‘It comes with the territory’ - Staff experience with violation and humiliation in mental health care - A mixed method study

Abstract Self-mastery plays a basic role in strength-based and recovery-oriented approaches applied by (mental) health-care institutions and social services. However, no research has been conducted on a comprehensive model that could provide insight into enhancing self-mastery and outcomes, such as social participation and quality of life, for individuals experiencing homelessness. The current mixed-method study investigated associations between person-related variables (optimism, age, education level) and care-related variables (experiences with care, duration of support) as predictors of both social participation and quality of life through the mediator of self-mastery among clients of a Dutch shelter facility. Quantitative analysis (Structural Equation Modeling; n = 97) showed that: (1) Self-mastery is related to social participation and quality of life; (2) Optimism predicts social participation and quality of life through self-mastery; (3) Age squared predicts social participation through self-mastery, but is not related to quality of life; (4) The variable, clients’ experiences with care, is not related to self-mastery, but directly to social participation and quality of life; (5) Education level and duration of support do not predict self-mastery, social participation and quality of life. Qualitative analysis (semi-structured interviews; n = 36) revealed: (1) Contrary to the results of the quantitative study qualitative data indicated that there is a positive association between experiences with care and self-mastery; (2) Social participation and health are associated with self-mastery; (3) The absence of external locus of control should also be included as an aspect of self-mastery; (4) Additional promoting and impeding factors for self-mastery (e.g., a daily structure, privacy, house rules). Based on these results we formulated guidelines for social and mental health-care workers to enhance their clients’ self-mastery.

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Implementation of an augmented stepped mental health care service in Australian primary care: a mixed method study

Advances in Mental Health ◽

10.1080/18387357.2019.1662318 ◽

2019 ◽

pp. 1-19 ◽

Cited By ~ 1

Author(s):

Judith Proudfoot ◽

Nyree Gale ◽

Kathleen O’Moore ◽

Mariam Faraj ◽

Chilin Gieng ◽

...

Keyword(s):

Mental Health ◽

Primary Care ◽

Health Care ◽

Mental Health Care ◽

Mixed Method ◽

Care Service ◽

Health Care Service ◽

Mixed Method Study ◽

Mental Health Care Service

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Step-up, step-down mental health care service: evidence from Western Australia’s first – a mixed-method cohort study

BMC Psychiatry ◽

10.1186/s12888-020-02609-w ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Hanh Ngo ◽

Priscilla Ennals ◽

Serhat Turut ◽

Elizabeth Geelhoed ◽

Antonio Celenza ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Cohort Study ◽

Mental Health Care ◽

Mixed Method ◽

Care Service ◽

Health Care Service ◽

Mental Health Care Service ◽

Step Down

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Correction to: Implementation, efficacy, costs and processes of inpatient equivalent hometreatment in German mental health care (AKtiV): protocol of a mixed-method, participatory, quasi-experimental trial

BMC Psychiatry ◽

10.1186/s12888-021-03204-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Johanna Baumgardt ◽

Julian Schwarz ◽

Andreas Bechdolf ◽

Konstantinos Nikolaidis ◽

Martin Heinze ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Mixed Method ◽

Experimental Trial ◽

Quasi Experimental

An amendment to this paper has been published and can be accessed via the original article.

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Cross-cultural training program on mental health care for refugees - a mixed method evaluation

BMC Medical Education ◽

10.1186/s12909-021-02965-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jordanos Tewelde McDonald ◽

Marie Dahlin ◽

Sofie Bäärnhielm

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Mental Health Professionals ◽

Mixed Method ◽

Cross Cultural ◽

Perceived Knowledge ◽

Cultural Training ◽

Training Outcomes ◽

Cross Cultural Training

Abstract Background Refugees tend to have a higher risk of mental ill-health and use mental health services less than the native-born population during their first 10 years in Sweden. Intercultural interactions between refugees and mental health professionals have been described as challenging. Cross-cultural training is proposed as one way to improve care for refugees. Evaluations of such training outcomes are sparse. The overall aim of this study was to evaluate Comprehensive Cross-Cultural Training for mental health care professionals in Stockholm, and to assess training outcomes for participants’ perceived knowledge regarding mental health and care for newly arrived refugee patients, asylum seekers and undocumented refugees. In addition, we analysed the dimensionality of the pre- and post-training questionnaires used. Methods An embedded mixed-method design was applied. We used pre-and post-training questionnaires (n = 248) and conducted six focus group discussions (FGDs) with mental health professionals after training. Quantitative data was analysed by t-tests and factor analysis, qualitative data was analysed using thematic content analysis. Results Participants experienced gained knowledge and new perspectives in all aspects covered in the training. Training led to participants restructuring their existing knowledge. Those who had reported experience of refugee patients and working with interpreters pre-training in the past month, had higher ratings of perceived knowledge. Post-training, there were no significant changes in perceived knowledge between those with, and those without, experience of refugee patients and working with interpreters. Factor analysis resulted in 3 factors for the pre-training questionnaire, explaining 71% of the covariance, and 4 factors for the post-training questionnaire, explaining 78% of the covariance. Findings from the post-training FGDs, revealed that refugee patients were described as challenging. Also, that training promoted empathy towards refugees and strengthened participants’ professional role. Conclusions This cross-cultural training contributed to knowledge development and attitude changes. It was valuable regarding care providers’ professional role. Additional outcomes of the training were that participants not only gained knowledge about refugee mental health care but also restructured their existing knowledge.

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Changes in German Mental Health Care by Implementing a Global Treatment Budget—A Mixed-Method Process Evaluation Study

Frontiers in Psychiatry ◽

10.3389/fpsyt.2020.00426 ◽

2020 ◽

Vol 11 ◽

Cited By ~ 1

Author(s):

Julian Schwarz ◽

Laura Galbusera ◽

Andreas Bechdolf ◽

Thomas Birker ◽

Arno Deister ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Process Evaluation ◽

Mixed Method ◽

Evaluation Study

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A Tribute to the Late William J. Curran

The Journal of Law Medicine & Ethics ◽

10.1017/s1073110500004058 ◽

1996 ◽

Vol 24 (3) ◽

pp. 274-275

Author(s):

O. Lawrence ◽

J.D. Gostin

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Illness ◽

United Nations ◽

Mental Health Care ◽

Harvard University ◽

Legal Medicine ◽

General Assembly ◽

International Institute ◽

University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

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