhile” and 92% endorsed the relaxation skills as “useful in the future”. Participants described the workshops as “enjoyable” and “relaxing”.\u0000\u0000\u0000Practical implications\u0000In the spirit of Recovery Colleges, the course offers the opportunity for individuals with lived experience to participate in the production and delivery of interventions. Improving both staff and service user well-being is cost-effective and may help to normalise and de-stigmatise difficulties with stress and anxiety.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, this appears to be the first evaluation of a co-produced and co-delivered relaxation course for both staff and service users within inpatient mental health settings. This paper presents a preliminary evaluation of a novel intervention to improve staff and service user well-being.\u0000","PeriodicalId":75090,"journal":{"name":"The journal of mental health training, education, and practice","volume":"179 S444","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72407481","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 : 2022-02-21DOI: 10.1108/jmhtep-07-2021-0079
Wismick Jean-Charles, J. McGee, Marie Judith Jean-Baptiste, Vanessa Irlande Joseph, Doris Gracita Rouzier
Purpose The purpose of this paper is to describe the development and implementation of the first telepsychology initiative in Haiti. Haiti is the world’s first black-led republic. It is also the only nation established by slave revolt and the first independent Caribbean state. In this case study, the development and pilot implementation of the first telepsychology initiative in the country of Haiti is described. The initiative was designed to provide psychoeducational and emotional support to community members and frontline health workers in the wake of the COVID-19 pandemic in this under-resourced country. Design/methodology/approach A multi-stakeholder approach was used and brought together local, national and international partners from governmental and non-governmental organizations as well as the academic community. Program data was collected from May 2020 through November 2021. The initiative was implemented across four regions of Haiti: Nord, Artibonite, Reste-Quest and Sud. Findings A total of 701 individuals received telepsychology services. More community members participated (n = 508 sessions) than frontline health workers (n = 193 sessions). Service utilization ranged from one to four counseling sessions. Initial data suggest that telepsychology is a potentially acceptable and feasible option to increase access to mental health services in Haiti. Significant logistical and cultural concerns must be taken into consideration to refine services. Originality/value To the best of the authors’ knowledge, the telepsychology initiative is the first of its kind and may serve as an exemplar for other similar countries with limited mental health resources. The authors provide information on successes, barriers and lessons learned as well as recommendations for enhancing services.
{"title":"Development of the first telepsychology initiative in Haiti in response to COVID-19","authors":"Wismick Jean-Charles, J. McGee, Marie Judith Jean-Baptiste, Vanessa Irlande Joseph, Doris Gracita Rouzier","doi":"10.1108/jmhtep-07-2021-0079","DOIUrl":"https://doi.org/10.1108/jmhtep-07-2021-0079","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to describe the development and implementation of the first telepsychology initiative in Haiti. Haiti is the world’s first black-led republic. It is also the only nation established by slave revolt and the first independent Caribbean state. In this case study, the development and pilot implementation of the first telepsychology initiative in the country of Haiti is described. The initiative was designed to provide psychoeducational and emotional support to community members and frontline health workers in the wake of the COVID-19 pandemic in this under-resourced country.\u0000\u0000\u0000Design/methodology/approach\u0000A multi-stakeholder approach was used and brought together local, national and international partners from governmental and non-governmental organizations as well as the academic community. Program data was collected from May 2020 through November 2021. The initiative was implemented across four regions of Haiti: Nord, Artibonite, Reste-Quest and Sud.\u0000\u0000\u0000Findings\u0000A total of 701 individuals received telepsychology services. More community members participated (n = 508 sessions) than frontline health workers (n = 193 sessions). Service utilization ranged from one to four counseling sessions. Initial data suggest that telepsychology is a potentially acceptable and feasible option to increase access to mental health services in Haiti. Significant logistical and cultural concerns must be taken into consideration to refine services.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, the telepsychology initiative is the first of its kind and may serve as an exemplar for other similar countries with limited mental health resources. The authors provide information on successes, barriers and lessons learned as well as recommendations for enhancing services.\u0000","PeriodicalId":75090,"journal":{"name":"The journal of mental health training, education, and practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73251480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-15DOI: 10.1108/jmhtep-04-2021-0036
L. D. de Sousa, C. Sequeira, C. Ferré-Grau, Odete Araújo
Purpose The purpose of this paper is to identify the difficulties and overload/burden experienced by family caregivers of older dependent people during the COVID-19 outbreak. Design/methodology/approach A descriptive and cross-sectional study was conducted. This work was guided according to the Guideline strengthenin the reporting of observational studies in epidemiology (EQUATOR checklist). The study included 65 family caregivers of older people with physical or mental dependence. Caregivers were selected by convenience sampling through a national association of informal caregivers. Participants responded to an online questionnaire, which aimed to assess difficulties and burdens experienced during the pandemic. Ethical principles were followed throughout the research. Findings The participants were mostly women, with an average age of 53 years, teleworking and cohabiting with the dependent elderly. Most caregivers reported that the pandemic has led to an increase in daily difficulties and associated burden. There was a statistically significant increase in hours devoted to care during the pandemic. Also, caregivers reported less time to take care of themselves and greater fatigue during this period. Research limitations/implications This study had some limitations. For example, the small sample size. The sample was collected through an online version, and many caregivers did not have the digital skills needed to complete the questionnaires, and most of them were busy (divided between teleworking and household responsibilities). Another limitation was related to the perceived priority of caregivers because the majority of them considered this was a time-consuming study and saw no immediate benefits. Furthermore, they considered that this study has taken their time to manage all the provision of care to the elder relative and other activities related to their children who were also in quarantine. Finally, to date, there is no sufficient evidence to compare our results with other national and international studies. Further research is needed to allow the scalability of results and to apply the best available knowledge to mitigate the known and potential effects of this pandemic. Practical implications This study highlighted that frontline caregivers suffered a negative impact on their physical and mental health, in addition to a significant economic burden during the pandemic outbreak. More research in this field is needed to plan, train and manage large-scale public health emergencies. Social implications The COVID-19 pandemic imposed physical distancing, which profoundly affected the physical and mental health of community-dwelling older people and their family caregivers. Because of the confinement and closure of some social support institutions, family caregivers found themselves in a complex situation, having to reconcile care and teleworking. Therefore, it is important to identify the impact of the COVID-19 pandemic on the difficul
{"title":"Impact of the COVID-19 outbreak on the difficulties and burden experienced by family caregivers of older dependent persons","authors":"L. D. de Sousa, C. Sequeira, C. Ferré-Grau, Odete Araújo","doi":"10.1108/jmhtep-04-2021-0036","DOIUrl":"https://doi.org/10.1108/jmhtep-04-2021-0036","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to identify the difficulties and overload/burden experienced by family caregivers of older dependent people during the COVID-19 outbreak.\u0000\u0000\u0000Design/methodology/approach\u0000A descriptive and cross-sectional study was conducted. This work was guided according to the Guideline strengthenin the reporting of observational studies in epidemiology (EQUATOR checklist). The study included 65 family caregivers of older people with physical or mental dependence. Caregivers were selected by convenience sampling through a national association of informal caregivers. Participants responded to an online questionnaire, which aimed to assess difficulties and burdens experienced during the pandemic. Ethical principles were followed throughout the research.\u0000\u0000\u0000Findings\u0000The participants were mostly women, with an average age of 53 years, teleworking and cohabiting with the dependent elderly. Most caregivers reported that the pandemic has led to an increase in daily difficulties and associated burden. There was a statistically significant increase in hours devoted to care during the pandemic. Also, caregivers reported less time to take care of themselves and greater fatigue during this period.\u0000\u0000\u0000Research limitations/implications\u0000This study had some limitations. For example, the small sample size. The sample was collected through an online version, and many caregivers did not have the digital skills needed to complete the questionnaires, and most of them were busy (divided between teleworking and household responsibilities). Another limitation was related to the perceived priority of caregivers because the majority of them considered this was a time-consuming study and saw no immediate benefits. Furthermore, they considered that this study has taken their time to manage all the provision of care to the elder relative and other activities related to their children who were also in quarantine. Finally, to date, there is no sufficient evidence to compare our results with other national and international studies. Further research is needed to allow the scalability of results and to apply the best available knowledge to mitigate the known and potential effects of this pandemic.\u0000\u0000\u0000Practical implications\u0000This study highlighted that frontline caregivers suffered a negative impact on their physical and mental health, in addition to a significant economic burden during the pandemic outbreak. More research in this field is needed to plan, train and manage large-scale public health emergencies.\u0000\u0000\u0000Social implications\u0000The COVID-19 pandemic imposed physical distancing, which profoundly affected the physical and mental health of community-dwelling older people and their family caregivers. Because of the confinement and closure of some social support institutions, family caregivers found themselves in a complex situation, having to reconcile care and teleworking. Therefore, it is important to identify the impact of the COVID-19 pandemic on the difficul","PeriodicalId":75090,"journal":{"name":"The journal of mental health training, education, and practice","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84034418","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 : 2022-02-14DOI: 10.1108/jmhtep-09-2021-0106
S. Al-Salman, Ahmad S. Haider, Hadeel Saed
Purpose This study aims to depict and probe into the building tension, stress and depression to which Jordanian university students have been vulnerable after the compulsory shift to online learning and their prolonged use of digital tools. Design/methodology/approach The researchers used a five-construct questionnaire, namely, use of digital tools in e-learning, sleeping habits, social interaction, psychological reactions and academic performance, to elicit the responses of university students in Jordan concerning the psychological impact of COVID-19’s e-learning digital tools on their well-being. In total, 775 university-level students representing Jordanian public and private universities were asked to fill in the questionnaire, and their responses were statistically analyzed. Findings The results showed that the prolonged use of digital tools, lack of face-to-face interaction and heavy load of assignments have led to anxiety, change of sleeping habit, distraction and a stress-building environment, perhaps resulting in depression. This was aggravated by COVID-19’s strict regulatory measures of social distancing, lockdowns, health threats and eroding family income. The prolonged and escalating social, psychological, loss of affection and worsening economic conditions have increased the number of psychological disorders and a drop in students’ academic performance. Practical implications This study is useful for educational leaders and policymakers, providing guidance and insights on how higher education institutions can support students’ mental health and psychological well-being, especially in times of crisis. Consequently, the higher education sector should be prepared to function more efficiently and effectively in future emergency situations. Originality/value While different studies have investigated the impact of COVID-19 on the education sector globally, little attention has been given to developing countries in the Middle East. By focusing on the Jordanian example, the present study will fill a gap in the research endeavors addressing the prolonged use of e-learning digital tools.
{"title":"The psychological impact of COVID-19’s e-learning digital tools on Jordanian university students’ well-being","authors":"S. Al-Salman, Ahmad S. Haider, Hadeel Saed","doi":"10.1108/jmhtep-09-2021-0106","DOIUrl":"https://doi.org/10.1108/jmhtep-09-2021-0106","url":null,"abstract":"\u0000Purpose\u0000This study aims to depict and probe into the building tension, stress and depression to which Jordanian university students have been vulnerable after the compulsory shift to online learning and their prolonged use of digital tools.\u0000\u0000\u0000Design/methodology/approach\u0000The researchers used a five-construct questionnaire, namely, use of digital tools in e-learning, sleeping habits, social interaction, psychological reactions and academic performance, to elicit the responses of university students in Jordan concerning the psychological impact of COVID-19’s e-learning digital tools on their well-being. In total, 775 university-level students representing Jordanian public and private universities were asked to fill in the questionnaire, and their responses were statistically analyzed.\u0000\u0000\u0000Findings\u0000The results showed that the prolonged use of digital tools, lack of face-to-face interaction and heavy load of assignments have led to anxiety, change of sleeping habit, distraction and a stress-building environment, perhaps resulting in depression. This was aggravated by COVID-19’s strict regulatory measures of social distancing, lockdowns, health threats and eroding family income. The prolonged and escalating social, psychological, loss of affection and worsening economic conditions have increased the number of psychological disorders and a drop in students’ academic performance.\u0000\u0000\u0000Practical implications\u0000This study is useful for educational leaders and policymakers, providing guidance and insights on how higher education institutions can support students’ mental health and psychological well-being, especially in times of crisis. Consequently, the higher education sector should be prepared to function more efficiently and effectively in future emergency situations.\u0000\u0000\u0000Originality/value\u0000While different studies have investigated the impact of COVID-19 on the education sector globally, little attention has been given to developing countries in the Middle East. By focusing on the Jordanian example, the present study will fill a gap in the research endeavors addressing the prolonged use of e-learning digital tools.\u0000","PeriodicalId":75090,"journal":{"name":"The journal of mental health training, education, and practice","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90569606","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}