An inductive content analysis of formative feedback given by lived experience assessors in pre-registration mental health nurse education

2019 ◽  
Vol 15 (1) ◽  
pp. 33-42
Author(s):  
Gemma Stacey ◽  
Mark Pearson
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Mental Health Services ◽  
Health Services ◽  
Lived Experience ◽  
Student Nurses ◽  
Assessment Process ◽  
Written Feedback ◽  
Mental Health Nurses ◽  
Content Type

Purpose In the assessment of student nurses, there is limited research exploring why the contributions of people with lived experience (LE) have an impact on learning. The purpose of this paper is to compare the nature of feedback provided to students by people who have both worked in and used mental health services. Design/methodology/approach To explore the nature of qualitative student feedback generated from an assessment involving people who have experience of using and working in mental health services. Therefore, an inductive content analysis conducted on the formative written feedback provided to students following a simulated assessment. Findings The results demonstrate significant similarities in the feedback provided by those with LE of using and working within mental health services, suggesting a shared conceptualisation of professionalism. Research limitations/implications The research indicates the potential socialisation of professionals and service users to not only the assessment process but also the professional expectations of mental health nurses. These findings resonate with Barker et al.’s (1999) description of the “pseudo ordinary me” and emphasise the principles and importance of person-centred care. Originality/value The paper highlights that assessment approaches which incorporate feedback from people with LE offer a vehicle to demonstrate and explore how attributes, subjectively associated with professionalism, can be recognised and developed by student mental health nurses.

scholarly journals WARRN – a formulation-based risk assessment process: its implementation and impact across a whole country

2019 ◽  
Vol 14 (6) ◽  
pp. 399-410
Author(s):  
Robert J. Snowden ◽  
Jordan Holt ◽  
Nicola Simkiss ◽  
Aimee Smith ◽  
Daniel Webb ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Mental Health Services ◽  
Health Services ◽  
Assessment Process ◽  
Research Network ◽  
Safety Planning ◽  
Content Type ◽  
Risk Assessment Process ◽  
Health Boards

Purpose Wales Applied Risk Research Network (WARRN) is a formulation-based technique for the assessment and management of serious risk (e.g. violence to others, suicide, etc.) for users of mental health services. It has been gradually adopted as the risk evaluation and safety-planning technique for all seven health boards in Wales. The purpose of this paper is to examine the opinions of WARRN as used within these health boards. Design/methodology/approach An online survey was disseminated to NHS clinicians in secondary mental health services to evaluate their perceptions of the use and effectiveness of WARRN. Data from 486 clinicians were analysed with both quantitative and qualitative methods. Findings Results indicated that the overall impact of WARRN on secondary mental health care was very positive, with clinicians reporting increased skills in the domains of clinical risk formulation, safety-planning and communication, as well as increased confidence in their skills and abilities in these areas. Clinicians also reported that the “common-language” created by having all NHS health boards in Wales using the same risk assessment process facilitated the communication of safety-planning. Crucially, NHS staff believed that the safety of service users and of the general public had increased due to the adoption of WARRN in their health board and many believed that lives had been saved as a result. Originality/value WARRN is perceived to have improved clinical skills in risk assessment and safety-planning across Wales and saved lives.

Evaluation of a diagnostic ADHD pathway in a community child mental health service in South London

2020 ◽  
Vol 25 (1) ◽  
pp. 1-19
Author(s):  
Georgina L. Barnes ◽  
Alexandra Eleanor Wretham ◽  
Rosemary Sedgwick ◽  
Georgina Boon ◽  
Katie Cheesman ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Child Mental Health ◽  
Assessment Process ◽  
Children And Young People ◽  
Content Type ◽  
Nice Guideline ◽  
Child Mental Health Services

Purpose Clinicians working in UK child mental health services are faced with several challenges in providing accurate assessment and diagnosis of attention deficit hyperactivity disorder (ADHD). Within the South London & Maudsley (SLaM) NHS Trust, community Child & Adolescent Mental Health Services (CAMHS) are developing structured pathways for assessing and diagnosing ADHD in young people. To date, these pathways have not been formally evaluated. The main aims of this evaluation are to evaluate all ADHD referrals made to the service in an 18-month period, including the number of completed assessments and proportion of children diagnosed with ADHD; and investigate adherence to the National Institute for Clinical Excellence (NICE) guideline for diagnosing ADHD in children and young people. Design/methodology/approach Retrospective data analysis was performed using service databases and electronic patient records. Adherence to the clinical guideline was measured using the NICE data collection tool for diagnosing ADHD in children and young people. All completed ADHD assessments were compared to four key recommendation points in the guideline. Findings Within the time frame, 146 children aged 4-17 years were referred and accepted for an ADHD assessment. Of these, 92 families opted in and were seen for an initial appointment. In total, 36 ADHD assessments were completed, of which 19 children received a diagnosis of ADHD and 17 did not. Aside from structured recording of ADHD symptoms based on ICD-10 criteria (69%) and reporting of functional impairment (75%), adherence to all guidance points was above 90%. The study also found that although a greater proportion of children referred to the service were male and identified as White, these differences narrowed upon receipt of ADHD diagnosis. Research limitations/implications Relationship to the existing literature is discussed in relation to the assessment process, demographic characteristics and rates of co-occurrence. Practical implications The findings demonstrate that in child mental health services, gold standard practice for diagnosing ADHD should be the adoption of clear, protocol-driven pathways to support appropriate access and treatment for young people and their families. Originality/value This article is unique in that it is, to the best of the authors’ knowledge, the first to describe and report clinician-adherence to a structured pathway for diagnosing ADHD in young people within a community CAMHS service in South London.

Remarkable lives: Shaun Hunt in conversation with Jerome Carson

2017 ◽  
Vol 21 (2) ◽  
pp. 80-85 ◽  
Author(s):  
Shaun Hunt ◽  
Jerome Carson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Lived Experience ◽  
Case Studies ◽  
Design Methodology ◽  
Single Case ◽  
Content Type ◽  
The Individual ◽  
Practical Implications

Purpose The purpose of this paper is to provide a profile of Shaun Hunt. Design/methodology/approach Shaun provides a short biographical description of his life. Shaun is then interviewed by Jerome. Findings Shaun tells us about the long journey of recovery that he has made to the point where he is now a University Lecturer. Research limitations/implications In large group studies the individual gets lost in statistical tables and the lived experience is absent. Single case studies provide us with stories to nurture and encourage us all. Practical implications Shaun says that we often miss the obvious question in our interactions with people with lived experience. “What happened to you?” seems a simple but telling conversation opener. Social implications As Shaun says there are some amazing people who work in mental health services, but they are the ones who spoke to him and not to a “schizophrenic”. Originality/value As Shaun also says, “Never, ever give up hope, no matter how dark and bad things become, there is always a way back”.

One Door Mental Health Lived Experience Framework

2018 ◽  
Vol 22 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Richard Schweizer ◽  
Ellen Marks ◽  
Rob Ramjan
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Lived Experience ◽  
Health Sector ◽  
Content Type ◽  
Psychosocial Disability ◽  
Mental Health Support ◽  
The One ◽  
Employee Focus

Purpose Recently, the importance of a lived experience workforce in the delivery of mental health services has been demonstrated. The roll-out of the National Disability Insurance Scheme (NDIS) in Australia has generated the need for a significant increase in the disability workforce, including psychosocial disability. The purpose of this paper is to describe the strategies outlined in the One Door Mental Health Lived Experience Framework (LEF), which is the culmination of over 30 years of experience in providing mental health services and the employment of a lived experience workforce. Design/methodology/approach One Door developed and implemented the LEF, a thorough guide to the employment and support of a workforce of people with lived experience of mental illness, through consultation with consumers, carers, stakeholders, practice advisors, management, human resources and employee focus groups. Findings Extensive support structures in the LEF are key to achieving the benefits of a lived experience workforce. The LEF has positioned One Door successfully for the achievement of key organisational goals in mental health support and advocacy. Research limitations/implications Mental health policies and support are critical for productivity outcomes in any workplace regardless of the level of lived experience of the employees. This paper provides organisations, particularly those within the mental health sector, an example to build on in their own employment and support strategies. Originality/value This paper is of particular value in the context of organisations in the mental health sector transitioning to the NDIS.

scholarly journals Describing a principles-based approach to developing and evaluating peer worker roles as peer support moves into mainstream mental health services

2017 ◽  
Vol 21 (3) ◽  
pp. 133-143 ◽  
Author(s):  
Steve Gillard ◽  
Rhiannon Foster ◽  
Sarah Gibson ◽  
Lucy Goldsmith ◽  
Jacqueline Marks ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Lived Experience ◽  
Peer Support ◽  
Research Team ◽  
Controlled Trial ◽  
Content Type ◽  
Value Sets ◽  
Randomised Controlled

Purpose Peer support is increasingly being introduced into mainstream mental health services internationally. The distinctiveness of peer support, compared to other mental health support, has been linked to values underpinning peer support. Evidence suggests that there are challenges to maintaining those values in the context of highly standardised organisational environments. The purpose of this paper is to describe a “principles-based” approach to developing and evaluating a new peer worker role in mental health services. Design/methodology/approach A set of peer support values was generated through systematic review of research about one-to-one peer support, and a second set produced by a UK National Expert Panel of people sharing, leading or researching peer support from a lived experience perspective. Value sets were integrated by the research team – including researchers working from a lived experience perspective – to produce a principles framework for developing and evaluating new peer worker roles. Findings Five principles referred in detail to: relationships based on shared lived experience; reciprocity and mutuality; validating experiential knowledge; leadership, choice and control; discovering strengths and making connections. Supporting the diversity of lived experience that people bring to peer support applied across principles. Research limitations/implications The principles framework underpinned development of a handbook for a new peer worker role, and informed a fidelity index designed to measure the extent to which peer support values are maintained in practice. Given the diversity of peer support, the authors caution against prescriptive frameworks that might “codify” peer support and note that lived experience should be central to shaping and leading evaluation of peer support. Originality/value This paper adds to the literature on peer support in mental health by describing a systematic approach to understanding how principles and values underpin peer worker roles in the context of mental health services. This paper informs an innovative, principles-based approach to developing a handbook and fidelity index for a randomised controlled trial. Lived experiences of mental distress brought to the research by members of the research team and the expert advisors shaped the way this research was undertaken.

Developing guidelines for sharing lived experience of staff in health and social care

2015 ◽  
Vol 19 (2) ◽  
pp. 78-86 ◽  
Author(s):  
Philip Morgan ◽  
Jackie Lawson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Focus Groups ◽  
Lived Experience ◽  
Personal Experience ◽  
Content Type ◽  
Starting Point ◽  
Health And Social Care ◽  
Access Services

Purpose – Since 2010, Dorset HealthCare University NHS Trust has been running a Hidden Talents project seeking to better understand how mental health services can value the lived experience of their staff. The purpose of this paper is to inform discussions on how clinicians and other staff can share their lived experience of mental health problems to improve the experience of people who access services, their carers and supporters and promote the wellbeing of all staff. Design/methodology/approach – The discussion paper was developed through the use of qualitative data collected through three focus groups. One of the focus groups represented people who are part of the Hidden Talents Project, one focus group had representatives of the different professional bodies and the third represented people who access services. Findings – It was identified that there were two differing considerations between sharing personal experience one was sharing with people who access services, the other was sharing with colleagues and managers. It was identified that in order to safely share personal experience it needed to happen in an supportive organisational culture. A number of suggestions were made as to considered why, when, how and what to share with people who access services. Research limitations/implications – This is not a formal piece of research, rather it is an exploration of a range of views and set out into a discussion document. Further action and research is required to explore this topic area in more detail. Originality/value – At present a number of mental health services are beginning to address the value of lived experience in the workforce. Very little has been published exploring how people can share their live experience. This paper provides a starting point for these discussions.

Peer interviewers in mental health services research

2016 ◽  
Vol 11 (4) ◽  
pp. 234-243 ◽  
Author(s):  
Bevin Croft ◽  
Laysha Ostrow ◽  
Linda Italia ◽  
Adrian Camp-Bernard ◽  
Yana Jacobs
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services Research ◽  
Health Services ◽  
Lived Experience ◽  
Target Population ◽  
High Response Rate ◽  
Services Research ◽  
Content Type ◽  
Mental Health Services Research

Purpose Inclusion of members of the target population in research is an increasing priority in the social sciences; however, relatively few studies employ approaches that involve persons with lived experience of the mental health system in mental health services research, particularly in the USA. The purpose of this paper is to describe one such approach, the employment of peer interviewers in the evaluation of a peer respite program. Design/methodology/approach The paper describes how peer interviewers were recruited, hired, trained, and supervised. The authors discuss some benefits and challenges associated with the approach. Findings Peer interviewer benefits and challenges: the shared lived experience between the peer interviewers and study participants contributed to increased comfort and a high response rate overall. The study opened up professional opportunities for peers, but inconsistent work hours were a challenge and resulted in turnover and difficulty filling vacant positions. The lead evaluator and supervisors worked closely with peer interviewers to ensure conflict of interest was mitigated to reduce bias. Originality/value This paper adds to the limited literature describing peer representation in research, outlining one avenue for partnering with peers to align research with the values of the intervention under study without compromising – and perhaps increasing – scientific rigor. The authors expect that even more peer involvement in the oversight, analysis, and interpretation of results would have improved the overall quality of the evaluation. Future efforts should build upon and incorporate the approach alongside more comprehensive efforts to partner with service users.

scholarly journals Experiences of men with psychosis participating in a community-based football programme

2017 ◽  
Vol 45 (2) ◽  
pp. 100-111 ◽  
Author(s):  
Laura Moloney ◽  
Daniela Rohde
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Mental Health Services ◽  
Health Services ◽  
Occupational Therapy ◽  
Positive Impact ◽  
Physical And Mental Health ◽  
Community Based ◽  
Health Service Provision ◽  
Content Type

Purpose Physical activity is associated with both physical and mental health benefits for people with psychosis. However, mental health services have been criticised for failing to adequately promote physical activities. Occupational Therapy, with its focus on meaningful everyday occupations, is well placed to incorporate physical activity interventions. The purpose of this study was to explore the experiences of men with psychosis participating in an Irish community-based football programme. Design/methodology/approach Six men with psychosis participated in qualitative interviews. The interviews were audio-recorded and transcribed verbatim. Interview data were analysed thematically. Findings Participants identified many benefits of engaging in the programme. Football became a valued part of weekly routines and fostered re-engagement with previously valued roles. Participants identified improvements in social confidence and motor and process skills, as well as a positive impact on their mental and physical health. Originality/value This study highlights the value and meaning of participation in football for men with psychosis, as well as demonstrating the longer-term feasibility of football as a therapeutic medium in Occupational Therapy mental health service provision. Findings could help to promote the routine use of sports interventions to mental health services.

A day in the life of a peer support worker: re-entry

2016 ◽  
Vol 20 (3) ◽  
pp. 149-152
Author(s):  
Emma Watson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Peer Support ◽  
Design Methodology ◽  
Narrative Approach ◽  
Personal Recovery ◽  
Support Worker ◽  
Content Type ◽  
Returning To Work

Purpose – The purpose of this paper is to share the experiences and reflections of a peer support worker over the course of a day working in mental health services. Design/methodology/approach – A narrative approach has been taken to structure reflections based on the experience of returning to work after taking sick leave. Findings – Reflections are offered based on the process of returning to work and the way that this experience sheds light on personal recovery. Originality/value – This paper adds to the small number of accounts of the experiences of peer support working in mental health services and as such is highly original.

The transition between mental health services in Scotland

2018 ◽  
Vol 23 (1) ◽  
pp. 12-24 ◽  
Author(s):  
Juliette van der Kamp
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Transition Period ◽  
Organisational Development ◽  
Structured Interviews ◽  
Content Type ◽  
Experience Difficulty

Purpose The purpose of this paper is to describe the barriers and facilitators to an effective transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS). It also presents a new entry into considering how the transition can be improved. Design/methodology/approach Insights into the transition from CAMHS to AMHS were gathered through eight semi-structured interviews with mental health professionals. Two methods of data analysis were employed to explore the emerging themes in the data and the observed deficit approach to organisational development. Findings The findings identified a vast volume of barriers in comparison to facilitators to the transition. Adolescents who transition from CAMHS to AMHS initially experience difficulty adapting to the differences in the services due to the short duration of the transition period. However, despite the established barriers to the transition, adolescents tend to adapt to the differences between the services. Findings also showed a negative framing towards the transition amongst the mental health professionals which resembles a deficit approach to organisational development. Originality/value This paper explores mental health professionals’ perspectives regarding the transition in Dumfries and Galloway, Scotland. The transition is increasingly recognised as an area in health care that requires improvement. This research provides a new way to consider the transition by exploring the perceived deficit approach to organisational development in the services.

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