scholarly journals Psychiatrists’ Experience of Vocational Rehabilitation for Patients with Mental Illness

2021 ◽  
Author(s):  
Åsa Wallentin ◽  
Emelie Kinberg ◽  
Jennifer Strand ◽  
Peter Sand
Keyword(s):  
Mental Illness ◽  
Vocational Rehabilitation ◽  
Thematic Analysis ◽  
Occupational Therapists ◽  
Well Being ◽  
University Hospital ◽  
Further Training ◽  
Training And Supervision ◽  
External Actors ◽  
Inductive Thematic Analysis

AbstractThe aim of this study was to explore psychiatrists’ experience of vocational rehabilitation for patients with mental illness. The study employed a qualitative design to explore psychiatrists’ experience of vocational rehabilitation. Ten psychiatrists, five women and five men, 33–62 years of age (median 40), were interviewed. All of them worked with patients at Sahlgrenska University Hospital. The interviews were analyzed using inductive thematic analysis. All participants considered vocational rehabilitation to be of great importance for patients’ well-being and health. The results were characterized by two opposite experiences: frustration and agency, these were the two main themes in the analysis. All narratives embraced both experiences, but some reflected more frustration and others more agency. In order for the psychiatrist to master the assignment, there is a need for further training and supervision. The psychiatrist’s role, as well as other professional roles within the team, requires clarification, and the support from rehabilitation coordinators and occupational therapists should be enhanced. There is a need for improved cooperation with external actors.

“We will make you feel safe”: Female medical staff's experiences of meeting with raped women in Sweden

2021 ◽  
pp. 095935352110499
Author(s):  
Lisa Rudolfsson ◽  
Elisabeth Punzi
Keyword(s):  
Focus Groups ◽  
Medical Care ◽  
Violence Against Women ◽  
Thematic Analysis ◽  
Medical Personnel ◽  
Well Being ◽  
Structural Barriers ◽  
Need For Support ◽  
Health And Well Being ◽  
Inductive Thematic Analysis

The focus of this study was on female emergency medical personnel's experiences of treating women who have been raped and on their own experiences of being women themselves working in this situation. We interviewed 12 female medical personnel in four focus groups of two to five participants each. The material was analysed using inductive thematic analysis. Participants’ experiences were structured under two main themes: Prerequisites for care and Effects on oneself. As women, the participants emphasized their understanding of other women and stressed the importance of offering flexible care and taking time with each patient. They described how their work affected them personally, making them increasingly aware of men's violence against women and their need for support from their colleagues. They also discussed structural barriers to both patient care and self-care. If unaddressed, such shortcomings risk negatively affecting raped women seeking medical care and may also be detrimental to the health and well-being of the professional offering care.

The impact of inequality on mental illness: thematic analysis on clinical notes

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kristina Brenisin ◽  
Elizabeth Akinwande ◽  
Aile Trumm ◽  
Kieran Breen
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Thematic Analysis ◽  
Well Being ◽  
Qualitative Approach ◽  
Living Environment ◽  
Early Years ◽  
Content Type ◽  
Clinical Notes ◽  
The Impact

Purpose The concept of inequality can be described as not being treated equally to everyone else in society. While previous studies have explored the concept of inequality and its impact on mental illness, these have been primarily quantitative. The details of experiences and potential impacts of inequalities by patients prior to admission into secure care have not been investigated comprehensively using a qualitative approach, which will identify individualised factors that may contribute to the development of mental ill-health. This study aims to explore whether those with multiple disadvantages are at greater risk of developing mental illness. Design/methodology/approach A qualitative study of patients’ clinical notes upon admission to a secure in-patient facility was conducted using a thematic analytical approach to investigate the key inequalities reported by patients with mental health problems. The topic of inequality was examined by assessing the clinical notes of 21 patients who were under treatment at the time of the study. Findings The majority of patients experienced multiple inequalities which impacted negatively on their mental health status. Three main themes that were identified were – a disrupted living environment, disturbed childhood and the importance of support. The thematic analysis has shown that the majority of the patients were exposed to numerous societal disadvantages in association with challenging life events in their early years and these have impacted significantly on their subsequent well-being. Practical implications When assessing the background to mental illness, it is important to gain a deep understanding of many inequalities that patients have faced prior to them developing their condition and, in particular, how these have combined to initiate the clinical manifestation. The study highlights the importance of raising awareness of how being treated unfairly, whether based on protected or non-protected characteristics, can contribute towards people becoming disadvantaged in society and ultimately making them more vulnerable to the development of mental health difficulties. Results of the study may inform the future use of inequalities as an integral component in the development of trauma-informed care. Originality/value This is the first study, to the authors’ knowledge, to consider intersectionality and admission to mental health units by adopting qualitative approach, specifically by reviewing patients’ clinical notes.

scholarly journals Hvilken fagkompetanse kan ergoterapeuter tilføre FACT-team i oppfølgingen av personer med alvorlig psykisk lidelse?

2021 ◽  
Vol 17 (2) ◽  
Author(s):  
Katrine Neverdal ◽  
Irma Pinxsterhuis
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Thematic Analysis ◽  
Assertive Community Treatment ◽  
Occupational Therapists ◽  
Community Treatment ◽  
Occupational Performance ◽  
Individual Interviews ◽  
Treatment Services ◽  
Activity Performance

«Flexible Assertive Community Treatment» (FACT) ble utviklet for oppfølging av personer med alvorlig psykisk lidelse. Ergoterapeuter blir ikke nevnt som yrkesgruppe i FACT-håndboken, men noen team har likevel ansatt ergoterapeut. Hensikten med denne studien var å belyse hvordan ergoterapeuter beskriver at de bruker sin fagkompetanse i et FACT-team. Individuelle intervjuer ble gjennomført med seks ergoterapeuter. Tematisk analyse ble anvendt. Resultatene viser at informantene bruker sin fagkompetanse gjennom fremming av meningsfulle aktiviteter, kartlegging av aktivitetsutførelse og fokus på omgivelsenes betydning for aktivitetsutførelse og deltakelse. Ergoterapeutenes tilnærmingsmåter er i tråd med målene og prinsippene i FACT-modellen. Studien tyder på at ergoterapeuters fagkompetanse kan bidra til å styrke FACT-teamene. What competence can occupational therapists add to FACT-teams in treatment of persons with severe mental illness? - a qualitative study Abstract «Flexible Assertive Community Treatment» (FACT) has been developed to provide treatment services for persons with severe mental illness. Occupational therapists (OTs) are not mentioned in the FACT-handbook as part of the FACT-team, but some teams have included OTs. The aim of the study was to explore how OTs describe the usage of their professional expertise in FACT-teams. Individual interviews were conducted with six OTs and analysed using thematic analysis. The OTs appeared to utilise their expertise through enabling meaningful activities, assessment of activity performance, and by emphasizing the influence of environments on occupational performance and participation. Their approaches correspond with the goals and principles of FACT. This study indicates that OTs may strengthen FACT-teams.

scholarly journals Feeling Good and Functioning Well in Mathematics Education: Exploring Students’ Conceptions of Mathematical Well-Being and Values

2020 ◽  
pp. 209653112092808
Author(s):  
Julia L. Hill ◽  
Margaret L. Kern ◽  
Wee Tiong Seah ◽  
Jan van Driel
Keyword(s):  
Mathematics Education ◽  
Thematic Analysis ◽  
Mathematics Anxiety ◽  
Well Being ◽  
Design Approach ◽  
Eighth Grade ◽  
Mathematics Classrooms ◽  
High Incidence ◽  
Student Values ◽  
Inductive Thematic Analysis

Purpose: The high incidence of mathematics anxiety and disengagement in mathematics points to poor student well-being in many mathematics classrooms. Poor well-being may arise in part from poor alignment between student values and classroom experiences. Yet, what student well-being is and how to support it within specific subjects is poorly understood, and intersection between students’ values and well-being in mathematics education is unclear. This article proposes a seven-dimensional framework of student well-being in mathematics education and examines alignment between well-being and values. Design/Approach/Methods: One hundred nineteen eighth-grade Australian students responded to three open-ended questions investigating their conceptions of mathematical well-being (MWB) and what they valued most when learning or doing mathematics. Responses were analyzed using a combined deductive/inductive thematic analysis. Findings: Findings supported the MWB framework and confirmed an alignment between students’ values and well-being in mathematics education. Originality/Value: Our study provides a framework for conceptualizing student well-being in mathematics education, points to areas to target to improve student well-being, and highlights congruences and discordances between well-being and values.

scholarly journals Challenges Experienced by Women High-Performance Coaches: Sustainability in the Profession

2020 ◽  
Vol 7 (2) ◽  
pp. 200-208
Author(s):  
Göran Kenttä ◽  
Marte Bentzen ◽  
Kristen Dieffenbach ◽  
Peter Olusoga
Keyword(s):  
Mental Health ◽  
Thematic Analysis ◽  
High Performance ◽  
Well Being ◽  
Limited Attention ◽  
Health Concerns ◽  
Male Dominated ◽  
Gender Specific ◽  
Inductive Thematic Analysis ◽  
Elite Sports

High-performance (HP) coaching is a demanding profession. The proportion of woman HP coaches is reported to be in the range of 8.4–20%. Mental health concerns in elite sports have recently gained attention, but mainly focusing on athletes. Beyond coach burnout, limited attention has been given to coaches’ mental health. A recent coach burnout review included only one paper that focused exclusively on women. It has been argued that women HP coaches face greater challenges in a male-dominated coaching culture. The purpose of this study was to explore challenges experienced by women HP coaches and their perceived associations with sustainability and mental health. Thirty-seven female HP coaches participated by answering a semistructured, open-ended questionnaire. All responses were analyzed using inductive thematic analysis, which resulted in two general dimensions: challenges of working as women HP coaches and sustainability and well-being as women HP coaches. Overall, results indicate that challenges reported might be common not only for all HP coaches, but also highlight gender-specific elements. Consequently, coach retention and sustainability would benefit from more attention on well-being and mental health among HP coaches.

scholarly journals Long-term psychosocial impact of venous thromboembolism: a qualitative study in the community

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e024805 ◽  
Author(s):  
Rachael Hunter ◽  
Simon Noble ◽  
Sarah Lewis ◽  
Paul Bennett
Keyword(s):  
Venous Thromboembolism ◽  
Thematic Analysis ◽  
Negative Emotions ◽  
Health Anxiety ◽  
Well Being ◽  
Psychosocial Impact ◽  
Qualitative Interview Study ◽  
The Impact ◽  
First Time ◽  
Inductive Thematic Analysis

ObjectivesVenous thromboembolism (VTE) is a serious, potentially traumatic, life-threatening condition and a major cause of mortality and morbidity. The aim of this study was to obtain detailed understandings of the impact of VTE and examine individual’s experiences over the first year since a first-time VTE.DesignA longitudinal qualitative interview study using inductive thematic analysis. This study presents follow-up data for 11 participants, first interviewed 6 months following a first-time VTE.SettingOutpatients recruited from a community haematology clinic in a UK District General Hospital.ParticipantsEleven participants (seven females and four males) recruited from a community haematology clinic. Participants had experienced a first-time VTE and participated in qualitative interviews 3 months previously.InterventionAudio-recorded semistructured interviews with a sample of 11 participants who experienced a first-time deep vein thrombosis or pulmonary embolism within the previous year. Interviews were transcribed and analysed using inductive thematic analysis.ResultsFour overarching themes were identified: life changing and forever changed, the trauma of care, ‘thrombo-neuroses’ and through adversity comes growth. Theme content varied according to age and developmental stage, presence of VTE symptoms and the experience of diagnosis.ConclusionsThe data demonstrate the psychosocial impact of VTE and its diagnosis as physically and psychologically challenging, and individuals reported being forever changed by the experience. Participants’ reported continued high levels of trauma and anxiety symptoms, triggered by physical (eg, symptoms) and psychological (eg, health anxiety, negative emotions) reminders of VTE. Wider primary care service issues including misdiagnosis maintained negative emotions and health anxiety with implications for relationships with professionals. Targeted clinical interventions to better identify and support individuals at risk of distress and enhance psychological well-being and reduce distress are discussed.

Mental illness related discrimination: The role of self-devaluation and anticipated discrimination for decreased well-being.

2019 ◽  
Vol 4 (1) ◽  
pp. 11-18
Author(s):  
Oliver Schauman ◽  
Andrew K. MacLeod ◽  
Graham Thornicroft ◽  
Sarah Clement
Keyword(s):  
Mental Illness ◽  
Well Being

Understanding and promoting students’ well-being and performance in university studies – effects of a 7-week Acceptance and Commitment Therapy based course (Preprint)

2019 ◽  
Author(s):  
Henna Asikainen ◽  
Nina Katajavuori ◽  
Kirsikka Kaipainen
Keyword(s):  
Mental Illness ◽  
University Students ◽  
Acceptance And Commitment Therapy ◽  
Well Being ◽  
Pharmacy Students ◽  
Reflective Journal ◽  
Reflective Journals ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
And Performance

BACKGROUND Internationally there have been many studies showing that the number of university students suffering from mental illness is growing and this problem should be addressed OBJECTIVE The aim of this study was to examine 41 pharmacy students’ experiences of a small Acceptance and Commitment Therapy (ACT) -based intervention that was implemented as a 7-week course with weekly online modules. METHODS Students’ well-being, experiences of stress, organised studying and psychological flexibility were measured with questionnaires at the beginning and end of the course. Students’ experiences of the effectiveness of the course and were analysed from open-ended responses and a reflective journal. RESULTS The results show that students’ well-being and ability to manage time and effort increased during the course(p≤0.003). In their reflective journals, students described how their ability to manage stress in their studies, cope with their thoughts and feelings, focus on the things that are more important to them, and manage their time in studying and their well-being had improved. CONCLUSIONS This study showed that it is possible to foster students’ well-being in their studies. More research is needed to identify the long-lasting effects of these kind of interventions.

scholarly journals P005 Rheumatology virtual clinics during COVID-19: are our patients satisfied?

Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_1) ◽  
Author(s):  
Fajer A Altamimi ◽  
Una Martin
Keyword(s):  
Medical Information ◽  
Worker Safety ◽  
University Hospital ◽  
Free Text ◽  
Risk Of Infection ◽  
Further Training ◽  
Return Envelope ◽  
The Right ◽  
Reduced Risk

Abstract Background/Aims  Telemedicine can be broadly defined as the use of telecommunication technologies to provide medical information and services. It can be audio, visual, or text. Its use has increased dramatically during the COVID-19 pandemic to ensure patient and healthcare worker safety. Any healthcare professional can engage with it. It carries benefits like reduced stress and expense of traveling, maintenance of social distancing, and reduced risk of infection. There are some potential drawbacks such as lack of physical examination, liability and technological issues. Methods  A questionnaire was sent to 200 patients, selected from different virtual clinics (new and review, doctor and ANP led) run between March and May 2020 in the rheumatology department of University Hospital Waterford. We formulated 14 questions to cover the following aspects: demography, the purpose of the consult, punctuality, feedback, medico-legal concerns, and free text for comments. A self-addressed return envelope was included. Results  83 responses were received. 2 were excluded. The ratio of females to male respondents was 59: 41, with the majority over 60 years old. The main appointment type was review 67 (83%). 80% of patients were called either before or at the time of their scheduled appointment. The vast majority (98.8%) of our patients had confidence in our data protection and trusted our system to maintain their confidentiality. 95% stated that they felt comfortable, were given enough time to explain their health problem and felt free from stress. The respondents who preferred attending the clinic in person (17 in total) compared to the virtual were mostly follow up patients- 12 vs. 5 new. Conclusion  Patient satisfaction among those surveyed was high, despite having to introduce the service abruptly during the COVID-19 pandemic. There are many improvements we can adopt to improve our service and even maintain after the pandemic as a way of communicating with our stable patients. As we are covering a large geographical catchment, we can continue to implement the virtual clinic for some appointments. We should prioritize our efforts on identifying the right patient and the type of service we can offer, further training of staff, and increasing awareness of the patients as to how to get the most out of a virtual appointment. Disclosure  F.A. Altamimi: None. U. Martin: None. C. Sheehy: None.

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