scholarly journals Discrepancy between experience and importance of recovery components in the symptomatic and recovery perceptions of people with severe mental disorders

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Patricia Penas ◽  
Jose-Juan Uriarte ◽  
Susana Gorbeña ◽  
Mike Slade ◽  
María-Concepción Moreno-Calvete ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Recovery Process ◽  
Internalized Stigma ◽  
Personal Recovery ◽  
Severe Mental Disorders ◽  
Clinical Recovery ◽  
The Relationship

Abstract Background Personal recovery has become an increasingly important approach in the care of people with severe mental disorders and consequently in the orientation of mental health services. The objective of this study was to assess the personal recovery process in people using mental health services, and to clarify the role of variables such as symptomatology, self-stigma, sociodemographic and treatment. Methods Standardised measures of personal recovery process, clinical recovery, and internalized stigma were completed by a sample of 312 participants in a Severe Mental Disorder program. Results Users valued most the recovery elements of: improving general health and wellness; having professionals who care; hope; and sense of meaning in life. Significant discrepancies between perceived experience and relative importance assigned to each of the components of the REE were observed. Regression modeling (χ2 = 6.72, p = .394; GFI = .99, SRMR = .03) identified how positive discrepancies were associated with a higher presence of recovery markers (β = .12, p = .05), which in turn were negatively related to the derived symptomatology index (β = −.33, p < .001). Furthermore, the relationship between clinical and personal recovery was mediated by internalized stigma. Conclusions An improvement in psychiatric services should be focused on recovery aspects that have the greatest discrepancy between importance and experience, in particular social roles, basic needs and hope. Personal and clinical recovery are correlated, but the relationship between them is mediated by internalized stigma, indicating the need for clinical interventions to target self-stigma.

scholarly journals The Meaning of Volunteering among People with Severe Mental Disorders: A Phenomenological Qualitative Study

2021 ◽  
Vol 18 (22) ◽  
pp. 12232
Author(s):  
Jorge Pérez-Corrales ◽  
Javier Güeita-Rodríguez ◽  
Elisabet Huertas-Hoyas ◽  
Cristina García-Bravo ◽  
Romain Marconnot ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Phenomenological Study ◽  
Health Condition ◽  
Mental Health Condition ◽  
Personal Recovery ◽  
Structured Interviews ◽  
Severe Mental Disorders ◽  
Qualitative Phenomenological ◽  
The Relationship

This study aimed to describe the perspectives of people with severe mental disorders who volunteer regarding the relationship between volunteering and work, from the framework of personal recovery. A qualitative phenomenological study was undertaken. Purposive sampling was conducted on people with severe mental disorders who participated in volunteering. In-depth unstructured and semi-structured interviews were used, during which researchers took handwritten field notes. An inductive thematic analysis was applied. Twenty-three participants with severe mental disorders were included (16 men and 7 women) with a mean age of 47 years. Three themes emerged: (a) the relationship between volunteering and working; (b) thinking about a possible future job; and (c) disclosing a mental health condition. Volunteering is perceived as a substitute to working, although not all participants feel able to work, and they do not always disclose that they suffer from a mental health condition.

scholarly journals Personal recovery and its challenges in forensic mental health: systematic review and thematic synthesis of the qualitative literature

BJPsych Open ◽  
2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Mette Senneseth ◽  
Charlotte Pollak ◽  
Ragnar Urheim ◽  
Caroline Logan ◽  
Tom Palmstierna
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Services ◽  
Health Services ◽  
Recovery Process ◽  
Forensic Mental Health ◽  
Personal Recovery ◽  
Thematic Synthesis ◽  
Recovery Processes ◽  
Qualitative Literature

Background There has been a call for a framework to guide recovery-oriented practices in forensic mental health services. Aims This study aims to examine personal recovery and its challenges in forensic mental health settings in relation to the established framework for personal recovery in mental illness: connectedness, hope, identity, meaning and empowerment (CHIME). Method This study is an updated and expanded systematic review and thematic synthesis of the qualitative literature. A systematic search of six electronic databases (Web of Science, Medline, PsycINFO, CINAHL, EMBASE and SocIndex) was carried out in January 2019, using the terms [Recover*] AND [Forensic OR Secure] AND [Patient* OR Offend* OR Service User*]. Only studies that included service user's own perceptions and were published from 2014 onward were included in the review. Data were examined with thematic synthesis and subsequently analysed in relation to the CHIME framework. Results Twenty-one studies were included in the review. Findings suggest that some adjustments to the original CHIME framework are needed for it to be more relevant to forensic populations, and that an additional recovery process regarding feeling safe and being secure (safety and security) could be added to CHIME, providing the CHIME-Secure framework (CHIME-S). Specific challenges and barriers for forensic recovery were identified and found to represent the opposite of the recovery processes defined by CHIME (e.g. hopelessness). Conclusions We present the CHIME-S as a framework for the personal recovery processes of forensic mental health service users. The CHIME-S may guide the recovery-oriented work of forensic mental health services.

scholarly journals Implementing mhGAP training to strengthen mental health in primary health care centers in Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J M T Mendonca ◽  
A A Freire ◽  
T Rewa ◽  
D Zorzi ◽  
C N Monteiro ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Integrated Management ◽  
Community Services ◽  
Care Staff ◽  
The Relationship

Abstract Introduction Although it is already known that 14% of the global disease burden is attributed to Mental, neurological and substance use disorders, three quarters of people affected by mental disorders in low-income countries do not access treatment. Launched by WHO in 2008, the mhGAP Intervention Guide is a simple technical tool based on scientific evidence which facilitates the management of priority mental health conditions, using protocols for clinical decision in the PHC centers. Objective This work aims to describe the methodology of training the primary care staff and specialized mental health workers from São Paulo, Brazil, in the mhGAP Intervention Guide. Methods The training was designed in three steps. In the first step, mhGAP Training of Trainers and Supervisors (ToTS) capacitated 76 trainers. In the second a working group (WG) responsible for planning the replication for 100% of the technical staff of 13 PHC centers and 3 mental health community services was formed. The WG defined that the trainers should attend in two alignment moments to guarantee uniformity. And the third stage is the replication, divided in nine groups with forty participants, throughout the year 2020. Results The training promotes the exchange of experiences between the participants, who share their personal experiences, enriching the discussions. They also approximate the relationship between PHC and Mental Health services, as well as favors the interdisciplinary and collaborative practice. The PHC workers are more aware of their responsibility in mental health care and feel more empowered. As a challenge, the PHC professionals showed insecurity and reluctance to give the training. Conclusions The training provides evidence-based tools for the assessment and integrated management of priority mental disorders by PHC professionals. Key messages The mhGAP Intervention Guide training strengths the relationship between Primary Care and Mental Health services and improves Mental Health treatment access. The training improves integrated management of priority mental disorders by PHC professionals.

scholarly journals Evaluating the effectiveness of concurrent opioid agonist treatment and physician-based mental health services for patients with mental disorders in Ontario, Canada

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243317
Author(s):  
Kristen A. Morin ◽  
Joseph K. Eibl ◽  
Joseph M. Caswell ◽  
Brian Rush ◽  
Christopher Mushquash ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Opioid Agonist ◽  
Opioid Agonist Treatment ◽  
Treatment Groups ◽  
All Cause Mortality ◽  
Using Data ◽  
The Relationship

Objective The objective of this study was to evaluate the relationship between concurrent physician-based mental health services, all-cause mortality, and acute health service use for individuals enrolled in Opioid Agonist Treatment in Ontario, Canada. Methods A cohort study of patients enrolled in opioid agonist treatment in Ontario was conducted between January 1, 2011, and December 31, 2015, in Ontario with an inverse probability of treatment weights using the propensity score to estimate the effect of physician-based mental health services. Treatment groups were created based on opioid agonist treatment patients’ utilization of physician-based mental health services. Propensity score weighted odds ratios were calculated to assess the relationship between the treatment groups and the outcomes of interest. The outcomes included all-cause mortality using data from the Registered Persons Database, Emergency Department visits from the National Ambulatory Care Database, and hospitalizations using data from the Discharge Abstract Database. Encrypted patient identifiers were used to link across databases. Results A total of 48,679 individuals in OAT with mental disorders. Opioid agonist treatment alone was associated with reduced odds of all-cause mortality (odds ratio (OR) 0.4, 95% confidence interval (CI) 0.3–0.4). Patients who received mental health services from a psychiatrist and primary care physician while engaged in OAT, the estimated rate of ED visits per year was higher (OR = 1.3, 95% CI 1.2–1.4) and the rate of hospitalizations (OR = 0.5, 95% CI 0.4–0.6) than in the control group. Conclusion Our findings support the view that opioid agonist treatment and concurrent mental health services can improve clinical outcomes for complex patients, and is associated with enhanced use of acute care services.

scholarly journals Breaking the chains

2001 ◽  
Vol 25 (7) ◽  
pp. 273-275 ◽  
Author(s):  
Sa'ad B. Malik ◽  
Iram Z. Bokharey
Keyword(s):  
Mental Health ◽  
Developing Countries ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Developing Country ◽  
Rural Areas ◽  
Psychiatric Services ◽  
Severe Mental Disorders ◽  
Faith Healer

Pakistan is a developing country and thereby burdened with the problems that all developing countries share. There are over 13 million people suffering from mild to severe mental disorders and with barely 200 psychiatrists throughout the country, the mental health services remain painfully inadequate and poorly developed. Both psychiatrists and psychiatric services are restricted to the major cities and, therefore, the 70% of the population that live in the rural areas have almost no access to modern day psychiatric facilities. Their only hope remains, as has been for centuries, with the local quack and faith healer.

Personal recovery and mental health services: a practice framework

2011 ◽  
Vol 38 (S 01) ◽  
Author(s):  
C Le Boutillier ◽  
V Bird ◽  
M Leamy ◽  
J Williams ◽  
M Slade
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Personal Recovery ◽  
Practice Framework

Is Pacific language ability protective of prevalence of mental disorders among Pacific peoples in New Zealand?

2018 ◽  
Vol 21 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Eirenei Taua'i ◽  
Rose Richards ◽  
Jesse Kokaua
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Common Mental Disorders ◽  
Mental Health Disorder ◽  
Positive Role ◽  
Pacific People ◽  
Language Promotion

Aims: To explore associations between experiences of mental illness, migration status and languages spoken among Pacific adults living in NZ. Methods: SURVEY FREQ and SURVEY LOGISTIC procedures in SAS were applied to data from Te Rau Hinengaro: The New Zealand (NZ) Mental Health Survey, a survey of 12,992 New Zealand adults aged 16 and over in 2003/2004. Pacific people were over sampled and this paper focuses on the 2374 Pacific participants but includes, for comparison, 8160 non-Maori-non-Pacific (NMNP) participants. Results: Pacific migrant respondents had the lowest prevalence of mental disorders compared to other Pacific peoples. However, Pacific immigrants were also less likely to use mental health services, suggesting an increased likelihood of experiencing barriers to available mental health care. Those who were born in NZ and who were proficient in a Pacific language had the lowest levels of common mental disorders, suggesting a protective effect for the NZ-born population. Additionally, access to mental health services was similar between NZ-born people who spoke a Pacific language and those who did not. Conclusions: We conclude that, given the association between Pacific language and reduced mental disorder, there may be a positive role for Pacific language promotion in efforts to reduce the prevalence of mental health disorder among Pacific communities in NZ.

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