Perceptions and understanding of mental health recovery for service users, carers, and service providers: A South African perspective.

2020 ◽  
Author(s):  
Anneliese de Wet ◽  
Chrisma Pretorius
Keyword(s):  
Mental Health ◽  
South African ◽  
Service Providers ◽  
Mental Health Recovery ◽  
Service Users ◽  
African Perspective

Recovery Star: validating user recovery

2012 ◽  
Vol 36 (2) ◽  
pp. 45-50 ◽  
Author(s):  
Geoff Dickens ◽  
Judy Weleminsky ◽  
Yetunde Onifade ◽  
Philip Sugarman
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Internal Consistency ◽  
Mental Health Problems ◽  
Service Providers ◽  
Mental Health Recovery ◽  
Addictive Behaviour ◽  
Health Service Providers ◽  
The Uk

Aims and methodMental Health Recovery Star is a multifaceted 10-item outcomes measure and key-working tool that has been widely adopted by service providers in the UK. We aimed to explore its factorial validity, internal consistency and responsiveness. Recovery Star readings were conducted twice with 203 working-age adults with moderate to severe mental health problems attending a range of mental health services, and a third time with 113 of these individuals.ResultsMental Health Recovery Star had high internal consistency and appeared to measure an underlying recovery-oriented construct. Results supported a valid two-factor structure which explained 48% of variance in Recovery Star ratings data. Two Recovery Star items (‘relationships’ and ‘addictive behaviour’) did not load onto either factor. There was good statistically significant item responsiveness, and no obvious item redundancy. Data for a small number of variables were not normally distributed and the implications of this are discussed.Clinical implicationsRecovery Star has been received enthusiastically by both mental health service providers and service users. This study provides further evidence for its adoption in recovery-focused mental health services and indicates that items relating to addictive behaviour, responsibilities and work could be further developed in future.

Monitoring the physical health of individuals with serious mental illness

2008 ◽  
Vol 25 (3) ◽  
pp. 108-115
Author(s):  
Majella Cahill ◽  
Anne Jackson
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Physical Health ◽  
Serious Mental Illness ◽  
Health Monitoring ◽  
Service Providers ◽  
Psychiatric Service ◽  
Service Users ◽  
Effective Models

AbstractDeveloping effective models of identifying and managing physical ill health amongst mental health service users has become an increasing concern for psychiatric service providers. This article sets out the general professional and Irish statutory obligations to provide physical health monitoring services for individuals with serious mental illness. Review and summary statements are provided in relation to the currently available guidelines on physical health monitoring.

“It’s Recovery United for Me”: Promises and Pitfalls of Football as Part of Mental Health Recovery

2015 ◽  
Vol 32 (4) ◽  
pp. 357-376 ◽  
Author(s):  
Jonathan Magee ◽  
Ramón Spaaij ◽  
Ruth Jeanes
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Recovery Process ◽  
Mental Health Recovery ◽  
Clinical Environment ◽  
The United Kingdom ◽  
Mental Health Interventions ◽  
Alternative Setting ◽  
Mental Health Clients

This paper builds on the concept of mental health recovery to critically examine three football projects in the United Kingdom and their effects on the recovery process. Drawing on qualitative research on the lived experiences of mental health clients and service providers across the three projects, we explore the role of football in relation to three components of recovery: engagement, stigma, and social isolation. The findings indicate how the projects facilitated increased client engagement, peer supports, and the transformation of self-stigma. The perception of football as an alternative setting away from the clinical environment was an important factor in this regard. Yet, the results also reveal major limitations, including the narrow, individualistic conceptualization of both recovery and stigma within the projects, the reliance on a biomedical model of mental illness, and the potentially adverse consequences of using football in mental health interventions.

scholarly journals Stakeholders’ perceptions of child and adolescent mental health services in a South African district – a qualitative study.

2020 ◽  
Author(s):  
Gbotemi Bukola Babatunde ◽  
André Janse van Rensburg ◽  
Arvin Bhana ◽  
Inge Petersen
Keyword(s):  
Mental Health ◽  
South African ◽  
Health Systems ◽  
Service Providers ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Health Systems Strengthening ◽  
Mental Wellbeing ◽  
Intersectoral Collaboration ◽  
Mental Health Systems

Abstract Background: In order to develop a district child and adolescent mental health (CAMH) plan, it is vital to engage with a range of stakeholders involved in providing CAMH services, given the complexities associated with delivering such services. Hence this study sought to explore multisectoral dynamics in providing CAMH care in one resource-constrained South African district as a case study, towards informing the development of a model for district mental health plan and generating lessons for mental health systems strengthening to support CAMH services using the Health Systems Dynamics (HSD) framework. HSD provides a suitable structure for analysing interactions between different elements within the health system and other sectors.Methods: Purposive sampling of 60 key informants was conducted to obtain an in-depth understanding of various stakeholders’ experiences and perceptions of the available CAMH services in the district. The participants include stakeholders from the Departments of Health (DoH), Basic Education (DBE), community-based/non-governmental organizations and caregivers of children receiving CAMH care. The data was categorized according to the elements of the HSD framework.Results: The HSD framework helped in identifying the components of the health systems that are necessary for CAMH service delivery. At a district level, the shortage of human resources, un-coordinated CAMH management system, lack of intersectoral collaboration and the low priority given to the CAMH system negatively impacts on the service providers’ experiences of providing CAMH services. Services users experiences of access to available CAMH services was negatively impacted by financial restrictions, low mental health literacy and stigmatization. Nevertheless, the study participants perceived the available CAMH specialists to be competent and dedicated to delivering quality services but will benefit from systems strengthening initiatives that can expand the workforce and equip non-specialists with the required skills, resources and adequate coordination.Conclusions: The need to develop the capacity of all the involved stakeholders in relation to CAMH services was imperative in the district. The need to create a mental health outreach team and equip teachers and caregivers with skills required to promote mental wellbeing, promptly identify CAMH conditions, refer appropriately and adhere to a management regimen was emphasized.

scholarly journals Asumispalvelujen hankinnan kehykset

Kuntoutus ◽  
2021 ◽  
Vol 39 (4) ◽  
pp. 17-28
Author(s):  
Markku Salo
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Field Work ◽  
Residential Facilities ◽  
Common Denominator ◽  
Service Users ◽  
New Model ◽  
Ground Floor ◽  
Adequate Understanding ◽  
Housing Services

Artikkelissa tarkastellaan, millaisia tavoitteita kunnalliset tilaajat asettavat asumispalveluille. Millaisia tilaamisen viitekehyksiä on tunnistettavissa asumispalvelujen tilaajien teemahaastattelujen perusteella? Analyysin tuloksena tunnistetaan kolme kehystä: julkishallinnollinen vahvan ohjauksen, tuotteistukseen ohjaava ja markkinaehtoinen vahvan ohjauksen kehys. Kehyksiä yhdistää se, ettei hankintaosaamiseen sisälly riittävää ymmärrystä tilattavista palveluista ja tuotteista. Tilaajien tavoitteiden saavuttaminen edellyttäisi asiantuntemuksen uutta jäsentämistä. Palvelun käyttäjien itsenäisen asumisen ja elämän sekä henkilöstön asumisen tuen asiantuntemusta tarvitaan palvelujen tilaamisessa ja näin ollen myös sosiaali- ja terveydenhuollon uudistuksessa – esimerkiksi artikkelissa luonnostellun neljännen, yhteistoiminnallisen kehyksen mukaisesti. Kilpailutus ei ole toimiva väline asumispalvelujen tilaamisessa. Sen merkitystä palvelujen laadun, kustannustehokkuuden ja tuloksellisuuden saavuttamisessa on yliarvioitu. Kilpailutus ei ole suoraan vaikuttanut palvelujen laadun eikä palvelujen käyttäjien aseman kohentumiseen, mihin yhteistoiminnallinen kehys antaa uusia mahdollisuuksia. Avainasemassa on tilaajien aloitteellisuus. Julkisen ohjauksen tehtävänä on velvoittaa kaikkia asianosaisryhmiä tyydyttävään yhteistoimintaan. Abstract Frameworks of Commissioning Residential Facilities for Mental Health and Drug Service Users. In Search of a Collaborative Framework This article analyzes the goals that commissioners of residential facilities for mental health and drug service users try to achieve. Are there specific frameworks of commissioning which can be recognized from analysis of interviews with commissioners? The research material used in this analysis is based on field work in three different parts of Finland. The article recognizes three frameworks of public steering: a strong traditional commissioning; a new model for commodification of services and a strong market based commissioning. The critical common denominator of these frameworks is that the commissioners do not have adequate understanding of the services and the contexts of service provision which they are obliged to commission and purchase. To achieve the goals set by the commissioners, a new model of collaborative framework is duly required – this framework puts stronger emphasis on the expertises of users and ground floor staff. The commissioners play a key role in forming new alliances between private and other service providers, the ground floor staff, the service users and other stakeholders. Keywords: commissioning, housing services for mental health and drug service users, collaborative framework

Psykologer i kommunen: En kartlegging av tjenester for barn og unge med psykiske vansker

2021 ◽  
Vol 58 (6) ◽  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Children And Adolescents ◽  
Service Providers ◽  
Population Level ◽  
Clinical Psychologist ◽  
Service Users ◽  
Individual Level ◽  
Specialist Services ◽  
Common Problems

Background: Frontline mental health services for children and adolescents are receiving increased attention, and all Norwegian municipalities were required to hire a clinical psychologist by 2020. However, we know little about what role clinical psychologists have taken in frontline services in terms of the content of their service or how they differ from other frontline practitioners. Objective: The objective was to investigate what types of problems children and adolescents who receive help from frontline psychologists have, what type of help is being offered, what improvements are needed, and how the services provided by psychologists differ from those of other frontline service providers. Method: The current study is based on reports from 139 psychologists and 587 other professionals working with children and adolescents in frontline services. Results: The psychologists report emotional struggles and challenging life situations to be the most common problems among their service users. Most of the interventions delivered by psychologists are provided at individual level rather than at group or population level. Compared with other frontline practitioners, psychologists more often include parents in sessions with children and adolescents. Both psychologists and other professionals report a need for increased collaboration across services. Implications: The results suggest that improvements could involve strengthening collaboration between frontline and specialist services.

Barriers and Supports Experienced by Pacific Peoples in Aotearoa New Zealand’s Mental Health Services

2021 ◽  
pp. 002202212110398
Author(s):  
Christina Fa’alogo-Lilo ◽  
Claire Cartwright
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Health Services ◽  
Health Services ◽  
Cultural Values ◽  
Mental Health Problems ◽  
Service Providers ◽  
Health Problems ◽  
Service Users ◽  
The Family

As with minority groups internationally, Pacific peoples in New Zealand (Pasifika) experience higher rates of mental health problems than the general population, and are less likely to access mental health services. This study investigated the barriers and supports for Pasifika accessing and using mental health services with participation of 25 Pasifika (10 service-providers, 11 ex-service-users, and 4 ex-service-users/providers) in order to gain their key informant perspectives. A Pasifika-appropriate Talanoa approach was used to guide the data-collection process and the qualitative data were analyzed using thematic analysis. Barriers included stigma among Pasifika regarding mental health problems, commitment to finding solutions within the family, and both mistrust and lack of knowledge of services. Within the services, non-Pasifika providers often lacked understanding of the collectivist cultural values and practices of Pasifika, including spiritual beliefs. They were more likely to use services if the providers were respectful of Pasifika practices and paid attention to developing relationships in a culturally appropriate way. This included involvement of the Pasifika family, when possible. Service-users often benefited from contact with Pasifika providers within mainstream services. These results support previous cross-cultural research that indicates the importance of offering evaluation and intervention services grounded in an understanding and respect for the cultural significance and meaning of mental health problems for the person, the family, and their community. While efforts are made to address these issues in New Zealand, change is slow and ongoing cultural training for service-providers along with psychoeducation for Pasifika about mental health services is strongly desirable.

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