scholarly journals Reproductive and sexual health of women service users: what's the fuss?

2010 ◽  
Vol 16 (4) ◽  
pp. 279-280 ◽  
Author(s):  
Kathryn Abel ◽  
Sian Rees
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Sexual Health ◽  
Mental Healthcare ◽  
Health Needs ◽  
Service Users ◽  
Strategic Development ◽  
Department Of Health ◽  
Reproductive And Sexual Health ◽  
Women's Lives

SummaryNearly a decade ago, the Department of Health published its strategic development plan for mental healthcare for women. It focused on the ways in which mental health services for women should be configured to take account of the context of women's lives and the complexity of their health needs. This commentary argues that attention to the reproductive and sexual health of women in mental healthcare is at the centre of a gender-sensitive and modern mental health service.

scholarly journals The crucible of co-production: Case study interviews with Recovery College practitioner trainers

2019 ◽  
Vol 78 (8) ◽  
pp. 977-987
Author(s):  
Mark Dalgarno ◽  
Jennifer Oates
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Healthcare Professionals ◽  
Mental Healthcare ◽  
Single Site ◽  
Future Research ◽  
Service Users ◽  
Structured Interviews

Objectives: This study explored healthcare professionals’ accounts of being practitioner trainers in a mental health Recovery College, where they worked with peer trainers, who were people with lived experience of mental illness, to co-produce workshops for mental health service users and staff. The aim of this study was to understand the process of co-production in the Recovery College from the perspective of practitioner trainers. Design: Single-site case study. Setting: A Recovery College in the South of England, open to staff and service users from one mental health care provider organisation. Methods: Semi-structured interviews with eight mental healthcare professionals. Transcripts were thematically analysed. Results: A central image of ‘the workshop as crucible’ emerged from the three themes derived from the analysis. Co-facilitating the workshop was a ‘structured’ encounter, within which health professionals experienced ‘dynamism’ and change. For them, this involved experiences of ‘challenge and discomfort’. Conclusion: Findings from this study contribute to the evidence base for the evaluation of Recovery Colleges by focusing on the training impact on staff. Findings suggest that taking on a trainer role in Recovery College co-production is beneficial for healthcare professionals as well as mental health service users, especially if healthcare professionals are open to the dynamism and possible discomfort of these workshop encounters. Future research, however, should expand beyond single-site case studies to test the extent to which this metaphor and themes are appropriate to describing the ‘transformative’ element of co-production.

Promoting the freedom of thought of mental health service users: Nussbaum’s capabilities approach meets values-based practice

2017 ◽  
Vol 44 (3) ◽  
pp. 180-184
Author(s):  
Mari Stenlund
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Healthcare ◽  
Capabilities Approach ◽  
Service Users ◽  
Human Right ◽  
Process And Outcome ◽  
Liberal Societies ◽  
Freedom Of Thought

This article clarifies how the freedom of thought as a human right can be understood and promoted as a right of mental health service users, especially people with psychotic disorder, by using Martha Nussbaum’s capabilities approach and Fulford’s and Fulford et al’s values-based practice. According to Nussbaum, freedom of thought seems to primarily protect the capability to think, believe and feel. This capability can be promoted in the context of mental health services by values-based practice. The article points out that both Nussbaum’s approach and values-based practice recognise that people’s values differ. The idea of involving different actors and service users in mental healthcare is also common in both Nussbaum’s approach and values-based practice. However, there are also differences in that values-based practice relies on a ‘good process’ in decision-making, whereas the capabilities approach is oriented towards a ‘right outcome’. However, since process and outcome are linked with each other, these two approaches do not necessarily conflict despite this difference. The article suggests that absolute rights are possible within the two approaches. It also recognises that the capabilities approach, values-based practice and human rights approach lean on liberal values and thus can be combined at least in liberal societies.

Irish Mental Health Social Movements: A Consideration of Movement Habitus

2002 ◽  
Vol 11 (1) ◽  
pp. 62-80 ◽  
Author(s):  
Ewen Speed
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Social Movement ◽  
Service User ◽  
Service Users ◽  
Department Of Health ◽  
Mental Health Service User ◽  
The Republic ◽  
Consumer Model

There has been a lack of any concerted mental health service users‘ movement within the Republic of Ireland. Mental health service users’ movements elsewhere have a marked orientation towards strategies of empowerment and the provision of peer advocacy and support for mental health service users. Two potential user habituses (drawn from the literature) are expounded and discussed, in a context of transformations they have effected in the mental health field. Through an analysis of Department of Health and Children literature and literature offered by mental health service user groups (such as Schizophrenia Ireland and AWARE) service user habitus in Ireland are delineated and explored. A comparison between the habitus drawn from international literature and the Irish literature illustrates that the dominant Irish mental health social movement habitus is a consumer habitus. This analysis demonstrates that Irish governmental psychiatric policy is driven by a consumer model that in turn is adopted by mental health social movement organisations, resulting in a dominant consumer habitus.

scholarly journals A paradigm shift: relationships in trauma-informed mental health services

2018 ◽  
Vol 24 (5) ◽  
pp. 319-333 ◽  
Author(s):  
Angela Sweeney ◽  
Beth Filson ◽  
Angela Kennedy ◽  
Lucie Collinson ◽  
Steve Gillard
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Mental Healthcare ◽  
Organisational Change ◽  
Public Health Issue ◽  
List Type ◽  
Service Users ◽  
Department Of Health ◽  
Trauma Informed ◽  
Highly Correlated

SUMMARYTrauma-informed approaches emerged partly in response to research demonstrating that trauma is widespread across society, that it is highly correlated with mental health and that this is a costly public health issue. The fundamental shift in providing support using a trauma-informed approach is to move from thinking ‘What is wrong with you?’ to considering ‘What happened to you?’. This article, authored by trauma survivors and service providers, describes trauma-informed approaches to mental healthcare, why they are needed and how barriers can be overcome so that they can be implemented as an organisational change process. It also describes how past trauma can be understood as the cause of mental distress for many service users, how service users can be retraumatised by ‘trauma-uninformed’ staff and how staff can experience vicariously the service user's trauma and can themselves be traumatised by practices such as restraint and seclusion. Trauma-informed mental healthcare offers opportunities to improve service users' experiences, improve working environments for staff, increase job satisfaction and reduce stress levels by improving the relationships between staff and patients through greater understanding, respect and trust.LEARNING OBJECTIVES•Appreciate broad-based definitions of trauma•Gain an understanding of what trauma-informed approaches are and why they have emerged, including the potential for (re)traumatisation in the mental health system•Consider how to practise trauma-informed approaches, including in ‘trauma-uninformed’ organisations, and the potential barriers to and opportunities from doing soDECLARATION OF INTERESTA. S. is funded by a National Institute for Health Research (NIHR) Post-Doctoral Fellowship. This article presents independent research partially funded by the NIHR. The views expressed are those of the authors and not necessarily those of the National Health Service, the NIHR or the Department of Health.

scholarly journals Causes of death in mental health service users during the first wave of the COVID-19 pandemic: South London and Maudsley data from March to June 2020, compared with 2015-2019

2020 ◽  
Author(s):  
Robert Stewart ◽  
Amelia Jewell ◽  
Matthew Broadbent ◽  
Ioannis Bakolis ◽  
Jayati Das-Munshi
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Causes Of Death ◽  
Mental Healthcare ◽  
Service Users ◽  
Healthcare Database ◽  
Severe Infections ◽  
Underlying Cause Of Death ◽  
Expected Mortality

AbstractThe COVID-19 pandemic is likely to have had a particularly high impact on the health and wellbeing of people with pre-existing mental disorders. This may include higher than expected mortality rates due to severe infections themselves, due to other comorbidities, or through increased suicide rates during lockdown. However, there has been very little published information to date on causes of death in mental health service users. Taking advantage of a large mental healthcare database linked to death registrations, we describe numbers of deaths within specific underlying-cause-of-death groups for the period from 1st March to 30th June in 2020 and compare these with the same four-month periods in 2015-2019. In past and current service users, there were 2561 deaths in March-June 2020, compared to an average of 1452 for the same months in 2015-19: an excess of 1109. The 708 deaths with COVID-19 as the underlying cause in 2020 accounted for 63.8% of that excess. The remaining excess was accounted for by unnatural/unexplained deaths and by deaths recorded as due to neurodegenerative conditions, with no excess in those attributed to cancer, circulatory disorders, digestive disorders, respiratory disorders, or other disease codes. Of 295 unexplained deaths in 2020 with missing data on cause, 162 (54.9%) were awaiting a formal death notice (i.e. the group that included deaths awaiting a coroner’s inquest) – an excess of 129 compared to the average of previous years, accounting for 11.6% of the excess in total deaths.

Sociodemographic profile and mental health needs of referrals to an Irish psychiatric service: a transcultural perspective

2011 ◽  
Vol 28 (3) ◽  
pp. 141-144 ◽  
Author(s):  
Mohamed Ahmed ◽  
Brendan Dineen ◽  
Sinead O'Brien ◽  
Philip A Carney
Keyword(s):  
Mental Health ◽  
Service Utilization ◽  
Psychiatric Care ◽  
Psychiatric Service ◽  
Mental Healthcare ◽  
Alcohol Problems ◽  
Health Needs ◽  
Service Utilisation ◽  
Service Users ◽  
Mental Health Needs

AbstractObjectives: This study describes the social, demographic and clinical characteristics of all the new referrals in a mental health catchment area. This study aims to compare Irish and non-Irish service users in terms of their mental health needs and service utilization.Method: Case notes were reviewed retrospectively to investigate demographic, clinical and service utilization parameters among new referrals to the psychiatric services in Galway, Ireland over a six-month period.Results: One hundred and fifty-four new referrals, of whom 41 were non-Irish, presented over a six-month period. Results showed no difference between Irish and non-Irish service users in terms of socio-demographic variables. Alcohol problems and subsequent need for detoxification and counselling were significantly higher among service users from the new EU accession states with a significant impact on the duration of their hospital stay and the need for intensive psychiatric care.Conclusions: There is an urgent need for enhanced resources for the delivery of mental healthcare to immigrants. Service utilisation and mental health needs are not explained merely by illness-related aspects in immigrant service users. Social and cultural factors have to be recognised in order to prevent disadvantages in psychiatric care.

scholarly journals Mental health service users' and professionals' relationship with games and gaming

2018 ◽  
Vol 4 ◽  
pp. 205520761877971
Author(s):  
Hanna Hopia ◽  
Marko Siitonen ◽  
Katja Raitio
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Mental Health Professionals ◽  
Qualitative Content Analysis ◽  
Mental Healthcare ◽  
Digital Games ◽  
Service Users

Background Games and elements of gamification can be utilized in mental healthcare to provide customized interventions for the service users. However, very little evidence exists as to what kind of experiences service users and professionals have towards games and gaming, and what their perceptions of the phenomenon are. This sort of information is needed to help professionals put game-based interventions actively into practice in mental health services. Research objectives The objective is to describe the experiences and perceptions of digital games and gaming from the perspectives of mental health service users and mental health professionals. Methods In this qualitative study, data consisted of interviews of 23 mental health service users and professionals working in the mental health field. We conducted altogether 39 interviews. Sixteen of the participants were interviewed twice. Main categories and subcategories were identified using qualitative content analysis. Results The analysis revealed four distinct orientations towards games and gaming: (a) compulsive gaming; (b) closet gaming; (c) gaming as a hobby; and (d) late bloomers. Each group was characterized by different personal histories, experiences, conceptions and attitudes regarding gaming and digital games. Conclusion When attempting to implement a game-based intervention in mental health services, it is essential to recognize the different attitudes that both service users and staff exhibit concerning games and gaming. The attitudes of service users and professionals described in this study can be utilized in the implementation of game-based methods as part of care and rehabilitation in mental health services.

scholarly journals Towards a Recovery Orientated Mental Health Service

2019 ◽  
Vol 2 (1) ◽  
pp. 28-29
Author(s):  
Pádraig Ó Féich
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Public Mental Health ◽  
Service Users ◽  
Care Planning ◽  
Policy Document ◽  
Department Of Health ◽  
Public Mental Health Service ◽  
Individualised Care

Background: In 2006, in a policy document entitled a Vision for Change(Department of Health, 2006), Ireland undertook to move towards a modern,recovery orientated public mental health service characterised by holisticcare, individualised care planning, the provision of accessible support,increased involvement of service users in decisions about their treatmentand care and greater continuity of care across the mental health services.More than a decade on, it remained unclear to what extent Irish mentalhealth services had progressed towards the modern, recovery orientatedsystem outlined in A Vision for Change (Department of Health, 2006).

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