scholarly journals What works? Flexibility as a Work-Participation Strategy for People with Addiction and Mental-Health Problems

2015 ◽  
Vol 6 ◽  
Author(s):  
Gunnar Vold Hansen ◽  
Ragnhild Fugletveit ◽  
Petter A Arvesen

For many years the education and training of people with addictions and mental-health problems have been a key strategy to assist people to find ordinary jobs. This strategy is largely concerned with adapting people to the requirements of the workplace. An alternative strategy can also be envisaged, where the workplace adapts to the possibilities and resources of the people (Hansen, 2009). In this article, we raise the following question: how is it possible to adapt workplaces for people with addiction and mental-health problems? Here we highlight the experiences of a workplace that focuses on adapting to employees’ capabilities and resources. The data collection consists both of 12 interviews with managers and workers and of participant observation of the workplace. Our answer to our question is that this is possible because the workplace is flexible in the way that they adapt their demands to the workers’ resources.

2015 ◽  
Vol 38 ◽  
Author(s):  
Gleb P. Shumyatsky ◽  
Tanja Jovanovic ◽  
Talma Handler

AbstractQuantifying resilience allows for several testable hypotheses, such as that resilience is equal to the number of mental health problems given a known quantity of stressor load. The proposed model lends itself well to prospective studies with data collection pre- and post-adversity; however, prestressor assessments are not always available. Challenges remain for adapting quantifying resilience to animal research, even if the idea of its translation value is significant.


2020 ◽  
Vol 14 (3) ◽  
pp. 91-101
Author(s):  
Sasha Martine Mattock ◽  
Kieron Beard ◽  
Amy Baddeley

Purpose Recent guidelines from the National Institute of Health and Care Excellence highlight that service users (SUs) with intellectual disabilities and co-occurring mental health problems rarely get the opportunity to share their experiences of mental health services. Over the past 20 years, policy documents have stated that these individuals (SUs) must be included in decisions about their care. Research suggests that often this is not the case. Therefore, this paper aims to create a space for SUs to share their experiences of mental health services, and what they found helpful. Design/methodology/approach A focus group was held with five SUs, two psychologists and two researchers. The audio recording of the discussion was transcribed and analysed using thematic analysis. Findings Three main themes were identified, namely, “relationships with others”, “inclusion and communication” and “challenges”. This focus group highlighted that although some SUs felt supported, they reported having little control in their lives and wanted to be listened to. Research limitations/implications Including a SU in the planning and facilitation of the focus group would have made this research more inclusive. Practical implications The implications of this research suggest that by listening to and involving SUs and developing more person-centred services, recovery rates may increase as the services provided would be more targeted. Originality/value Very little research has previously been conducted to explore SUs’ experiences. This paper highlights the value of being heard and the knowledge that is often lost if the authors do not take the time to listen to the people for whom a service is designed.


Author(s):  
Amy J. Morgan ◽  
Anna M. Ross ◽  
Marie B. H. Yap ◽  
Nicola J. Reavley ◽  
Alexandra Parker ◽  
...  

Author(s):  
Dorothy Cotton ◽  
Terry G. Coleman

As early as the 1970s, some police agencies began to develop education and training initiatives as well as specialized response initiatives to assist police in responding to calls for service involving people with mental health problems. Various versions of Memphis's Crisis Intervention Team program as well as various co-response models have become increasingly common. However, the effectiveness of these often stand-alone programs remains unclear. What has become clear is that police agencies require a strategic approach to interactions between police and vulnerable populations including those with mental health problems. This chapter, which provides an overview of the evolution of these specialized police responses, proposes that there is a need for a more comprehensive third generation approach—a strategic approach—rather than solely a “program” approach. Identification is made of specific areas in which the unique skills of psychologists are important in furthering the success of the necessary strategic approach.


2021 ◽  
pp. 089011712199853
Author(s):  
Josefien J. F. Breedvelt ◽  
Jade Yap ◽  
Dorien D. Eising ◽  
David D. Ebert ◽  
Filip Smit ◽  
...  

Purpose: Public health campaigns are still relatively rare in mental health. This paper aims to find consensus on the preventive self-management actions (i.e. “healthy behaviors”) for common mental health problems (e.g. depression and anxiety) that should be recommended in mental health campaigns directed at the general public. Approach: A 3-round Delphi study Participants: 23 international experts in mental health and 1447 members of the public, most of whom had lived experience of mental health problems. Method: The modified Delphi study combined quantitative and qualitative data collection: 1) online qualitative survey data collection thematically analyzed, 2) recommendations rated for consensus, 3) consensus items rated by public panel on a Likert scale. Results: Expert consensus was reached on 15 behaviors that individuals can engage in to sustain mental health. Eight were rated as appropriate by more than half (50%) of the public panel, including: avoiding illicit drugs (80%, n = 1154), reducing debt (72%, n = 1043), improving sleep (69%, n = 1000), regulating mood (65%, n = 941), having things to look forward to (60%, n = 869). Conclusions: A series of healthy behaviors for the promotion and protection of mental health received expert and public consensus. To our knowledge, this is the first study to offer a set of actions for public health messaging for the prevention of poor mental health. Future research should focus on evaluating effectiveness of these actions in a universal primary prevention context.


Author(s):  
Alan Ralph

Significant numbers of teenagers globally are reported to have health and mental health problems. Parenting factors have been shown to be related to adolescent health and mental health problems as well as other social determinants. Teen Triple P is described as an example of an intervention developed as an upward extension of the Triple P—Positive Parenting Program for parents of children from 12 to 16 years of age. Challenges that need to be addressed to increase parental access to trained practitioners are discussed, including the tendency among workers in the adolescent mental health field to be oriented to working directly with the teenager and the identification and training of a workforce that has the capacity and opportunity to work with parents of teenagers.


2014 ◽  
Vol 8 (4) ◽  
pp. 248-259 ◽  
Author(s):  
Ann Kilanska ◽  
Helena M. Priest

Purpose – Previous studies have shown that support workers often have difficulties in recognising mental health problems in service users with intellectual disabilities. In the context of improved UK training programmes, the purpose of this paper is to explore the factors that can predict support workers’ knowledge and confidence in this respect. Design/methodology/approach – In total, 80 support workers (40 residential and 40 community-based) completed a questionnaire about their length of work experience, exposure to service users with additional mental health needs, training, general and specific mental health knowledge, and confidence in working with mental health issues. It was hypothesised that length of work experience, extent of training, and level of exposure would predict knowledge about mental health problems, and also predict confidence in working with people with mental health problems. It was further predicted that residential support workers would be more knowledgeable and confident than community workers. Findings – Results showed that level of exposure could predict knowledge about schizophrenia, but not about depression, anxiety, or dementia, while length of experience could predict overall mental health knowledge and confidence. Extent of training could only predict knowledge about anxiety, and work setting (residential or community) had no effect to on knowledge or confidence. Implications for practice and training are discussed. Originality/value – In the context of improved UK training programmes, this study aimed to explore the factors that can predict support workers’ knowledge and confidence in this respect.


2017 ◽  
Vol 24 (05) ◽  
pp. 757-766
Author(s):  
Wahida Anjum

Introduction: Persistently dealing with chronic mental illness makes the caregiverssuffer from burden and mental health problems which are intensified if the caregiver is female.Therefore, there is need to improve the mental health of caregivers by using relaxation trainingin such a way that would reduce the burden of care in caregivers. Objectives: It is assumedthat female caregivers would be differing significantly in mental health problems as comparedto man. Relaxation training would improve mental health as compared to controlling the actualcondition. High burden would have inverse relationship with GHQ’s differential scores. Therewould be significant interaction between gender and burden, gender and training, burden andtraining, gender, burden and training. Study Design: A 2(Gender) X 2(Burden) X 2(Training)mixed factorial between subject design was used. Setting & Period: This study was conductedwithin 6 months of duration at the department of Psychiatry, Sir Ganga Ram Hospital Lahore.Material & methods: Purposive Sample technique was used. Sample consisted of 40 womenand 40 men out door patient’s caregivers of schizophrenia and epilepsy at Sir Ganga RamHospital, Lahore. Their age ranged from 20 to 60 years (M = 35.05, SD = 0.89). We assessedcaregiver’s burden by using Urdu version of Burden of Assessment (BAS) along with BAS, wealso recorded demographic information about the caregivers and assessed patients whomthey served on ICD-10 and clinical diagnoses for schizophrenia and epilepsy. Inherent to thestudy was a General Health Questionnaire (GHQ) which measured health of all caregivers fromdifferent dimensions. It included somatic, anxiety & insomnia, social dysfunction, depressionand psychological health of all caregivers. Compliant with a number of researchers, we designa training program to alleviate caregivers burden of health coping strategies, safeguard fromunfounded options about the patients and the disease and maximize the efficiency in dealingwith the patient and his/her disease. Results: Results found significant main effects on genderas women suffered from high burden and mental health problems as compared to men. Asame significant main effect was also found for burden which increased health-related issues.Another significant main effect was found on training. The experimental group whom researcherprovided relaxation training was significantly low on GHQ differential score as compared tocontrolled condition. Since we divided caregivers into high and low burden groups we foundthat general health of high burden group are more porn to degradation than low burden group.However, low health indicated on GHQ subscales is improved after training for both highand low burden group. Conclusions: We concluded that caregivers need to get substantialunderstanding of the patients disease and they need to get first-hand knowledge and trainingof what they are getting into when they are looking after diseased patients.


2019 ◽  
Vol 4 (4) ◽  
pp. 19-29
Author(s):  
Phooi Ling Yong ◽  
Faizah Mas'ud ◽  
How Kee Ling

Reflexivity has been recognised as a crucial strategy in the knowledge generating process and applied in qualitative research to legitimate, validate and question research practices and representation, as well as evaluating the quality of qualitative research. Reflexivity in the social work literature have impacted in research and practice. However, the effect of researcher’s perspectives on the data collection and interpretation process by using reflexivity has not been examined in the mental health research in Malaysia. Thus, this paper aims to explore the role of methodological reflexivity in a qualitative research with Chinese women with mental health problems in a residential care setting in Malaysia. The researcher’s and participants’ interaction and experiences, as well as emotional context during interviews that affect the data interpretation and data collection process are discussed. Greater understanding on their experiences in the care centre has been generated by focusing on these women as an “abled-body” rather than people with disabilities. Recognition of the researcher’s feelings and experiences have enriched the research method and analysis, as well as informing the practice for social workers, health practitioners, and students who work with women with mental health problems.


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