Measuring Recovery in Parents Experiencing Mental Health Problems

2019 ◽  
Vol 25 (2) ◽  
pp. 219-259
Author(s):  
Emma Thompson ◽  
Jade Sheen ◽  
Darryl Maybery

Parenting is a fundamental life domain with increasing evidence suggesting the parenting role has the capacity to inform and promote mental health recovery. Two reviews examined the current tools available to assess parenting in the context of recovery. Review one identified 35 quantitative measures of parenting used in interventions for parents with mental health problems. None of these measures appeared to consider parenting from a recovery orientation. Review two identified 25 measures of personal recovery; however, none appeared to consider the parenting role. Despite the fundamental life role of parenting, our ability to measure these constructs appears limited. Further research is warranted into the development of a measure of recovery that considers the parenting role.

2008 ◽  
Vol 14 (3) ◽  
pp. 172-180 ◽  
Author(s):  
Glenn Roberts ◽  
Eluned Dorkins ◽  
James Wooldridge ◽  
Elaine Hewis

Choice, responsibility, recovery and social inclusion are concepts guiding the ‘modernisation’ and redesign of psychiatric services. Each has its advocates and detractors, and at the deep end of mental health/psychiatric practice they all interact. In the context of severe mental health problems choice and social inclusion are often deeply compromised; they are additionally difficult to access when someone is detained and significant aspects of personal responsibility have been temporarily taken over by others. One view is that you cannot recover while others are in control. We disagree and believe that it is possible to work in a recovery-oriented way in all service settings. This series of articles represents a collaborative dialogue between providers and consumers of compulsory psychiatric services and expert commentators. We worked together, reflecting on the literature and our own professional and personal experience to better understand how choice can be worked with as a support for personal recovery even in circumstances of psychiatric detention. We were particularly interested to consider whether and how detention and compulsion could be routes to personal recovery. We offer both the process of our co-working and our specific findings as part of a continuing dialogue on these difficult issues.


Author(s):  
Corinna Reichl ◽  
Michael Kaess

This text outlines the role of risk-taking and self-harming behaviours in the development and detection of suicidal behaviour and mental health problems among adolescents. Risk-taking and self-harming behaviours are observable symptoms for underlying problems of emotion regulation, impulse control or interpersonal relationships and are sensitive risk markers for early detection of developmental trajectories of suicidal behaviour and mental health problems. Due to their easy accessibility and their sensitive prediction of mental health problems, risk-taking and self-harming behaviours have been included into programmes screening for adolescents at risk of suicidal behaviour in the general population. The principles and findings of those screening programmes are discussed. Professional screenings are time consuming for participants and create costs for the healthcare system, thus, longitudinal studies are needed to test whether screening programmes are effective in reducing suicidal behaviour among adolescents.


2013 ◽  
Vol 43 (12) ◽  
pp. 538-544 ◽  
Author(s):  
Melissa E. DeRosier ◽  
Ellen Frank ◽  
Victor Schwartz ◽  
Kevin A. Leary

2010 ◽  
Vol 3 (1) ◽  
pp. 1-17 ◽  
Author(s):  
Anne Joice ◽  
Stewart W. Mercer

AbstractLarge psycho-education groups are being increasingly used in mental-health promotion and the treatment of common mental-health problems. In individual therapy there is a well-established link between therapist empathy, therapeutic relationship and patient outcome but the role of empathy within large psycho-educational groups is unknown. This service evaluation investigated the impact of a 6-week large psycho-education group on patient outcome and the role of perceived therapist empathy on outcome. Within a before–after experimental design, 66 participants completed baseline and endpoint measures; Clinical Outcome Routine Evaluation (CORE), Patient Enablement Instrument (PEI), and the modified Consultation and Relational Empathy (CARE) measure. The results showed that the intervention had a positive impact on patient outcome; the CORE score reduced significantly over the 6 weeks by 0.63 (95% CI 0.82–1.14) (t= 9.18, d.f. = 55,p= <0.001) and attendees felt highly enabled. Attendees perceived the course leader as highly empathetic. However, the relationship between perceived empathy and attendee outcome was less clear; no significant relationship was found with the main outcome measure (the change in CORE score). Factors that influenced the main outcome included age, symptom severity at baseline, having a long-term illness or disability, and whether attendees tried the techniques at home (homework). These findings suggest that large group psycho-education is an effective treatment for mild to moderate mental-health problems, at least in the short term. The role of therapist empathy remains ambiguous but may be important for some patient outcomes.


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