Clinicians’ perspectives on recruiting youth consumers for suicide research

2016 ◽  
Vol 20 (1) ◽  
pp. 52-62 ◽  
Author(s):  
Susan Knox ◽  
Sunny C Collings ◽  
Katherine Nelson

Purpose – The purpose of this paper is to discuss mental health clinicians’ perspectives on recruiting youth for research exploring the influences of social media on self-harm in young men. Following the low recruitment of a clinical sample of young men to a qualitative e-mail interview study the authors investigated the barriers among clinicians who were involved in recruitment. Design/methodology/approach – Using a face-to-face, semi-structured interview, 13 clinicians were recruited and interviewed. Thematic analysis was undertaken to explore the issues which impeded a clinician-led approach to recruitment of young men. Findings – Online approaches to data collection hold promise as innovative ways to engage health consumers in research. However in this study the intention to e-mail interview young men increased clinicians’ perceptions of risk and contributed to the original study being abandoned. Inviting clinicians to recruit consumers to online research raised ethical and clinical dilemmas for clinicians because the potential risks of consumer participation in such research were unknown. Research limitations/implications – When involving clinicians as intermediaries in research, it is important to consider their perspectives on data collection methods and their perceptions of risk. Practical implications – Findings can be used to inform future recruitment strategies to ensure young men’s perspectives are present in the literature. Social implications – There is a need to balance increasing the presence of young men’s voices in the literature with clinical responsibilities for their best interests as mental health consumers. Originality/value – The study brings knowledge on perceptions of research risk into sharper focus in the research literature.

2015 ◽  
Vol 12 (1) ◽  
pp. 2-13 ◽  
Author(s):  
Louise A. Ellis ◽  
Kathryn McCabe ◽  
Tracey Davenport ◽  
Jane M. Burns ◽  
Kitty Rahilly ◽  
...  

Purpose – This paper aims to describe the development of WorkOut, an Internet-based program designed to help young men overcome the barriers towards help-seeking and to build the skills they need to understand and manage their own mental health. Information and communication technologies (ICT) hold great potential to significantly improve mental health outcomes for hard-to-reach and traditionally underserved groups. Internet-based programs and mobile phone applications may be particularly appealing to young men due to their convenience, accessibility and privacy and they also address the strong desire for independence and autonomy held by most men. Design/methodology/approach – In this paper, we describe the design process itself, and the strategies used for multi-disciplinary collaboration. The initial evaluation process and results are also described which consisted of three distinct phases: website statistics; one-on-one user testing; and pilot interviews. Findings – The results suggest that WorkOut has the potential to attract young men. However, further work is needed to ensure that users remain engaged with the program. Originality/value – The difficulties encountered and lessons learned provide an insight into the factors that should be considered in the design and evaluation of future ICT-based strategies within the mental health domain, as well as their potential applicability to clinical and educational settings.


2019 ◽  
Vol 14 (6) ◽  
pp. 457-468
Author(s):  
Dagmar Narusson ◽  
Jean Pierre Wilken

Purpose The purpose of this paper is to focus on individuals who experience mental health difficulties with the services they receive from “support workers” as part of a personal recovery model, this study will obtain individuals reflections, experiences and opinions on how support helps them stay well and facilitates their personal recovery process. Recovery is seen through the lens of the CHIME framework (Connectedness–Hope–Identity–Meaning–Empowerment). Design/methodology/approach The sample size included 13 people who experience mental health difficulties and are receiving support from mental health care services. The structured interview was designed based on the INSPIRE measurement and the CHIME framework structure. The qualitative content analyses, discursive framing approach and CHIME as a framework made it possible to examine the key activities of recovery-oriented support work revealed in the data. Findings Participants valued the enhancement of hope provided by support workers and also expressed it was important as they were non-judgemental. Identity and meaning in recovery could be enhanced by sharing powerful stories about the individuals’ own life and health experiences, and those of support workers or others. Inclusive behaviour in public spaces and trying out new interest-based activities together were considered as empowering. Originality/value This research helps to understand the value of personal recovery support activities given the societal changes (tension between survival vs self-expression values) and highlights the need for value-based recovery-oriented education and practice.


2016 ◽  
Vol 7 (2) ◽  
pp. 106-122 ◽  
Author(s):  
Lynn McAlpine ◽  
Gill Turner ◽  
Sharon Saunders ◽  
Natacha Wilson

Purpose This paper aims to examine the experience of gaining research independence by becoming a principal investigator (PI) – an aspiration for many post-PhD researchers about whom little is known. It provides insight into this experience by using a qualitative narrative approach to document how 60 PIs from a range of disciplines in one European and two UK universities experienced working towards and achieving this significant goal. Design/methodology/approach Within the context of a semi-structured interview, individuals drew and elaborated a map representing the emotional high and low experiences of the journey from PhD graduation to first PI grant, and completed a biographic questionnaire. Findings Regardless of the length of the journey from PhD graduation to first PI grant, more than a third noted the role that luck played in getting the grant. Luck was also perceived to have an influence in other aspects of academic work. This influence made it even more important for these individuals to sustain a belief in themselves and be agentive and persistent in managing the challenges of the journey. Originality/value The study, unusual in its cross-national perspective, and its mixed mode data collection, offers a nuanced perspective on the interaction between agency and an environment where the “randomness factor” plays a role in success. The function of luck as a support for sustained agency and resilience is explored.


Author(s):  
Amanda Wheeler ◽  
Amary Mey ◽  
Fiona Kelly ◽  
Laetitia Hattingh ◽  
Andrew K. Davey

Purpose – The purpose of this paper is to explore the potential approaches to continuing education and training delivery for community pharmacists to equip them to support mental health consumers and carers with illnesses such as depression and anxiety. Design/methodology/approach – Review of national and international literature about community pharmacists’ roles, beliefs and attitudes towards mental health, continuing education delivery for the workforce and training recommendations to equip pharmacy workforce. Findings – Training involving consumer educators was effective in reducing stigma and negative attitudes. Interactive and contextually relevant training appeared to be more effective than didactic strategies. Narratives and role-plays (from the perspective of consumers, carers and health professionals) are effective in promoting more positive attitudes and reduce stigma. Flexible on-line delivery methods with video footage of expert and consumer narratives were preferable for a cost-effective programme accessible to a wide community pharmacy workforce. Originality/value – There is a clear need for mental health education for community pharmacists and support staff in Australia. Training should target reducing stigma and negative attitudes, improving knowledge and building confidence and skills to improve pharmacy staff's perceived value of working with mental health consumers. The delivery mode should maximise uptake.


2018 ◽  
Vol 22 (1) ◽  
pp. 27-33 ◽  
Author(s):  
Leanne Harper ◽  
Mick McKeown

Purpose Whilst there is growing evidence to suggest that the recovery college (RC) environment supports students towards their mental health recovery (Meddings et al., 2015b), students’ initial motivations for engagement, alongside factors that may hinder or support attendance, have yet to be exclusively explored. The paper aims to discuss these issues. Design/methodology/approach All new RC students were invited to take part in a semi-structured interview three months following their enrolment. Four participants completed an interview which were later analysed using thematic analysis. Findings Four themes emerged within analysis: making the effort; being “too unwell”; friendly environment; and glad I came. These are discussed alongside the literature, and it is proposed that whilst there is a substantial struggle involved in engagement with a RC, likely related to mental health and social factors, the RC environment, peer support and support of the tutors helps students to overcome the impact of this. Research limitations/implications Due to the small sample size and exploratory stance of this study, additional research into the complexities around engagement with RCs is strongly recommended. Only students who had attended at least one RC course chose to participate in this study, therefore an under-researched population of non-attendees may provide a valuable contribution to further understanding. Originality/value This is one of the first studies to qualitatively explore factors which may support, or hinder, initial and ongoing engagement with a RC. It is proposed that a greater understanding of these important issues could be used to increase RC accessibility and inclusion.


2019 ◽  
Vol 9 (2) ◽  
pp. 143-152
Author(s):  
Shannon Wagner ◽  
Romana Pasca

Purpose The purpose of this paper is to examine the contribution of work to self-reported mental health symptoms in fire service members. Design/methodology/approach In 2004, the first wave of this data collection was completed with all members of a fire department in a small northern center in British Columbia. The members completed a series of questionnaires measuring mental health, personality and satisfaction. Since 2004, all recruit members entering the department have also completed the same set of questionnaires shortly after hiring. Subsequently, in 2016–2017, the full sample, including recruit members, were invited to complete the Wave 2 data collection cycle, which included a set of questionnaires very similar to that collected in Wave 1. Findings The recruit sample reported significantly fewer mental health symptoms, as compared to career firefighters, at Time 1 (prior to workplace exposure). However, at Time 2 (after workplace exposure), no difference between the groups was evident. Research limitations/implications It is possible that recruit firefighters reported more positive mental health because of social desirability bias upon beginning a new job. Practical implications These results suggest that service as a firefighter could potentially have an impact on mental health and efforts should be made to mitigate this impact. Originality/value To the authors’ knowledge, the current research is the first study that has followed recruit firefighters longitudinally in an effort to prospectively evaluate the impact of workplace exposure on mental health.


2009 ◽  
Vol 195 (3) ◽  
pp. 257-263 ◽  
Author(s):  
Gareth S. Owen ◽  
George Szmukler ◽  
Genevra Richardson ◽  
Anthony S. David ◽  
Peter Hayward ◽  
...  

BackgroundIn England and Wales mental health services need to take account of the Mental Capacity Act 2005 and the Mental Health Act 1983. The overlap between these two causes dilemmas for clinicians.AimsTo describe the frequency and characteristics of patients who fall into two potentially anomalous groups: those who are not detained but lack mental capacity; and those who are detained but have mental capacity.MethodCross-sectional study of 200 patients admitted to psychiatric wards. We assessed mental capacity using a semi-structured interview, the MacArthur Competence Assessment Tool for Treatment (MacCAT–T).ResultsOf the in-patient sample, 24% were informal but lacked capacity: these patients felt more coerced and had greater levels of treatment refusal than informal participants with capacity. People detained under the Mental Health Act with capacity comprised a small group (6%) that was hard to characterise.ConclusionsOur data suggest that psychiatrists in England and Wales need to take account of the Mental Capacity Act, and in particular best interests judgments and deprivation of liberty safeguards, more explicitly than is perhaps currently the case.


Author(s):  
Isabelle Frochot ◽  
Statia Elliot ◽  
Dominique Kreziak

Purpose This paper aims to provide a longitudinal study of a five-day tourist stay in a mountain resort, where flow and immersion are analysed to understand how consumers experience and construct their holiday stay. The need to process to a longitudinal study is motivated by the lack of research looking at what actually happens during the experience. More precisely, the long encounter of a holiday is often disregarded, and the tourist experience is studied afterwards through single and comprehensive satisfaction surveys. How consumers evolve across a holiday stay and construct their experience is an understanding that needs further investigations. Among the variety of concepts developed to study the experience, flow and immersion are particularly interesting foundations, as they bring a detailed analysis of the processes at the very heart of the experience. This study aims to identify how both these concepts develop within a holiday context and what strategic knowledge might be gained from their analysis. A qualitative study conducted on a sample of ten individuals interviewed every day of their stay provides curves showing the occurrences of flow episodes. More importantly, the study looks at the evolution of flow and immersion across each day of a holiday stay: it identifies the conditions of their emergence, their recurrence and how they influence each other. Managerial implications call for a more strategic analysis of the specific components that conduct to the emergence of flow and immersion. Design/methodology/approach The paper conducts a longitudinal study of a tourist stay over five days. Ten participants were interviewed while on holiday and upon their return with a semi-structured interview guide aiming to investigate the peaks of their day, the elements associated to those events and the meaning associated to them. Immersion was also investigated. Forty-eight interviews were conducted in the resort. Data were transcribed and content analysed to identify the main components of both flow and immersion concepts specifically in the case of a tourist holiday. Findings The findings identified that both flow and immersion co-exist and feed each other during the holiday. Episodes of flow could be identified, although they did not necessarily match all the characteristics previously identified by Csikszentmihalyi. The events associated to flow were to be found in sport activities (skiing and snow shoeing), but social cohesion and landscape beauty equally provided strong flow episodes. Immersion is a more longitudinal state that reinforces itself throughout the stay, and with flow occurrences. Immersion is strongly related to the feeling of detachment and “getting away from it all”. Research limitations/implications The mountain resort setting is unique, but the results show some commonalities with previous research. If the ski experience is specific, it does share commonalities with other sport activities that could be provided in other holiday settings. However, transferability to more mundane holiday settings requires further testing. The data collection process is particularly heavy: interviewing the same customer every day is necessarily time-consuming. The sample is composed of senior students and would need to be validated on a wider sample of tourists. Practical implications The results identify some of the components that contribute to the emergence of both flow and immersion. The elements identified, whether they are associated to the skiing activity, to the social network or the natural resources of the resort, can all be encouraged and monitored by the resort. The results give pointers to the different elements that tourism actors can act upon to boost their consumers experience. Social implications Skiing is a sport practice that is mostly represented in middle to higher social classes. The cost of skiing equipment and ski passes, but also the need to acquire competences for this activity are all limitations factors to a wider spread of skiing practice in the general population. By showing the impact of a ski stay, notably by its incredible capacity to create a feeling of detachment and restoration from every day life, the results point to the general well-being impact that mountain holiday stays can create. It is also an information that interests local authorities who are witnessing a maturity of the ski market and are looking for new communication arguments to boost the attraction of ski holidays. The role of previous experience as a booster to immersion also demonstrates the usefulness of childhood skiing practice. This can be encouraged and subsidised by regional authorities, especially through schools. Originality/value The originality of the paper is tied in with its data collection. The researchers opted for a longitudinal study of real-time experience by not only interviewing participants in situ but also every day of their experience. Those data provide a longitudinal analysis of the experience, with richer results than what traditional satisfaction surveys usually measure. The study is also original through the concepts used: flow has been used extensively by researchers but rarely to study a whole holiday experience. Moreover, the concept of immersion is a newer concept that has not yet been used to investigate the tourist experience. The results of the study show that this concept is different from flow and is particularly pertinent to study the holiday experience.


2014 ◽  
Vol 19 (2) ◽  
pp. 96-106 ◽  
Author(s):  
Robin Mackenzie ◽  
John Watts

Purpose – The purpose of this paper is to demonstrate that the common and statutory law governing children's capacity or competence to consent to and to refuse medical treatment is unsatisfactory and to suggest solutions. Design/methodology/approach – Critical legal analysis of the law on assessing minors’ decision-making capacity in relation to legal recognition of their consent to and refusal of medical treatment. Findings – Without legal mechanisms which protect both children and their rights, all children and young people are effectively disabled from exercising age and capacity-related autonomy and participation in decisions affecting their lives. Yet in English law, inconsistencies between legal and clinical measures of decision-making capacity, situations where compulsory medical or mental health treatment is lawful, and tensions between rights and duties associated with human rights, autonomy, best interests and protections for the vulnerable create difficulties for clinicians, lawyers and patients. Research limitations/implications – As the paper acknowledges in its recommendations, the views of stakeholders are needed to enrich and inform legal reforms in this area. Originality/value – The paper makes suggestions to amend the law and clinical practice which are original and far reaching. The paper suggests that in order to observe children's rights while protecting them appropriately, the Mental Capacity Act 2005 and Deprivations of Liberty Safeguards should be applied to minors. The paper recommends the establishment of Mental Capacity Tribunals, similar in nature and purpose to Mental Health Tribunals, to provide legal safeguards and mechanisms to foster the supported decision-making envisaged in recent United Nations Conventions.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Róisín Kearns ◽  
Nancy Salmon ◽  
Mairead Cahill ◽  
Eithne Egan

Purpose No occupational therapy outcome measures have been designed specifically for recovery-orientated services.This paper aims to identify occupational therapy outcome measures relevant to mental health practice and assess them against recovery principles adopted by Irish Mental Health Services. Design/methodology/approach A narrative review methodology was used to appraise outcome measures against CHIME recovery principles. Findings A systematic search across 13 databases identified eight well-established outcome measures commonly used within occupational therapy mental health literature. The included outcome measures were appraised using a recovery alignment tool. Practical implications All outcome measures connected to some recovery processes. Those using semi-structured interview formats and notably the Canadian Occupational Performance Measure (COPM) had the strongest alignment to recovery processes. Originality/value This is the first known review which provides some validation that the included outcome measures support recovery processes, yet the measures rely heavily on therapist’s skills for processes to be facilitated. It recommends that ways to better support the process of partnership in occupational therapy mental health outcome measures be explored and further research be undertaken.


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