Nature-based Group Therapy Reflections: A Grounded Theory Study

2020 ◽  
Vol 42 (12) ◽  
pp. 1129-1136
Author(s):  
Kelly Carlson ◽  
Jeanette Kingsley ◽  
Caroline Strimaitis ◽  
Shira Birnbaum ◽  
Theresa Quinn ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Grounded Theory ◽  
Mental Health Care ◽  
Therapy Group ◽  
Psychiatric Inpatient ◽  
Inpatient Setting ◽  
Grounded Theory Study ◽  
Beneficial Effects ◽  
Patient Responses

Nature-based therapies have a long history in mental health care. Beneficial effects have been documented for nature-based therapies in a variety of other health care settings. The aims of this grounded theory study were to understand the processes of maintaining nature-based therapeutic groups and the value of the activities to patients in a psychiatric inpatient setting. Over a nine-month period, semi-structured surveys of patient responses to nature-based activities were administered to patients in a pilot therapy group assessing the feasibility of a nature-based group program. Findings indicated that the group promoted use of the senses, social interaction, and care of self/others. Perceptions of benefits led to a nuanced understanding of the effects of being in contact with nature. Based on our findings we offer a preliminary theoretical model for patient engagement with nature-based programming in inpatient mental health care.

scholarly journals Community mental health care after self-harm: A retrospective cohort study

2016 ◽  
Vol 51 (7) ◽  
pp. 727-735 ◽  
Author(s):  
Matthew J Spittal ◽  
Fiona Shand ◽  
Helen Christensen ◽  
Lisa Brophy ◽  
Jane Pirkis
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Health Care ◽  
Psychiatric Inpatient ◽  
Community Mental Health Services ◽  
Community Mental Health Care ◽  
Self Harm

Objective: Presentation to hospital after self-harm is an opportunity to treat underlying mental health problems. We aimed to describe the pattern of mental health contacts following hospital admission focusing on those with and without recent contact with community mental health services (connected and unconnected patients). Methods: We undertook a data linkage study of all individuals admitted as a general or psychiatric inpatient to hospital after self-harm in New South Wales, Australia, between 2005 and 2011. We identified the proportion of admissions where the patient received subsequent in-person community mental health care within 30 days of discharge and the factors associated with receipt of that care. Results: A total of 42,353 individuals were admitted to hospital for self-harm. In 41% of admissions, the patient had contact with a community mental health service after discharge. Patients connected with community mental health services had 5.33 (95% confidence interval = [5.09, 5.59]) times higher odds of follow-up care than unconnected patients. Other factors, such as increasing age and treatment as a psychiatric inpatient, were associated with lower odds of follow-up community care. Conclusion: Our study suggests that full advantage is not being taken of the opportunity to provide comprehensive mental health care for people who self-harm once they have been discharged from the inpatient setting. This is particularly the case for those who have not previously received community mental health care. There appears to be scope for system-level improvement in the way in which those who are treated for self-harm are followed up in the community.

scholarly journals Building mobile apps for underrepresented mental health care consumers: A grounded theory approach

2016 ◽  
Vol 14 (6) ◽  
pp. 625-636 ◽  
Author(s):  
Ricky Leung ◽  
Julia F. Hastings ◽  
Robert H. Keefe ◽  
Carol Brownstein-Evans ◽  
Keith T. Chan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Grounded Theory ◽  
Mental Health Care ◽  
Mobile Apps ◽  
Theory Approach ◽  
Grounded Theory Approach

scholarly journals Wait times for psychiatric care in Ontario

2017 ◽  
Vol 86 (2) ◽  
pp. 48-50
Author(s):  
Rachel Loebach ◽  
Sasha Ayoubzadeh
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Inpatient ◽  
Wait Time ◽  
Mandatory Reporting ◽  
Psychiatric Services ◽  
Wait Times ◽  
Time Data ◽  
Developed Nations

Mental illness is a prevalent and costly health care issue. Lengthy wait times for psychiatric services in Ontario are a barrier to adequate mental health care for adults, children and youth. The objective of this paper is to highlight the current state of psychiatric wait times in Ontario by looking at provincial policies and comparing data to physical health services, as well as between provinces and other developed nations. The Ontario government has successfully implemented mandatory reporting of wait-time data for many medical and surgical services. However, such policies have yet to be implemented for psychiatric services. As a result, availability of current data for comparison is limited. Nova Scotia is currently the only province to government mandate reporting of wait times for mental health. Furthermore, The Organisation for Economic Co-operation and Development ranks Canada below average on measures related to accessibility of psychiatric inpatient services compared to other developed nations. While Ontario has implemented new initiatives to address the issue of timely mental health care, there is still insufficient evidence to determine if they are effective. Continued advocacy for mandatory wait-time reporting at the provincial level and further analysis of current initiatives worldwide are essential steps toward reducing wait times.

How to Save a Life: Vital Clues From Men Who Have Attempted Suicide

2020 ◽  
pp. 104973232097574
Author(s):  
John L. Oliffe ◽  
Olivier Ferlatte ◽  
John S. Ogrodniczuk ◽  
Zac E. Seidler ◽  
David Kealy ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Grounded Theory ◽  
Suicide Attempt ◽  
Mental Health Care ◽  
Attempted Suicide ◽  
Self Management ◽  
Male Suicide ◽  
Professional Mental Health

Male suicide rates are high and rising, and important insights can be gleaned from understanding the experiences of men who have attempted suicide. Drawing from a grounded theory photovoice study of diverse Canadian men, three intertwined thematic processes were derived: (a) preceding death struggles, (b) life-ending attempts and saving graces, and (c) managing to stay alive post suicide attempt. Preceding death struggles were characterized by cumulative injuries, intensifying internalized pain, isolation, and participant’s efforts for belongingness in diminishing their distress. Men’s life-ending attempts included overdosing and jumping from bridges; independent of method, men’s saving graces emerged as changing their minds or being saved by others. Managing to stay alive post suicide attempt relied on men’s acceptance that their mental illness was unending but amenable to effective self-management with professional mental health care. The findings offer vital clues about how male suicide might be prevented.

scholarly journals An International Pilot Study of Self-Reported Quality of Life in Outpatient and Inpatient Mental Health Settings

2021 ◽  
Vol 12 ◽  
Author(s):  
Johanna de Almeida Mello ◽  
Hao Luo ◽  
Alice Hirdes ◽  
Jyrki Heikkilä ◽  
Benoite Umubyeyi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Community Mental Health Services ◽  
Relevant Information ◽  
Inpatient Setting ◽  
Logistic Regression Models ◽  
Mental Health Settings

Introduction: Measuring quality of life (QoL) is essential to understand how clients perceive their care. In practice, many instruments are in place to identify mental health diagnoses and measure treatment outcomes, but there are fewer standardized instruments to routinely collect information about self-reported QoL, especially across different mental health settings. Moreover, existing tools have been criticized for being built from the perspective of care professionals rather than the users' perspective. The 23-item Self-Reported interRAI-QoL Survey for Mental Health and Addictions (interRAI SQoL-MHA) tackles these issues, as it is based on self-reported measures and has proven validity across settings and countries.Objective: The aim of this study is to assess and compare QoL across settings and explore associations between dimensions of self-reported QoL and some items from the interRAI SQoL-MHA in a multinational sample.Settings: Inpatient and community mental health services.Methods: Data were collected from organizations in Belgium, Finland, Russia, Brazil, Rwanda, Canada and Hong Kong. Logistic regression models were constructed using each domain scale of the interRAI SQoL-MHA (relationship, support, hope, activities and relationship with staff) as dependent variables.Results: A total of 2,474 people (51.2% female, 56.7% of age 45 or older) were included in the study. A benchmark analysis showed the samples that performed above the benchmark line or below. The models yielded significant odds ratios among the domain scales, as well as for the items of the interRAI SQoL-MHA, with positive associations for the items “work and education opportunities” and “satisfied with services”, and inverse associations for the items “financial difficulties” and for the inpatient setting.Conclusion: The analysis of associations between the determinants offers relevant information to improve mental health care and clients' perceived quality of life. Information about the determinants can help policymakers to design interventions to improve care outcomes, as well as provide more possibilities for integration into the community. The interRAI SQoL-MHA is innovative, as it can be linked to the third generation interRAI MH and Community MH-instruments, to be used in different mental health care settings, combining the objective and subjective QoL domains.

Focus on Mental Health Care Reforms in Europe: A One-Day Census of Acute Psychiatric Inpatient Facilities in Italy: Findings From the PROGRES-Acute Project

2008 ◽  
Vol 59 (7) ◽  
pp. 722-724 ◽  
Author(s):  
Andrea Gaddini ◽  
Lilia Biscaglia ◽  
Renata Bracco ◽  
Giovanni de Girolamo ◽  
Rossella Miglio ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Inpatient ◽  
Health Care Reforms

A Tribute to the Late William J. Curran

1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
United Nations ◽  
Mental Health Care ◽  
Harvard University ◽  
Legal Medicine ◽  
General Assembly ◽  
International Institute ◽  
University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

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