Mental health and the settings of housing support – a systematic review and conceptual model

2014 ◽  
Vol 17 (1) ◽  
pp. 26-40 ◽  
Author(s):  
Jon Burgoyne
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Conceptual Model ◽  
Mental Health Problems ◽  
Service Users ◽  
Content Type ◽  
Sustainable Housing ◽  
Holistic Understanding ◽  
Main Determinants

Purpose – The purpose of this qualitative systematic review is to examine how the nature and quality of housing affect adults receiving support for mental health problems, focusing on the less considered structural aspects of housing. Design/methodology/approach – A systematic search identified relevant research. Data consisting exclusively of service-user testimony was taken from seven studies based in varied types of accommodation in England. A synthesis was carried out using thematic analysis, and a conceptual model developed based on the themes identified from the data. A literature review examines the context, with relevant material drawn from a variety of disciplines and professions. Findings – There were three main determinants of whether housing was a setting that enabled users to benefit from support and enjoy a good quality of life – “autonomy”, “domain”, and “facilitation”. Secondary themes influenced these primary themes, or described respondents’ condition or feelings in relation to their housing situation. The “Tripod Model” illustrates the relationships between these themes. Research limitations/implications – Applying systematic review methods to qualitative material proved contentious and challenging. The model produced is a hypothesis based on limited data and requiring further investigation. Practical implications – The findings suggest that a balance is required to increase the chances of successful and sustainable housing outcomes for service-users. Originality/value – The model enables a holistic understanding of issues affecting service-users, and the interdependent nature of these. It offers a new typology based on a synthesis of data drawn from a spectrum of accommodation, which gives it a breadth a single piece of research could not encompass.

Young service users from refugee backgrounds: their perspectives on barriers to accessing Australian mental health services

2017 ◽  
Vol 10 (1) ◽  
pp. 68-80 ◽  
Author(s):  
Madeleine Claire Valibhoy ◽  
Josef Szwarc ◽  
Ida Kaplan
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Health Professionals ◽  
Mental Health Problems ◽  
Health Problems ◽  
Explanatory Models ◽  
Service Users ◽  
Content Type

Purpose The purpose of this paper is to examine barriers to accessing mental health services, from the perspective of young people of refugee background who have been service users, and to suggest strategies to improve access to mental health services. Design/methodology/approach A qualitative study was conducted with 16 young people (aged 18-25), who had been refugees and who had attended mental health professionals in Australia. Interview transcripts were analysed thematically to examine participants’ perspectives on what hinders initial access to mental health services. Findings Stigma about mental health problems was particularly prominent. Many believed a high level of disturbance was the threshold for entering services, and for some there was no knowledge of such services’ existence. Options for assistance other than mental health services were often preferred, according to young people’s explanatory models. Apprehension was expressed that sessions would be uncomfortable, distressing or ineffective. The desire to be self-reliant functioned as a further barrier. Finally, structural obstacles and social exclusion deterred some young refugees from accessing services. Practical implications Implications include the need for service providers to be equipped to provide culturally sensitive, responsive services that ideally offer both practical and psychological assistance. Potential referrers, including health professionals and community leaders, could facilitate increased access if trained to recognise and address barriers. Finally, findings indicate potential content for awareness-raising initiatives for young refugees about mental health problems and services. Originality/value This paper is original in its sample, method, topic and findings; being drawn from the first known qualitative research exploring views of young mental health service users who have been refugees about barriers to accessing mental health services.

scholarly journals Instruments to assess quality of life in people with mental health problems: a systematic review and dimension analysis of generic, domain- and disease-specific instruments

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
F. C. W. van Krugten ◽  
K. Feskens ◽  
J. J. V. Busschbach ◽  
L. Hakkaart-van Roijen ◽  
W. B. F. Brouwer
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Systematic Review ◽  
Content Validity ◽  
Mental Health Problems ◽  
Health Problems ◽  
Evaluation Framework ◽  
Economic Evaluations ◽  
Quality Of Life Instruments

Abstract Objectives The importance of economic evaluations of mental healthcare interventions is increasingly recognized. Despite the multitude of available quality of life instruments, concerns have been raised regarding the content validity of these instruments, and hence suitability for use in mental health. The aim of this paper, therefore, was to assess the content validity and the suitability of existing quality of life instruments for use in economic evaluations in mental health problems. Methods In order to identify available quality of life instruments used in people with mental health problems, a systematic review was performed using the Embase, Medline and PsycINFO databases (time period January 2012 to January 2018). Two reviewers independently assessed study eligibility and executed data extraction. The evaluation framework of Connell and colleagues was used to assess whether the identified quality of life instruments cover the dimensions valued highly by people with mental health problems. Two reviewers independently mapped the content of each identified instrument onto the evaluation framework and indicated the extent to which the instrument covered each of the dimensions of the evaluation framework. Results Searches of databases yielded a total of 5727 references. Following duplicate removal and double-independent screening, 949 studies were included in the qualitative synthesis. A total of 44 unique quality of life instruments were identified, of which 12 were adapted versions of original instruments. The best coverage of the dimensions of the evaluation framework of Connell and colleagues was by the WHOQOL-100, S-QoL, SQLS, EDQoL, QLI and the IMHQOL, but none fully covered all dimensions of the evaluation framework. Conclusions The results of this study highlight the multitude of available quality of life instruments used in people with mental health problems and indicate that none of the available quality of life instruments fully cover the dimensions previously found to be important in people with mental health problems. Future research should explore the possibilities of refining or expanding existing instruments as well as the development and testing of new quality of life instruments to ensure that all relevant quality of life dimensions for people with mental health problems are covered in evaluations.

scholarly journals Recovery From Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives

2021 ◽  
Vol 12 ◽  
Author(s):  
Norha Vera San Juan ◽  
Petra C. Gronholm ◽  
Margaret Heslin ◽  
Vanessa Lawrence ◽  
Matthew Bain ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Low Income ◽  
Mental Health Problems ◽  
Health Problems ◽  
Social Needs ◽  
Low Income Countries ◽  
Service Development ◽  
Service Users ◽  
Personal Recovery

Introduction: The recovery approach aims to have users' perspectives at the heart of service development and research; it is a holistic perspective that considers social needs, personal growth and inclusion. In the last decade recovery-oriented research and practice has increased greatly, however, a comprehensive model of recovery considering exclusively the perspectives of people with lived experience has not been devised.Aims: This review aimed to develop a framework and contextualize service users' and informal caregivers' understanding of recovery from severe mental health problems.Methods: We systematically searched 6 databases including key terms related to knowledge, experience and narratives AND mental health AND personal recovery. The search was supplemented with reference sourcing through gray literature, reference tracking and expert consultation. Data analysis consisted of a qualitative meta-synthesis using constant comparative methods.Results: Sixty-two studies were analyzed. A pattern emerged regarding the recovery paradigms that the studies used to frame their findings. The resulting recovery framework included the domains Social recovery; Prosperity (Legal, political, and economic recovery); Individual Recovery; and Clinical Recovery Experience (SPICE). Service users' definitions of recovery tended to prioritize social aspects, particularly being accepted and connecting with others, while caregivers focused instead on clinical definitions of recovery such as symptom remission. Both groups emphasized individual aspects such as becoming self-sufficient and achieving personal goals, which was strongly linked with having economic means for independence.Conclusions: The recovery model provided by this review offers a template for further research in the field and a guide for policy and practice. Predominant definitions of recovery currently reflect understandings of mental health which focus on an individual perspective, while this review found an important emphasis on socio-political aspects. At the same time, only a small number of studies took place in low-income countries, focused on minoritized populations, or included caregivers' perspectives. These are important gaps in the literature that require further attention.Systematic Review Registration: The review protocol was registered on PROSPERO (CRD42017076450); https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=76450.

Still worlds apart: flourishing in people with mental health problems

2020 ◽  
Vol 24 (3) ◽  
pp. 163-172 ◽  
Author(s):  
Rosie Elizabeth Allen ◽  
Jerome Carson ◽  
Bethany Merrifield ◽  
Stacey Bush
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Comparison Group ◽  
Health Problems ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Content Type ◽  
Five Elements ◽  
Questionnaire Surveys

Purpose The purpose of this paper is to compare a group of service users with mental health problems with a community comparison group of gym attenders. Design/methodology/approach Cross-sectional questionnaire surveys were conducted at a large gym (n = 181) and two community mental health facilities (n = 127) in the Greater Manchester area using a convenience sample approach. All participants completed the PERMA Scale, a measure of flourishing. Findings Gym attenders scored significantly higher on the five elements of PERMA. Their physical health ratings were almost double. They also had significantly lower levels of negative emotions and loneliness and higher levels of overall happiness. Research limitations/implications This study only considered levels of flourishing. Previous studies of quality of life have shown similar disparities between people with mental health problems and others. Practical implications Professor Seligman has claimed that improving levels of flourishing is the main aim of positive psychology. The present study suggests this may be especially challenging for people with mental health problems. Social implications The concept of flourishing could provide a more positive non-medical focus for mental health services, in the development of what some have called positive psychiatry. This complements the current recovery model. Originality/value To the best of the authors’ knowledge, this is one of the first studies to compare flourishing levels between individuals with mental health problems and a community comparison group using the PERMA Scale.

scholarly journals The impact of childhood psychological maltreatment on mental health outcomes in adulthood: a protocol for a systematic review and meta-analysis

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Zhuoni Xiao ◽  
Mina Murat Baldwin ◽  
Franziska Meinck ◽  
Ingrid Obsuth ◽  
Aja Louise Murray
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Emotional Abuse ◽  
Mental Health Problems ◽  
Meta Analysis ◽  
Psychological Maltreatment ◽  
Future Research ◽  
Long Term Effects ◽  
The Impact

Abstract Background Research suggests that childhood psychological maltreatment (i.e., emotional abuse and emotional neglect) is associated with mental health problems that persist into adulthood, for example anxiety, depression, post-traumatic stress disorder (PTSD), suicidal ideation, and aggression; however, a systematic review and meta-analysis of the existing literature would help clarify the magnitude and moderators of these associations, and the extent to which they may be affected by publication bias, as well as the methodological strengths and weakness of studies in this area. Method The reporting of this protocol follows the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) Statement. Searches will be carried out via several databases, including Web of Science, Medline, PubMed, PsycINFO, Applied Social Science Index and Abstract, ERIC and EMBASE. Empirical peer-reviewed research articles that fit pre-specified eligibility criteria will be included in the review. Studies will be eligible if they include participants age 18 or over at time of mental health assessment, include information on childhood psychological maltreatment (emotional abuse and/or neglect) perpetrated by a primary caregiver or adult in the same household, and provide quantitative information on the association between these factors. Studies using prospective and retrospective designs and written in either English or Chinese will be eligible. Two independent reviewers will screen and assess studies for inclusion in the review as well as extract the data, with consensus reached through discussion in cases of discrepancy. A third reviewer will be consulted to resolve any discrepancies that remain. The relevant Newcastle–Ottawa scales will be used for assessing the quality of studies. If a sufficient number of comparable studies are retrieved, a meta-analysis will be conducted using a random effects model. Study-level moderators (i.e., year of publication, quality of the study and study geographical location) will be examined in the meta-analyses. Discussion This systematic review will provide an understanding of the long-term effects of childhood psychological maltreatment on adult mental health, which adds to previous reviews focusing primarily on the effects of physical and sexual abuse. The results of the review will help inform clinical practice in approaches to treating those with a history of psychological maltreatment in childhood. The gaps and weaknesses in the evidence identified will also inform recommendations for future research.

Expert opinions on community services for people with intellectual disabilities and mental health problems

2013 ◽  
Vol 7 (3) ◽  
pp. 169-174 ◽  
Author(s):  
Colin Hemmings ◽  
Alaa Al‐Sheikh
Keyword(s):  
Mental Health ◽  
Intellectual Disabilities ◽  
Mental Health Problems ◽  
Evidence Base ◽  
Health Problems ◽  
Community Services ◽  
Service Users ◽  
Content Type ◽  
Accessible Information ◽  
Service Components

PurposeThere has been limited evidence on which to base services in the community for people who have intellectual disabilities and coexisting mental health problems. Recent research involving service users, carers and professionals has identified a number of key service components that community services should provide. More detail is needed to explore how best these components could be implemented and delivered. This paper aims to discuss these issues.Design/methodology/approachA total of 14 multidisciplinary professionals from specialist intellectual disabilities services in the UK were interviewed about their opinions on four key areas of community service provision. These included the review and monitoring of service users, their access to social, leisure and occupational activities, the support, advice and training around mental health for a person's family or carers and “out of hours” and crisis responses. The interview data was used for coding using the NVivo 7 software package and then analyzed using thematic analysis.FindingsAnalysis of participants' views on these key essential service components produced wider themes of importance. The ten major emergent themes for services were: their configuration/structure, their clarity of purpose/care pathways, their joint working, their training, their flexibility, their resources, their evidence‐base, being holistic/multidisciplinary, being needs‐led/personalised and providing accessible information.Originality/valueThese views of experts can help inform further research for the development and the evaluation of services.

Early experiences in extending personal budgets in one local authority

2014 ◽  
Vol 18 (4) ◽  
pp. 176-185 ◽  
Author(s):  
Caroline Norrie ◽  
Jenny Weinstein ◽  
Ray Jones ◽  
Rick Hood ◽  
Sadiq Bhanbro
Keyword(s):  
Mental Health ◽  
Older People ◽  
Local Knowledge ◽  
Social Care ◽  
Local Authority ◽  
Mental Health Problems ◽  
Assessment Process ◽  
Service Users ◽  
Content Type ◽  
Full Control

Purpose – The purpose of this paper is to report on the introduction of individual personal budgets for older people and people with mental health problems in one local authority (LA) in 2011. Design/methodology/approach – Jenny Weinstein is a Hon Senior Lecturer at Kingston University, Professor Ray Jones and Rick Hood are based at the Joint Faculty of Health and Social Care, St George's, University of London and Kingston University, London, UK.A qualitative study is described in which structured interviews were carried out with participants belonging to each service user group. The study aimed to explore the following issues: first, service users’ experiences of the assessment process, second, whether service users wanted full control of their budgets and third, if personal budgets make a difference to quality of life. Findings – xService users (n=7 older people and carers; n=7 people with mental health problems) found the personal budgets system and assessment process difficult to understand and its administration complex. Older people in particular were reluctant to assume full control and responsibility for managing their own personal budget in the form of a Direct Payment. Participants in both groups reported their continued reliance on traditional home care or day care services. These findings were reported back to the LA to help staff review the implementation of personal budgets for these two user groups. Research limitations/implications – Study participant numbers are low due to difficulties recruiting. Several potential participants were not interviewed due to their frailty. Practical implications – Studies of this type are important for constructing local knowledge about national policies such as the implementation of personal budgets in social care. Originality/value – Studies of this type are important for constructing local knowledge about national policies such as the implementation of personal budgets in social care.

scholarly journals Mental health recovery and arts engagement

2018 ◽  
Vol 13 (3) ◽  
pp. 157-166 ◽  
Author(s):  
Anita Jensen
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Meaning In Life ◽  
Mental Health Problems ◽  
Service Users ◽  
Structured Interviews ◽  
Content Type ◽  
Arts Engagement ◽  
Creating Meaning

PurposeArts and cultural activities have been illustrated to be beneficial for mental health service users. The purpose of this paper is to explore the benefits of museum visits and engage in arts activities for mental health service users.Design/methodology/approachSemi-structured interviews were conducted with 17 mental health service users in Denmark. A thematic approach was used to analyse the data and theoretical lens of sociological theories of institutional logics was employed to explore the findings.FindingsThese benefits are perceived to include empowerment and meaning in life, which are two of the core principles of recovery; arts engagement can, therefore, be a useful tool in recovery. The findings also show that the experience of visiting a museum was not always positive and depended upon the interaction with the museum educators.Originality/valueThe service users identified arts engagement as creating meaning in life and empowerment, which are two element in the conceptual framework, CHIME (an acronym for: Connectedness, Hope and optimism, Identity, Meaning in life and Empowerment), that describes the human process of recovery. The findings also highlighted that if museums want to engage positively with people with mental health problems and contribute to their recovery then the training of staff and the improvement of institutional approaches to support working with vulnerable people are essential.

Sign in / Sign up

Export Citation Format

Share Document