Purposeful activity for people with enduring mental health problems: Reflections from a case study

1998 ◽  
Vol 12 (5) ◽  
pp. 282-287 ◽  
Author(s):  
Damian Mitchell
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Purposeful Activity

scholarly journals ‘A Walk 21/1/35’: a psychiatric-psychoanalytic fragment meets the new walking studies

2020 ◽  
pp. 147447402095625
Author(s):  
Sarah Phelan ◽  
Chris Philo
Keyword(s):  
Mental Health ◽  
Life Course ◽  
Mental Health Problems ◽  
Health Problems ◽  
Self Awareness ◽  
Domestic Sphere ◽  
Childhood Experiences ◽  
Analytic Sessions

This paper reconstructs a fragment of psychiatric-psychoanalytical geography, interfacing it with the ‘new walking studies’, centring on a walk conducted in 1935 by a man experiencing mental health problems in Glasgow, Scotland. This man, a patient of the psychiatrist Thomas Ferguson Rodger, had mobility problems that rendered walking difficult – prone to stumbling, staggering, wavering – but with the likelihood of these problems being psychosomatic in origin. Through analytic sessions enacting a kind of ‘make-do’ psychoanalysis, the patient reflected on his mobility problems, as when relating his own walking ‘experiment’. Explanations advanced for his difficulties mixed psychoanalytic tropes with a gathering self-awareness of how fraught childhood experiences, had created the frame for an adult existence continually shying away from wider encounters and challenges beyond the domestic sphere. Central here was forward momentum being lost, whether walking or advancing through a life-course, with material and metaphoric senses of being stalled or stuck – spatially, environmentally – constantly entraining one another. This case study is deployed to illustrate claims about the ‘worlding’ of psychoanalysis, and to offer provocations for how such a psychiatric-psychoanalytic geography fragment might be illuminated by work on the cultural geographies of walking.

Why Provide Music Therapy in the Community for Adults with Mental Health Problems?

1995 ◽  
Vol 9 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Helen Odell-Miller
Keyword(s):  
Mental Health ◽  
Music Therapy ◽  
Mental Health Problems ◽  
Clinical Information ◽  
Health Problems ◽  
Care Programme ◽  
Client Group ◽  
Multidisciplinary Teamwork

This paper describes music therapy within a community mental health setting for adults using a care programme approach in England. It describes the setting, and emphasises the importance of multidisciplinary teamwork in order to enable music therapy to be effective. It provides some statistics and descriptive clinical information which demonstrate the efficacy of music therapy for adults with long-term mental health problems, and argues that music therapy should be apriority for this client group. To support these points of view, the article includes a case study showing a psychoanalytically informed approach in music therapy. This paper was given as a keynote address at the 1994 Australian Conference of Music Therapy.

Implementing personalisation for people with mental health problems: A comparative case study of four local authorities in England

2013 ◽  
Vol 22 (2) ◽  
pp. 174-182 ◽  
Author(s):  
John Larsen ◽  
Emily Ainsworth ◽  
Clare Harrop ◽  
Sue Patterson ◽  
Sarah Hamilton ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Comparative Case Study ◽  
Local Authorities

Maddi Faith in conversation with Jerome Carson

2019 ◽  
Vol 24 (1) ◽  
pp. 13-16
Author(s):  
Maddi Faith ◽  
Jerome Carson
Keyword(s):  
Mental Health ◽  
Design Methodology ◽  
Mental Health Problems ◽  
Single Case ◽  
Health Problems ◽  
Health Issues ◽  
Content Type ◽  
The Individual ◽  
Practical Implications

Purpose The purpose of this paper is to provide a profile of Maddi Faith. Design/methodology/approach In this single case study, Maddi gives a short background and the origins of her mental health issues and is then interviewed by Jerome. Findings Maddi tells the authors how her problems developed in her childhood and of the journey she has been on since. Research limitations/implications Single case studies provide a single perspective. Yet are they of any less value than a commentary by an academic? On the contrary, many offer unique insights into how the authors provide services for people with mental health problems, and of better ways to help them. Practical implications Maddi raises the issue of “falling between services”, with the result that the individual concerned does not receive the help they need. Social implications The persistent stigma of mental health problems is an issue that will need to be addressed for decades if it is to be overcome. Personal witness is vital in tackling this issue. Maddi has already done a lot to address this through her work at University. Originality/value The Trust the second author worked for, for many years used to have a staff “Made a Difference” award. Maddi surely deserves such an award for her own efforts to develop our understanding of the realities of mental health problems.

scholarly journals Why Provide Music Therapy in the Community for Adults With Mental Health Problems?

2005 ◽  
Vol 5 (1) ◽  
Author(s):  
Helen Odell-Miller
Keyword(s):  
Mental Health ◽  
Music Therapy ◽  
Mental Health Problems ◽  
Clinical Information ◽  
Health Problems ◽  
Care Programme ◽  
Client Group ◽  
Multidisciplinary Teamwork

This paper describes music therapy within a community mental health setting for adults using a care programme approach in England. It describes the setting, and emphasises the importance of multidisciplinary teamwork in order to enable music therapy to be effective. It provides some statistics and descriptive clinical information which demonstrate the efficacy of music therapy for adults with long-term mental health problems, and argues that music therapy should be a priority for this client group. To support these points of view, the article includes a case study showing a psychoanalytically informed approach in music therapy. This paper was given as a keynote address at the 1994 Australian Conference of Music Therapy.

scholarly journals Using multiple case studies of health and justice services to inform the development of a new complex intervention for prison-leavers with common mental health problems (Engager)

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Charlotte Lennox ◽  
Rachel Stevenson ◽  
Christabel Owens ◽  
Richard Byng ◽  
Sarah L. Brand ◽  
...  
Keyword(s):  
Mental Health ◽  
Criminal Justice ◽  
Justice System ◽  
Mental Health Problems ◽  
Multiple Case Study ◽  
Health Problems ◽  
Case Study Design ◽  
Common Mental Health Problems ◽  
Multiple Case

Abstract Background People in the criminal justice system have complex needs but often do not make use of services outside of prison, in many cases due to poorly joined up working between health and criminal justice services. The ‘Engager’ programme aimed to develop a complex collaborative care intervention for people leaving prison with common mental health problems that could support their transition into the community and facilitate joined up working between health, justice and social services. To augment our core intervention theory, we wanted to learn from innovative and forward-thinking services providing interagency support and/or treatment for people experiencing common mental health problems within the criminal justice system. We wanted to identify key elements of interagency practice to understand what was and was not effective in engaging people, maintaining their contact and improving mental health and other aspects of their lives. Method We used a multiple case study design with a focused ethnographic approach in four study sites. Data came from three sources (documents, field notes and semi-structured interviews) underwent a framework analysis. Results We identified seven main themes, namely: collaboration, client engagement, client motivation, supervision, therapeutic approach, peers and preparations for ending. Engaging and motivating clients was dependent on the relationship built with the professional. This relationship was developed through building trust and rapport, which required time and respectful, open and honest communication. Professionals were often unable to build this relationship effectively if they did not work in effective interagency collaborations, particularly those which included shared practices and were supported by effective supervision. Conclusions The multiple case study design contributed insights as to how health and justice services work together. The main themes identified are well known factors in health and justice co-working. However, the novel insights were gleaned examining interdependence and interactions in complex, multifactorial phenomena and practice, in particular the importance of shared practice and supervision models. The approach of selecting a small number of cases representing identified knowledge gaps contributed a valuable addition to the program theory and delivery for an innovative complex intervention.

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