scholarly journals Factors Influencing Attendees’ Engagement with Group Psychoeducation: A Multi-stakeholder Perspective

Author(s):  
Agnes Higgins ◽  
Carmel Downes ◽  
Rebecca Murphy ◽  
Jennifer Barry ◽  
Mark Monahan ◽  
...  

AbstractFew studies have explored the problem of engagement in relation to group psychoeducation from a multi-site and multi-stakeholder perspective. The aim of the study was to explore the factors influencing service user and family engagement with group psychoeducation programmes. The study design was qualitative descriptive. Data were collected through individual and focus group interviews with key stakeholders (n = 75) involved with the programme within 14 mental health sites in the Republic of Ireland. Enablers and barriers to engagement were identified at participant, provider, programme and organization level. Motivated participants and engaged clinicians, peer co-facilitation and support, and skilled and responsive facilitators were some of the factors which enhanced engagement. Barriers to engagement included readiness among participants, concerns related to stigma and confidentiality, desire to distance oneself from mental health services, a lack of support for programme participation within families, group discomfort, the time and length of the programme, issues with transport, visibility of the programme, and structural supports for clinicians. Findings from the study illustrate the multifaceted nature of engagement as well as provide a greater understanding of the multifactorial influences on engagement. Strategies to enhance engagement should therefore reflect a multipronged approach. At the outset of programme implementation, organizations should address their readiness to engage, conduct local needs assessments to anticipate individuals’ needs and plan accordingly in order to maximize engagement, and bolster facilitators’ engagement skills through the provision of training and mentoring opportunities.

2020 ◽  
Author(s):  
Agnes Higgins ◽  
Carmel Downes ◽  
Rebecca Murphy ◽  
Jennifer Barry ◽  
Mark Monahan ◽  
...  

Abstract Background: Psychoeducation provides a range of benefits to service users with severe mental health illness and their family members. A lack of engagement with mental health services may lead to poorer outcomes and increased healthcare costs. Few studies have explored the problem of engagement in relation to group psychoeducation from a multi-site and multi-stakeholder perspective. Methods: The aim of the study was to explore the factors influencing service user and family engagement with group psychoeducation programmes. The study design was qualitative descriptive. Data were collected through individual and focus group interviews with key stakeholders (n=75) involved with the programme within 14 mental health sites in the Republic of Ireland. Results: Enablers and barriers to engagement were identified at participant, provider and programme level. Motivated participants and clinicians, peer co-facilitation and support, and skilled and responsive facilitators were some of the factors which enhanced engagement. Barriers to engagement included a lack of motivation and readiness among participants, concerns related to stigma and confidentiality, a lack of support for programme participation within families, group discomfort, issues with accessing transport, the time and length of the programme being unsuitable for some participants and a lack of capacity among clinicians.Conclusion: Findings from the study illustrate the multifaceted nature of engagement as well as provide a greater understanding of the multifactorial influences on engagement. Strategies to enhance engagement should therefore reflect a multipronged approach. At the outset of programme implementation, organizations should address their readiness to engage, conduct local needs assessments to anticipate individuals’ needs and plan accordingly in order to maximize engagement, and bolster facilitators’ engagement skills through the provision of training and mentoring opportunities.


2017 ◽  
Vol 70 (5) ◽  
pp. 935-941 ◽  
Author(s):  
Jacqueline de Souza ◽  
Letícia Yamawaka de Almeida ◽  
Margarita Antonia Villar Luis ◽  
Andreia Fernanda Nievas ◽  
Tatiana Maria Coelho Veloso ◽  
...  

ABSTRACT Objective: to analyze the management of mental health needs in primary care as perceived by Family Health Strategy professionals. Method: this was a qualitative descriptive exploratory study developed within the coverage area of five family health teams. The data were collected using observation, group interviews, individual semi-structured interviews, and focus groups. Content analysis was conducted using text analysis software and interpretation was based on the corresponding analytical structures. Results: numerous and challenging mental health demands occur in this setting, for which the teams identified care resources; however, they also indicated difficulties, especially related to the operationalization and integration of such resources. Conclusion: there is a need for a care network sensitive to mental health demands that are better coordinated and more effectively managed.


2020 ◽  
Author(s):  
Brooke Linden ◽  
Heather Stuart

PURPOSE: Excessive stress among post-secondary students has been routinely linked to negative academic and mental health outcomes. The purpose of this qualitative descriptive study was to invite students to identify salient sources of stress within the post-secondary setting in order to facilitate improved measurement of student stress moving forward.METHODS: Focus group interviews were conducted with students from a variety of levels and areas of study. Data was thematically coded into major themes and sub themes, with direct quotes extracted for support.RESULTS: Five major themes of stress were identified, including academics, the learning environment, campus culture, interpersonal, and personal stressors, revealing a multidimensional concept of student stress.CONCLUSIONS: Underlying challenges were revealed, included time management, fear of failure, mental health literacy and education among staff and faculty, and campus inclusivity. The implications of these findings are discussed in the context of existing literature and directions for future research are identified.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sang Senyao ◽  
He Wei ◽  
Ni Ma

Purpose Taking Tibet as a case study, this paper aims to develop an in-depth understanding of the influence that off-season tourism promotion (OTP) has on seasonal destinations from a multi-stakeholder perspective. Design/methodology/approach A qualitative research method was designed using participatory observation, in-depth interviews and focus group interviews in Tibet from March 2018 to February 2019. Findings The results revealed the different effects of OTP on destinations from a multi-stakeholder perspective. Residents report place change as a perceived threat from off-season tourists. Additionally, the irregular nature of seasonal employment can lead to service provider–related failures. While traditional seasonal tourists viewed OTP promotions as the destruction of place identity, promotion-motivated tourists presented a lesser degree of place loyalty. The prospect of off-season tourism has also led to concerns among scholars regarding deteriorating environmental sustainability. Practical implications This paper can help destination managers and policymakers re-assess the effects of seasonality and off-season tourism policies. Originality/value This paper discusses the phenomenon of seasonality from a multi-stakeholder perspective. The study explores residents’ perception of OTP-related place change, the causes of seasonal employment and how the market segments in off-season tourism, all of which complement existing research. Lastly, using a mixed data collection and analysis method, the study provides a feasible approach to analyze tourism phenomena.


2016 ◽  
Vol 13 (03) ◽  
pp. 152-157
Author(s):  
A. O. Berg ◽  
K. Leopold ◽  
S. Zarafonitis-Müller ◽  
M. Nerhus ◽  
L. H. Stouten ◽  
...  

Summary Background: Immigrants have increased risk of a poor recovery from first episode psychosis (FEP). Early treatment can improve prognosis, but having an immigrant background may influence pathways to care. Method: We present research of service use and factors influencing treatment outcome in immigrants with FEP. Service use was assessed in in-patients at an early intervention center in Berlin, Germany. Duration of untreated psychosis and beliefs about illness was assessed in a FEP study in Oslo, Norway and cognitive functioning in patients with FEP schizophrenia from the regular mental health services in The Hague, the Netherlands. The proportion of immigrants in Berlin and Oslo was at level with the local populations, while the proportion in The Hague appeared to be higher. Result: There were clear indications that mental health literacy, probably based in different cultural expectations, were lower in first generation immigrants (FGI). Findings regarding clinical insight were ambiguous. There were also indications that FGI had more cognitive problems, based in higher stress levels or in cognitive styles. Early psychosis services must take issues of immigration and ethnicity into consideration.


2020 ◽  
Vol 3 (2) ◽  
pp. 4-9
Author(s):  
Umidjon U. Kostaev

The study presents the factors influencing on the strategic management of industrial enterprises with scientifically developed and approved set of indicators that assist in controlling strategic managerial records maintenance. The indicators system for organization matches the national specificity of Uzbekistan and recommended as effective controlling strategic managerial records maintenance for industrial sectors of the republic.


2020 ◽  
Vol 3 (1) ◽  
pp. 20-31
Author(s):  
Novana Veronica Julenta Kareth ◽  
Reni Shintasari

This paper aims to determine the policies implemented by the Papua National Narcotics Agency against drug trafficking. This article is a qualitative descriptive study. Data collection methods through interviews and literature study. Data analysis using descriptive analysis model. The results showed that the role of BNN Papua is very central in the eastern region and the Indonesian border. The policies that have been planned by BNN with multi-stakeholder have been implemented, but the new modes adopted by the international network vary. The drug subscription policy cannot be carried out by one institution only, it needs to be supported by other government agencies and the community. The need for a serious role for the regional and central government in both preventive efforts and subscription programs in synergy with the Papua Provincial BNN.


2020 ◽  
Vol 35 (Supplement_2) ◽  
pp. ii112-ii123 ◽  
Author(s):  
Olakunle Alonge ◽  
Anna Chiumento ◽  
Hesham M Hamoda ◽  
Eman Gaber ◽  
Zill-e- Huma ◽  
...  

Abstract Globally there is a substantial burden of mental health problems among children and adolescents. Task-shifting/task-sharing mental health services to non-specialists, e.g. teachers in school settings, provide a unique opportunity for the implementation of mental health interventions at scale in low- and middle-income countries (LMICs). There is scant information to guide the large-scale implementation of school-based mental health programme in LMICs. This article describes pathways for large-scale implementation of a School Mental Health Program (SMHP) in the Eastern Mediterranean Region (EMR). A collaborative learning group (CLG) comprising stakeholders involved in implementing the SMHP including policymakers, programme managers and researchers from EMR countries was established. Participants in the CLG applied the theory of change (ToC) methodology to identify sets of preconditions, assumptions and hypothesized pathways for improving the mental health outcomes of school-aged children in public schools through implementation of the SMHP. The proposed pathways were then validated through multiple regional and national ToC workshops held between January 2017 and September 2019, as the SMHP was being rolled out in three EMR countries: Egypt, Pakistan and Iran. Preconditions, strategies and programmatic/contextual adaptations that apply across these three countries were drawn from qualitative narrative summaries of programme implementation processes and facilitated discussions during biannual CLG meetings. The ToC for large-scale implementation of the SMHP in the EMR suggests that identifying national champions, formulating dedicated cross-sectoral (including the health and education sector) implementation teams, sustained policy advocacy and stakeholders engagement across multiple levels, and effective co-ordination among education and health systems especially at the local level are among the critical factors for large-scale programme implementation. The pathways described in this paper are useful for facilitating effective implementation of the SMHP at scale and provide a theory-based framework for evaluating the SMHP and similar programmes in the EMR and other LMICs.


2021 ◽  
pp. 146144482110227
Author(s):  
Erik Hermann

Artificial intelligence (AI) is (re)shaping communication and contributes to (commercial and informational) need satisfaction by means of mass personalization. However, the substantial personalization and targeting opportunities do not come without ethical challenges. Following an AI-for-social-good perspective, the authors systematically scrutinize the ethical challenges of deploying AI for mass personalization of communication content from a multi-stakeholder perspective. The conceptual analysis reveals interdependencies and tensions between ethical principles, which advocate the need of a basic understanding of AI inputs, functioning, agency, and outcomes. By this form of AI literacy, individuals could be empowered to interact with and treat mass-personalized content in a way that promotes individual and social good while preventing harm.


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