scholarly journals Development of a co-produced tool for monitoring and supporting the mental health of young people

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S267-S267
Author(s):  
Joy MacKeith ◽  
Anna Good ◽  
Sara Burns

AimsThe aims were to develop and validate a tool for monitoring and supporting the mental health of young people. Based on extensive experience of developing similar tools, the hypothesis was that a user-friendly tool could be produced with sound psychometric properties.BackgroundThe Outcomes Star is a suite of collaboratively completed, strengths-based tools with the dual roles of both supporting and monitoring change. Service users are empowered through their active involvement in identifying their strengths and creating their care plan. Triangle, the creators of the Outcomes Star was approached by a number of organisations to develop a version of the Star for young people with mental health issues in early intervention services and also to support young people in managing a diagnosed mental illness.MethodUsing a series of focus groups and an iterative process of refinement we gathered data from practitioners and service users on the domains in which they wish to create change, and the steps of the change process. A draft version of the new tool was piloted in two organisations by 67 workers and 177 young people over six months. The pilot data were analysed to assess the psychometric properties of My Mind Star (acceptability, skew, factor structure, internal consistency, item redundancy and responsiveness).ResultThe resulting tool, My Mind Star consisted of seven domains: Feelings and emotions, Healthy lifestyle, Where you live, Friends and relationships, School, training and work, How you use your time and Self-esteem. Almost all young people and practitioners (94%) agreed that their completed Star was ‘a good summary of my life right now’ and that it gave a better idea of service users’ support needs. Psychometric analyses indicated a unidimensional structure with good internal consistency (α = .76) and no item redundancy. My Mind Star was responsive to change between the first and second readings, with medium and small-medium effect sizes.ConclusionInitial findings suggest that My Mind Star has good psychometric properties and is perceived as acceptable and useful by young people and practitioners, Further research is planned to conduct a full validation of the psychometric properties of this Star including inter-rater reliability and predictive validity.Financial sponsorship of the study: Action for Children

2012 ◽  
Vol 28 (4) ◽  
pp. 255-261 ◽  
Author(s):  
Sabine Loos ◽  
Reinhold Kilian ◽  
Thomas Becker ◽  
Birgit Janssen ◽  
Harald Freyberger ◽  
...  

Objective: There are presently no instruments available in German language to assess the therapeutic relationship in psychiatric care. This study validates the German version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR). Method: 460 persons with severe mental illness and 154 clinicians who had participated in a multicenter RCT testing a discharge planning intervention completed the D-STAR. Psychometric properties were established via item analysis, analyses of missing values, internal consistency, and confirmatory factor analysis. Furthermore, convergent validity was scrutinized via calculating correlations of the D-STAR scales with two measures of treatment satisfaction. Results: As in the original English version, fit indices of a 3-factor model of the therapeutic relationship were only moderate. However, the feasibility and internal consistency of the D-STAR was good, and correlations with other measures suggested reasonable convergent validity. Conclusions: The psychometric properties of the D-STAR are acceptable. Its use can be recommended in German-speaking countries to assess the therapeutic relationship in both routine care and research.


In order to provide sound, person-centred care, mental health nursing students need a thorough understanding of theory alongside the ability to translate this knowledge into practice. It can be difficult to apply ideas from the classroom and books when learning how to work with mental health service users for the first time. That is why the theoretical aspects of this book are presented alongside realistic accounts of nursing practice. Fundamentals of Mental Health Nursing is a case-based and service user centred textbook for mental health nursing students. Designed to support students throughout their pre-registration studies, the text covers the essential knowledge required to provide high quality nursing care. Contributions from real service users and cases of fictional clients are explored in detail to provide excellent transferable skills for practice. Dedicated chapters explore fundamental nursing skills and mental health law before providing a case-based exploration of the areas and subjects that will be encountered by students in university and placement. Practice-based chapters introduce students to the needs of a diverse range of fictional clients and explain how the skills of communication, assessment, care planning and monitoring can be applied. Each chapter provides a sample care plan explaining why and how clinical decisions are made, so that students can develop their own skills and practice. The text opens with clear advice to help students succeed in their studies and concludes with a wealth of practical and thoughtful advice on becoming a professional and getting that first job. Online Resource Centre * Twenty one video clips of fictional service users demonstrate the application of theory and prepare students for real nursing practice * Quizzes, scenarios and a range of activities help students to apply their learning * Interactive glossary explains terminology and jargon * Sample CV's and self awareness exercises aid professional development


Author(s):  
Olga Vasilevna BESKROVNAYA ◽  
Sergey Viktorovich IVANNIKOV ◽  
Sergey Vladimirovich NOVIKOV

The activity of society “Dynamo” in historical and modern aspects in solving the problem of patriotic education of youth as one of the fundamental tasks of the modern Russian state is considered. It is shown that throughout the public organization “Dynamo” history through the active involvement of children to a healthy lifestyle forms the younger generation of an active life position, the desire for physical development, sports achievements for the glory of Russia. The essence of the organization society “Dynamo”, designed along with other tasks to strengthen the physical and spiritual health of Russian citizens of different age groups, using a variety of organizational forms and health-saving technologies is revealed. We show the aspect of coaching work with the younger generation, in which special attention is paid to the patriotic education of young people and teenagers seeking sports achievements. Within the modern structure of the society “Dynamo” the system and quality of sports training in its divisions are analyzed. Traditionally the results are checked in the course of numerous competitions. The importance of Spartakiads and competitions of “Dynamo” society in patriotic education of young people, which encourage the desire for health, strength, beauty, readiness to defend the sports honor of Russia in the athletes, is shown.


2017 ◽  
Vol 10 (1) ◽  
pp. 68-80 ◽  
Author(s):  
Madeleine Claire Valibhoy ◽  
Josef Szwarc ◽  
Ida Kaplan

Purpose The purpose of this paper is to examine barriers to accessing mental health services, from the perspective of young people of refugee background who have been service users, and to suggest strategies to improve access to mental health services. Design/methodology/approach A qualitative study was conducted with 16 young people (aged 18-25), who had been refugees and who had attended mental health professionals in Australia. Interview transcripts were analysed thematically to examine participants’ perspectives on what hinders initial access to mental health services. Findings Stigma about mental health problems was particularly prominent. Many believed a high level of disturbance was the threshold for entering services, and for some there was no knowledge of such services’ existence. Options for assistance other than mental health services were often preferred, according to young people’s explanatory models. Apprehension was expressed that sessions would be uncomfortable, distressing or ineffective. The desire to be self-reliant functioned as a further barrier. Finally, structural obstacles and social exclusion deterred some young refugees from accessing services. Practical implications Implications include the need for service providers to be equipped to provide culturally sensitive, responsive services that ideally offer both practical and psychological assistance. Potential referrers, including health professionals and community leaders, could facilitate increased access if trained to recognise and address barriers. Finally, findings indicate potential content for awareness-raising initiatives for young refugees about mental health problems and services. Originality/value This paper is original in its sample, method, topic and findings; being drawn from the first known qualitative research exploring views of young mental health service users who have been refugees about barriers to accessing mental health services.


2001 ◽  
Vol 24 (3) ◽  
pp. 105 ◽  
Author(s):  
Rob Elzinga ◽  
Fiona Meredith & Paul Clifford

This article describes and compares the nature and severity of problems encountered by persons receiving mental healthservices in the United Kingdom and Australia, and the outcome of their treatment. The perspective of service providersand service users in the two countries was strikingly similar. Treatment was effective in alleviating problems withsocial circumstances, and in increasing adaptive and interpersonal functioning. Treatment was less effective inaddressing psychological or physical problems. Service users in the United Kingdom were more involved in developingtheir treatment care plan than those in Australia. The study demonstrates how data required for benchmarking andoutcome evaluation purposes can be generated as part of routine clinical processes.


2021 ◽  
Vol 23 (1) ◽  
pp. 1-8
Author(s):  
Elena Lisá ◽  
◽  
Michael Dzúrik ◽  

The study aimed to verify the psychometric properties of the 100-item HEXACO-PI-R questionnaire. The sample consisted of 1624 adults aged from 16 to 79 years (M=34.5, SD=13.35) who filled the paper-pen self-report form of the HEXACO-PI-R. The average internal consistency of the six factors was α=.78 (from .72 for Openness to .81 for Honesty-Humility) and α=.60 for facets. The Altruism scale in the Slovak translation did not reach a satisfactory internal consistency (α=.29). Mean values in the Slovak-speaking sample were 3.29, and standard deviations .53 for factor level and .74 at the facet level. Sex differences showed the higher Emotionality (d=.99) and Honesty-Humility (d= .38) in women. Age differences in Honesty-Humility showed a medium effect size. Factors did not inter-correlate, or they correlated weakly, except for r=.34 in the relationship between Agreeableness and Honesty-Humility. The factors were well distinguished from one another. The exploratory factor analysis with Promax rotation confirmed the six-factor model, which explained in total 44% of data variance, with an average loading of .60. Individual one-factor models met most of the goodness of fit criteria in confirmatory factor analysis, but the six-factor model did not meet them. The controversy associated with assessing the internal structure of multidimensional personality inventories by confirmatory factor analysis is discussed. According to the currently published research studies, the research findings supported the reliability and internal validity of HEXACO-PI-R in Slovak translation.


Author(s):  
Joanne Tarver ◽  
Silia Vitoratou ◽  
Mathilde Mastroianni ◽  
Natalie Heaney ◽  
Eleanor Bennett ◽  
...  

Abstract Although 70% of autistic children and young people meet criteria for co-occurring psychiatric conditions, there are few screening measures specifically for autistic individuals. We describe the development and validation of the Assessment of Concerning Behavior (ACB), an instrument co-developed with the autistic community to assess mental health and problematic/risky behaviors. Items include descriptions to facilitate symptom recognition by autistic people, and carers/professionals. The ACB was completed by 255 parents, 149 autistic children and young people and 30 teachers. Internal consistency, stability and validity was assessed. The ACB parent-version fit a two-factor model (internalizing and externalizing problems) and showed adequate test–retest reliability, internal consistency and construct validity. The ACB is a promising new measure for research and clinical use in autism.


2001 ◽  
Vol 179 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Paul Lelliott ◽  
Anne Beevor ◽  
Gary Hogman ◽  
Jon Hyslop ◽  
Judith Lathlean ◽  
...  

BackgroundNo existing instrument measures all or even most of the issues considered important by users of mental health services.AimsTo develop and test a self-assessment instrument to enable users of mental health services to rate their experience across the range of domains that they consider to be important.MethodRelevant domains were identified and a new instrument was drafted and field tested to examine its psychometric properties.ResultsThe 17-item, self-rated Carers' and Users' Expectations of Services – User version (CUES–U) appears acceptable to most service users. Its items have reasonable test–retest reliability and a ‘total CUES–U score’ correlates significantly with a total score of the Health of the Nations Outcome Scales (Spearman's ρ=0.42; P<0.01).ConclusionsThe development and testing of CUES–U suggest that it might be feasible to apply a self-rated measure of the expectations and experience of users of mental health services.


2017 ◽  
Vol 27 (5) ◽  
pp. 433-462 ◽  
Author(s):  
Y. Wei ◽  
P. McGrath ◽  
J. Hayden ◽  
S. Kutcher

Aims.Stigma of mental illness is a significant barrier to receiving mental health care. However, measurement tools evaluating stigma of mental illness have not been systematically assessed for their quality. We conducted a systematic review to critically appraise the methodological quality of studies assessing psychometrics of stigma measurement tools and determined the level of evidence of overall quality of psychometric properties of included tools.Methods.We searched PubMed, PsycINFO, EMBASE, CINAHL, the Cochrane Library and ERIC databases for eligible studies. We conducted risk-of-bias analysis with the Consensus-based Standards for the Selection of Health Measurement Instruments checklist, rating studies as excellent, good, fair or poor. We further rated the level of evidence of the overall quality of psychometric properties, combining the study quality and quality of each psychometric property, as: strong, moderate, limited, conflicting or unknown.Results.We identified 117 studies evaluating psychometric properties of 101 tools. The quality of specific studies varied, with ratings of: excellent (n = 5); good (mostly on internal consistency (n = 67)); fair (mostly on structural validity, n = 89 and construct validity, n = 85); and poor (mostly on internal consistency, n = 36). The overall quality of psychometric properties also varied from: strong (mostly content validity, n = 3), moderate (mostly internal consistency, n = 55), limited (mostly structural validity, n = 55 and construct validity, n = 46), conflicting (mostly test–retest reliability, n = 9) and unknown (mostly internal consistency, n = 36).Conclusions.We identified 12 tools demonstrating limited evidence or above for (+, ++, +++) all their properties, 69 tools reaching these levels of evidence for some of their properties, and 20 tools that did not meet the minimum level of evidence for all of their properties. We note that further research on stigma tool development is needed to ensure appropriate application.


BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043762
Author(s):  
Joseph C Manning ◽  
Tim Carter ◽  
Gemma Walker ◽  
Jane Coad ◽  
Aimee Aubeeluck

ObjectiveTo psychometrically assess the Children and Young People-Mental Health Self-harm Assessment in Paediatric healthcare Environments (CYP-MH SAPhE) instrument for the identification of immediate risk of self-harm in CYP, aged 10–19 years, in acute paediatric wards or emergency departments.DesignThe CYP-MH SAPhE Instrument was developed through a robust scoping review and Delphi consensus with 30 clinicians/topic experts. To evaluate the psychometric properties, a multicentre exploratory study was conducted.SettingThree acute hospitals in the UK.Participants163 CYP presenting at acute hospital settings with primary mental health (cases) or physical health (non-cases) conditions.Primary and secondary outcome measuresPsychometric properties of the CYP-MH SAPhE instrument were evaluated through Principle Axis Factoring (PAF) with Oblimin (Kaiser normalisation) alongside measures of internal consistency (Cronbach’s α), convergent, discriminant and face validity.ResultsPAF of the dichotomous items (n=9) loaded onto three factors (1) behaviours and intentions; (2) suicidality and (3) self-harm. Factors 1 (Cronbach’s α=0.960) and 3 (Cronbach’s α=1) had high internal consistency. There was: good level of agreement between raters (kappa=0.65); a moderately positive correlation between the CYP-MH SAPhE instrument and the Columbia-Suicide Severity Rating Scale; and discrimination between cases and non-cases across the three factors (factor 1: m=88 vs 70; factor 2: m=102 vs 70; factor 3: m=104 vs 68). Assessment of face validity resulted in six items being removed, culminating in an eight question, rapid assessment instrument.ConclusionsThe results support the CYP-MH SAPhE Tool as a potentially reliable and valid instrument to identify immediate risk of self-harm in CYP presenting to acute paediatric healthcare environments, which is a burgeoning and significant global health issue.


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