scholarly journals Is it time to abandon care planning in mental health services? A qualitative study exploring the views of professionals, service users and carers

2017 ◽  
Vol 21 (3) ◽  
pp. 597-605 ◽  
Author(s):  
Helen L. Brooks ◽  
Karina Lovell ◽  
Penny Bee ◽  
Caroline Sanders ◽  
Anne Rogers
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Qualitative Study ◽  
Health Services ◽  
Service Users ◽  
Care Planning

scholarly journals Implementing a Digital Tool to Support Shared Care Planning in Community-Based Mental Health Services: Qualitative Evaluation

10.2196/14868 ◽  
2020 ◽  
Vol 22 (3) ◽  
pp. e14868 ◽  
Author(s):  
Christalla Pithara ◽  
Michelle Farr ◽  
Sarah A Sullivan ◽  
Hannah B Edwards ◽  
William Hall ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Care Providers ◽  
Care Pathway ◽  
Service Users ◽  
Care Planning ◽  
Care Providers ◽  
Digital Tool ◽  
Implementation Phase

Background Mental health services aim to provide recovery-focused care and facilitate coproduced care planning. In practice, mental health providers can find supporting individualized coproduced care with service users difficult while balancing administrative and performance demands. To help meet this aim and using principles of coproduction, an innovative mobile digital care pathway tool (CPT) was developed to be used on a tablet computer and piloted in the West of England. Objective The aim of this study was to examine mental health care providers’ views of and experiences with the CPT during the pilot implementation phase and identify factors influencing its implementation. Methods A total of 20 in-depth telephone interviews were conducted with providers participating in the pilot and managers in the host organization. Interviews were audio recorded, transcribed, anonymized, and thematically analyzed guided by the Consolidated Framework for Implementation Research. Results The tool was thought to facilitate coproduced recovery-focused care planning, a policy and organizational as well as professional priority. Internet connectivity issues, system interoperability, and access to service users’ health records affected use of the tool during mobile working. The organization’s resources, such as information technology (IT) infrastructure and staff time and IT culture, influenced implementation. Participants’ levels of use of the tool were dependent on knowledge of the tool and self-efficacy; perceived service-user needs and characteristics; and perceptions of impact on the therapeutic relationship. Training and preparation time influenced participants’ confidence in using the tool. Conclusions Findings highlight the importance of congruence between staff, organization, and external policy priorities and digital technologies in aiding intervention engagement, and the need for ongoing training and support of those intended to use the technology during and after the end of implementation interventions.

scholarly journals A qualitative study of contemporary secure mental health services: women service users’ views in England

2019 ◽  
Vol 30 (5) ◽  
pp. 836-853
Author(s):  
Tammi Walker ◽  
Jenny Shaw ◽  
Dawn Edge ◽  
Jane Senior ◽  
Matthew Sutton ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Qualitative Study ◽  
Health Services ◽  
Service Users

Illness careers and continuity of care in mental health services: A qualitative study of service users and carers

2009 ◽  
Vol 69 (4) ◽  
pp. 632-639 ◽  
Author(s):  
Ian Rees Jones ◽  
Nilufar Ahmed ◽  
Jocelyn Catty ◽  
Susan McLaren ◽  
Diana Rose ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Qualitative Study ◽  
Health Services ◽  
Continuity Of Care ◽  
Service Users

scholarly journals Barriers and facilitators of disclosures of domestic violence by mental health service users: qualitative study

2011 ◽  
Vol 198 (3) ◽  
pp. 189-194 ◽  
Author(s):  
Diana Rose ◽  
Kylee Trevillion ◽  
Anna Woodall ◽  
Craig Morgan ◽  
Gene Feder ◽  
...  
Keyword(s):  
Mental Health ◽  
Domestic Violence ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Qualitative Study ◽  
Health Services ◽  
Mental Health Professionals ◽  
Community Mental Health Service ◽  
Service Users

BackgroundMental health service users are at high risk of domestic violence but this is often not detected by mental health services.AimsTo explore the facilitators and barriers to disclosure of domestic violence from a service user and professional perspective.MethodA qualitative study in a socioeconomically deprived south London borough, UK, with 18 mental health service users and 20 mental health professionals. Purposive sampling of community mental health service users and mental healthcare professionals was used to recruit participants for individual interviews. Thematic analysis was used to determine dominant and subthemes. These were transformed into conceptual maps with accompanying illustrative quotations.ResultsService users described barriers to disclosure of domestic violence to professionals including: fear of the consequences, including fear of Social Services involvement and consequent child protection proceedings, fear that disclosure would not be believed, and fear that disclosure would lead to further violence; the hidden nature of the violence; actions of the perpetrator; and feelings of shame. The main themes for professionals concerned role boundaries, competency and confidence. Service users and professionals reported that the medical diagnostic and treatment model with its emphasis on symptoms could act as a barrier to enquiry and disclosure. Both groups reported that enquiry and disclosure were facilitated by a supportive and trusting relationship between the individual and professional.ConclusionsMental health services are not currently conducive to the disclosure of domestic violence. Training of professionals in how to address domestic violence to increase their confidence and expertise is recommended.

Service users' views regarding user involvement in mental health services: A qualitative study

2018 ◽  
Vol 32 (5) ◽  
pp. 695-701 ◽  
Author(s):  
Minna Laitila ◽  
Jalmiina Nummelin ◽  
Tiina Kortteisto ◽  
Anneli Pitkänen
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Qualitative Study ◽  
Health Services ◽  
User Involvement ◽  
Service Users

scholarly journals Implementing a Digital Tool to Support Shared Care Planning in Community-Based Mental Health Services: Qualitative Evaluation (Preprint)

2019 ◽  
Author(s):  
Christalla Pithara ◽  
Michelle Farr ◽  
Sarah A Sullivan ◽  
Hannah B Edwards ◽  
William Hall ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Care Providers ◽  
Care Pathway ◽  
Service Users ◽  
Care Planning ◽  
Care Providers ◽  
Digital Tool ◽  
Implementation Phase

BACKGROUND Mental health services aim to provide recovery-focused care and facilitate coproduced care planning. In practice, mental health providers can find supporting individualized coproduced care with service users difficult while balancing administrative and performance demands. To help meet this aim and using principles of coproduction, an innovative mobile digital care pathway tool (CPT) was developed to be used on a tablet computer and piloted in the West of England. OBJECTIVE The aim of this study was to examine mental health care providers’ views of and experiences with the CPT during the pilot implementation phase and identify factors influencing its implementation. METHODS A total of 20 in-depth telephone interviews were conducted with providers participating in the pilot and managers in the host organization. Interviews were audio recorded, transcribed, anonymized, and thematically analyzed guided by the Consolidated Framework for Implementation Research. RESULTS The tool was thought to facilitate coproduced recovery-focused care planning, a policy and organizational as well as professional priority. Internet connectivity issues, system interoperability, and access to service users’ health records affected use of the tool during mobile working. The organization’s resources, such as information technology (IT) infrastructure and staff time and IT culture, influenced implementation. Participants’ levels of use of the tool were dependent on knowledge of the tool and self-efficacy; perceived service-user needs and characteristics; and perceptions of impact on the therapeutic relationship. Training and preparation time influenced participants’ confidence in using the tool. CONCLUSIONS Findings highlight the importance of congruence between staff, organization, and external policy priorities and digital technologies in aiding intervention engagement, and the need for ongoing training and support of those intended to use the technology during and after the end of implementation interventions.

scholarly journals Remote care for mental health: qualitative study with service users, carers and staff during the COVID-19 pandemic

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e049210
Author(s):  
Elisa Liberati ◽  
Natalie Richards ◽  
Jennie Parker ◽  
Janet Willars ◽  
David Scott ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Mental Healthcare ◽  
Well Being ◽  
Comparison Method ◽  
Service Users ◽  
Qualitative Interview Study ◽  
Remote Care

ObjectivesTo explore the experiences of service users, carers and staff seeking or providing secondary mental health services during the COVID-19 pandemic.DesignQualitative interview study, codesigned with mental health service users and carers.MethodsWe conducted semistructured, telephone or online interviews with a purposively constructed sample; a lived experience researcher conducted and analysed interviews with service users. Analysis was based on the constant comparison method.SettingNational Health Service (NHS) secondary mental health services in England between June and August 2020.ParticipantsOf 65 participants, 20 had either accessed or needed to access English secondary mental healthcare during the pandemic; 10 were carers of people with mental health difficulties; 35 were members of staff working in NHS secondary mental health services during the pandemic.ResultsExperiences of remote care were mixed. Some service users valued the convenience of remote methods in the context of maintaining contact with familiar clinicians. Most participants commented that a lack of non-verbal cues and the loss of a therapeutic ‘safe space’ challenged therapeutic relationship building, assessments and identification of deteriorating mental well-being. Some carers felt excluded from remote meetings and concerned that assessments were incomplete without their input. Like service users, remote methods posed challenges for clinicians who reported uncertainty about technical options and a lack of training. All groups expressed concern about intersectionality exacerbating inequalities and the exclusion of some service user groups if alternatives to remote care are lost.ConclusionsThough remote mental healthcare is likely to become increasingly widespread in secondary mental health services, our findings highlight the continued importance of a tailored, personal approach to decision making in this area. Further research should focus on which types of consultations best suit face-to-face interaction, and for whom and why, and which can be provided remotely and by which medium.

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