The implementation of a new conceptual framework for occupational engagement in forensic settings: feasibility and application to occupational therapy practice
Discussions were audio recorded and thematically analysed. Finding s Three tools were designed and piloted. Evaluation revealed a number of benefits and different ways in which the tools could be used in practice. Research limitations/implications This research has indicated that the occupational engagement framework has potential for increasing understanding of the relationship between the value and consequences of participating in occupations. The limited timescale of the research restricted the opportunity to fully explore the tools’ potential effectiveness as outcome measures. Practical implications The clinical t...
Source: Mental Health Review Journal - October 31, 2018 Category: Psychiatry Source Type: research
Mental health advocacy outcomes from service user perspectives
Mental Health Review Journal, Ahead of Print. Purpose The purpose of this paper is to address a knowledge gap on advocacy outcomes from mental health service users ’ perspective, and the implications for evaluating advocacy impact. The studies discussed highlight challenges for measuring the outcomes of advocacy, but underline the importance of doing so, and of involving service users alongside other stakeholders in co-designing evaluation systems. Design/ methodology/approach The paper uses findings from three qualitative studies of independent advocacy involving focus groups and interviews with: 30 African and Africa...
Source: Mental Health Review Journal - October 31, 2018 Category: Psychiatry Source Type: research
The implementation of a new conceptual framework for occupational engagement in forensic settings: feasibility and application to occupational therapy practice
Discussions were audio recorded and thematically analysed. Finding s Three tools were designed and piloted. Evaluation revealed a number of benefits and different ways in which the tools could be used in practice. Research limitations/implications This research has indicated that the occupational engagement framework has potential for increasing understanding of the relationship between the value and consequences of participating in occupations. The limited timescale of the research restricted the opportunity to fully explore the tools’ potential effectiveness as outcome measures. Practical implications The clinical t...
Source: Mental Health Review Journal - October 31, 2018 Category: Psychiatry Source Type: research
Co-production and involuntary psychiatric settings
Mental Health Review Journal, Ahead of Print. Purpose The purpose of this paper is to examine whether the popular policy assumption of co-production is feasible in secure psychiatric settings. Design/methodology/approach The assumptions of co-production are listed and then used as a basis for an immanent critique to test the feasibility described in the purpose of the paper. An explanatory critique exploring consumerism in the welfare state then follows. These forms of critique are derived from the philosophy of critical realism. Findings A distinction is made between the co-production of knowledge about mental health s...
Source: Mental Health Review Journal - October 31, 2018 Category: Psychiatry Source Type: research
Mainstream education as a possible route to recovery and social inclusion: a review
Mental Health Review Journal, Ahead of Print. Purpose The purpose of this paper is to focus on the findings of a review of the Learning Advice Service which provided mainstream learning opportunities and individual support to people using mental health services. The service was decommissioned after 15 years due to service reconfiguration and cost-cutting. Design/methodology/approach Semi-structured interviews were carried out with members of the Learning Advisor ’s caseload by a researcher with no affiliation to the NHS or the Institute of Mental Health and no connection to the clients. The researcher also transcribed ...
Source: Mental Health Review Journal - October 17, 2018 Category: Psychiatry Source Type: research
Nurses ’ discourses of challenging behaviour in inpatient mental-health services
Mental Health Review Journal, Ahead of Print. Purpose Nurses working in acute mental-health services are vulnerable to occupational stress. One stressor identified is the challenging behaviour of some service users (Jenkins and Elliott, 2004). The purpose of this paper is to discuss the discourses drawn on by nurses to understand challenging behaviour and talk about its management. Design/methodology/approach Nurses working on acute and psychiatric intensive care unit (PICU) wards were interviewed, and data were analysed using discourse analysis. Findings Biomedical and systemic discourses were found to be dominant. Alt...
Source: Mental Health Review Journal - October 17, 2018 Category: Psychiatry Source Type: research
Mainstream education as a possible route to recovery and social inclusion: a review
Mental Health Review Journal, Ahead of Print. Purpose The purpose of this paper is to focus on the findings of a review of the Learning Advice Service which provided mainstream learning opportunities and individual support to people using mental health services. The service was decommissioned after 15 years due to service reconfiguration and cost-cutting. Design/methodology/approach Semi-structured interviews were carried out with members of the Learning Advisor ’s caseload by a researcher with no affiliation to the NHS or the Institute of Mental Health and no connection to the clients. The researcher also transcribed ...
Source: Mental Health Review Journal - October 17, 2018 Category: Psychiatry Source Type: research
Nurses ’ discourses of challenging behaviour in inpatient mental-health services
Mental Health Review Journal, Ahead of Print. Purpose Nurses working in acute mental-health services are vulnerable to occupational stress. One stressor identified is the challenging behaviour of some service users (Jenkins and Elliott, 2004). The purpose of this paper is to discuss the discourses drawn on by nurses to understand challenging behaviour and talk about its management. Design/methodology/approach Nurses working on acute and psychiatric intensive care unit (PICU) wards were interviewed, and data were analysed using discourse analysis. Findings Biomedical and systemic discourses were found to be dominant. Alt...
Source: Mental Health Review Journal - October 17, 2018 Category: Psychiatry Source Type: research
Let ’s put the “T” back into CBT
Mental Health Review Journal, Ahead of Print. Purpose The purpose of this paper is to critique the current manner in which cognitive behavioural therapy (CBT) is delivered, with a focus on the impact of evidence-based practice. Design/methodology/approach This paper is based upon the experiences, ideas and clinical practice of the authors. Findings The reductionist approach based on psychiatric diagnosis is put forward as the mechanism by which CBT has gradually lost its status as a form of psychotherapy. Originality/value An alternative framework based on revitalising CBT as a client centred, problem-based and formula...
Source: Mental Health Review Journal - August 24, 2018 Category: Psychiatry Source Type: research
Mental health of perpetrators of intimate partner violence
Mental Health Review Journal, Ahead of Print. Purpose Intimate partner violence (IPV) represents a widespread social and public health problem. Researchers have been shown association between IPV and mental health problems. The purpose of this paper is to present a review of the literature on relationship between wide ranges of mental health problems. Design/methodology/approach Research papers related to mental health problems among IPV perpetrators and published in leading academic journals in UK and abroad from 1987 to 2017 were identified and reviewed. Findings Although there were some equivocal findings, the author...
Source: Mental Health Review Journal - August 20, 2018 Category: Psychiatry Source Type: research
The role of mental health nurses in supporting young people ’s mental health: a review of the literature
Mental Health Review Journal,Volume 23, Issue 3, Page 197-220, September 2018. Purpose Adolescent mental health issues are on the increase, in particular depression, which is now a major public health concern globally. Mental health education is important and young people ’s awareness of mental health is potentially limited. This is one factor that creates barriers to seeking support. School nurses and educational professionals recognise that they do not necessarily have the required skill base to support emotional health concerns with young people. The purpose of this paper is to synthesise qualitative evidence related...
Source: Mental Health Review Journal - August 13, 2018 Category: Psychiatry Source Type: research
The role of mental health nurses in supporting young people ’s mental health: a review of the literature
Mental Health Review Journal, Ahead of Print. Purpose Adolescent mental health issues are on the increase, in particular depression, which is now a major public health concern globally. Mental health education is important and young people ’s awareness of mental health is potentially limited. This is one factor that creates barriers to seeking support. School nurses and educational professionals recognise that they do not necessarily have the required skill base to support emotional health concerns with young people. The purpose of this paper is to synthesise qualitative evidence related to the nurse’s role in support...
Source: Mental Health Review Journal - August 13, 2018 Category: Psychiatry Source Type: research
Multidisciplinary team functioning and decision making within forensic mental health
Mental Health Review Journal, Ahead of Print. Purpose The purpose of this paper is to investigate the operation of multidisciplinary team (MDT) meetings within a forensic hospital in England, UK. Design/methodology/approach Mixed methods, including qualitative face to face interviews with professionals and service users, video observations of MDT meetings and documentary analysis. Data were collected from 142 staff and 30 service users who consented to take part in the research and analysed using the constant comparison technique of grounded theory and ethnography. Findings Decisions taken within MDT meetings are unequa...
Source: Mental Health Review Journal - August 10, 2018 Category: Psychiatry Source Type: research
