Substituting specialist care for patients with severe mental illness with primary healthcare. Experiences in a mixed methods study

2018 ◽  
Vol 26 (1-2) ◽  
pp. 1-10 ◽  
Author(s):  
Thijs Beckers ◽  
Bauke Koekkoek ◽  
Bea Tiemens ◽  
Lia Jaeqx - van Tienen ◽  
Giel Hutschemaekers
Keyword(s):  
Mental Illness ◽  
Mixed Methods ◽  
Severe Mental Illness ◽  
Primary Healthcare ◽  
Mixed Methods Study ◽  
Specialist Care ◽  
Healthcare Experiences

Group music therapy for severe mental illness: a randomized embedded-experimental mixed methods study

2013 ◽  
Vol 130 (2) ◽  
pp. 144-153 ◽  
Author(s):  
D. Grocke ◽  
S. Bloch ◽  
D. Castle ◽  
G. Thompson ◽  
R. Newton ◽  
...  
Keyword(s):  
Mental Illness ◽  
Mixed Methods ◽  
Music Therapy ◽  
Severe Mental Illness ◽  
Mixed Methods Study ◽  
Group Music Therapy

scholarly journals Integrated decision-making model for community-based rehabilitation service utilisation among persons with severe mental illness in China: protocol for a cross-sectional, mixed-methods study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e021528 ◽  
Author(s):  
Ruoxi Wang ◽  
Shangfeng Tang ◽  
Ian Shaw ◽  
Zhanchun Feng ◽  
Zhuo Chen ◽  
...  
Keyword(s):  
Decision Making ◽  
Mental Illness ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
Service Utilisation ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Rehabilitation ◽  
Integrated Decision Making ◽  
Different Levels

IntroductionA common problem low-income and middle-income countries face is the scarcity of community-based rehabilitation (CBR) resources and low service utilisation among persons with severe mental illness (SMI). Despite this problem, the factors and pathways followed influencing one’s decision on service utilisation in China have not been fully comprehended. This study aims to develop a theory-based model that systematically describes the integrated decision-making process of mental health CBR utilisation among persons with SMI in China.Methods/DesignThis cross-sectional, mixed-methods study involves three main stages and is expected to last 3 years, from January 2018 to December 2020. In stage 1, the Social Exchange Theory is deployed as an analytical framework to comprehensively capture factors associated with tendency to use CBR services in China using semistructured interview methodology involving patients with SMI, their primary caregivers and CBR service providers. In stage 2, interpretive structural modelling will be applied to analyse the relationships between factors in different dimensions, at different levels and with different levels of impact. Stage 3 involves a multiregion survey among at least 300 family decision-makers (either the patient or their caregivers) in six communities in three cities to statistically validate the initial model derived in stage 2 using a further structural equation modelling.Ethics and disseminationEthical approval was granted by the Ethics Committee of Tongji Medical College, Huazhong University of Science and Technology (No 2017S319). All interviewees will be provided with written information about the study, and a signed consent will be retrieved prior to the interview. Rules on confidentiality and anonymity of data will be strictly followed. The findings of this study will be disseminated via international and domestic peer-reviewed journals, reports, conference presentations and symposium discussions. Reports will be submitted to the National Natural Science Foundation of China.

The healthcare experiences of Koreans living in North Carolina: a mixed methods study

2014 ◽  
Vol 22 (4) ◽  
pp. 417-428 ◽  
Author(s):  
Jennie C. De Gagne ◽  
Jina Oh ◽  
Aeyoung So ◽  
Suk-Sun Kim
Keyword(s):  
North Carolina ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
Healthcare Experiences

scholarly journals Primary Health Care Experiences of Hispanics with Serious Mental Illness: A Mixed-Methods Study

2013 ◽  
Vol 41 (6) ◽  
pp. 724-736 ◽  
Author(s):  
Leopoldo J. Cabassa ◽  
Arminda P. Gomes ◽  
Quisqueya Meyreles ◽  
Lucia Capitelli ◽  
Richard Younge ◽  
...  
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Primary Health Care ◽  
Mixed Methods ◽  
Serious Mental Illness ◽  
Mixed Methods Study ◽  
Health Care Experiences ◽  
Primary Health

scholarly journals An Integrative Review of Recovery Services to Improve the Lives of Adults Living with Severe Mental Illness

2021 ◽  
Vol 18 (16) ◽  
pp. 8873
Author(s):  
Eric Badu ◽  
Anthony O’Brien ◽  
Rebecca Mitchell
Keyword(s):  
Mental Illness ◽  
Mixed Methods ◽  
Severe Mental Illness ◽  
Mental Health Professionals ◽  
Social Inclusion ◽  
Integrative Review ◽  
Art Making ◽  
Placement Services ◽  
Integrated Recovery ◽  
Individual Placement

There is an increasing call for recovery-oriented services but few reviews have been undertaken regarding such interventions. This review aims to synthesize evidence on recovery services to improve the lives of adults living with severe mental illness. An integrative review methodology was used. We searched published literature from seven databases: Medline, EMBASE, PsycINFO, CINAHL, Google Scholar, Web of Science, and Scopus. Mixed-methods synthesis was used to analyse the data. Out of 40 included papers, 62.5% (25/40) used quantitative data, 32.5% used qualitative and 5% (2/40) used mixed methods. The participants in the included papers were mostly adults with schizophrenia and schizoaffective disorder. This review identified three recovery-oriented services—integrated recovery services, individual placement services and recovery narrative photovoice and art making. The recovery-oriented services are effective in areas such as medication and treatment adherence, improving functionality, symptoms reduction, physical health and social behaviour, self-efficacy, economic empowerment, social inclusion and household integration. We conclude that mental health professionals are encouraged to implement the identified recovery services to improve the recovery goals of consumers.

scholarly journals Exploring Severe Mental Illness and Diabetes: Protocol for a Longitudinal, Observational, and Qualitative Mixed Methods Study

10.2196/13407 ◽  
2019 ◽  
Vol 8 (9) ◽  
pp. e13407 ◽  
Author(s):  
Sue Bellass ◽  
Johanna Taylor ◽  
Lu Han ◽  
Stephanie L Prady ◽  
David Shiers ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Mental Illness ◽  
Mixed Methods ◽  
Severe Mental Illness ◽  
Qualitative Interviews ◽  
Care Staff ◽  
Clinical Practice Research Datalink ◽  
Diabetes Outcomes ◽  
Diabetic Outcomes

Background The average life expectancy for people with a severe mental illness (SMI) such as schizophrenia or bipolar disorder is 15 to 20 years less than that for the population as a whole. Diabetes contributes significantly to this inequality, being 2 to 3 times more prevalent in people with SMI. Various risk factors have been implicated, including side effects of antipsychotic medication and unhealthy lifestyles, which often occur in the context of socioeconomic disadvantage and health care inequality. However, little is known about how these factors may interact to influence the risk of developing diabetes and poor diabetic outcomes, or how the organization and provision of health care may contribute. Objective This study aims to identify the determinants of diabetes and to explore variation in diabetes outcomes for people with SMI. Methods This study will employ a concurrent mixed methods design combining the interrogation of electronic primary care health records from the Clinical Practice Research Datalink (CPRD GOLD) with qualitative interviews with adults with SMI and diabetes, their relatives and friends, and health care staff. The study has been funded for 2 years, from September 2017 to September 2019, and data collection has recently ended. Results CPRD and linked health data will be used to explore the association of sociodemographics, illness, and health care–related factors with both the development and outcomes of type 2 diabetes in people with SMI. Experiences of managing the comorbidity and accessing health care will be explored through qualitative interviews using topic guides informed by evidence synthesis and expert consultation. Findings from both datasets will be merged to develop a more comprehensive understanding of diabetes risks, interventions, and outcomes for people with SMI. Findings will be translated into recommendations for interventions and services using co-design workshops. Conclusions Improving diabetes outcomes for people with SMI is a high-priority area nationally and globally. Understanding how risk factors combine to generate high prevalence of diabetes and poor diabetic outcomes for this population is a necessary first step in developing health care interventions to improve outcomes for people with diabetes and SMI. Trial Registration ClinicalTrials.gov NCT03534921; https://clinicaltrials.gov/ct2/show/NCT03534921

scholarly journals Perceived barriers of tobacco dependence treatment: a mixed-methods study among primary healthcare physicians in Armenia

2018 ◽  
Vol 20 ◽  
Author(s):  
Arusyak Harutyunyan ◽  
Armine Abrahamyan ◽  
Varduhi Hayrumyan ◽  
Varduhi Petrosyan
Keyword(s):  
Smoking Cessation ◽  
Mixed Methods ◽  
Primary Healthcare ◽  
Quantitative Data ◽  
Tobacco Dependence ◽  
Mixed Methods Study ◽  
Perceived Barriers ◽  
Smoking Cessation Counseling ◽  
Tobacco Dependence Treatment ◽  
Smoking Cessation Services

AbstractBackgroundDespite compelling evidence that physicians play a prominent role in smoking cessation, most smokers do not receive the recommended smoking cessation counseling.AimTo identify perceived barriers that hinder primary healthcare physicians (PHPs) from providing smoking cessation treatment to patients in Armenia.MethodsA sequential exploratory mixed-methods study was conducted among PHPs from two Armenian cities (Yerevan and Gyumri). We implemented qualitative phase through focus group discussions (FGDs) using a semi-structured guide. For the subsequent quantitative phase, the data were collected through cross-sectional survey. A directed deductive content analysis technique was used to analyze the FGDs and questionnaires were analyzed descriptively. Following the data collection (March 2015–May 2016) and descriptive analysis, the qualitative and quantitative data sets were merged by drawing quantitative data onto qualitative categories.FindingsOverall, 23 PHPs participated in five FGDs and 108 participants completed the survey. Three main categories of barriers were identified: physician-based, patient-based, and system-based barriers. The main physicians-based barriers were insufficient knowledge and inadequate training on tobacco-dependence treatment. Lack of patients’ motivation to quit, poor compliance with the treatment, patients’ withdrawal symptoms were identified as patient-based disincentives. System-based barriers included lack of reimbursement for providing smoking cessation counseling, high price and low availability of smoking cessation medications. Most of the qualitative descriptions were confirmed by quantitative findings.ConclusionsTargeted interventions are needed to address barriers that limited PHPs’ involvement in providing smoking cessation services in Armenia. There is an urgent need to enhance PHPs’ knowledge and skills in delivering smoking cessation counseling, to increase patients’ demand for smoking cessation services, and to ensure availability and affordability of smoking cessation services in Armenia.

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