Youth Community Groups: Promotion of Mental Health and Capacity Development (Revisited)

2017 ◽  
Author(s):  
Marianne Ojo
Keyword(s):  
Mental Health ◽  
Capacity Development ◽  
Community Groups ◽  
Youth Community

scholarly journals Social prescribing for individuals with mental health problems: a qualitative study of barriers and enablers experienced by general practitioners

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Henry Aughterson ◽  
Louise Baxter ◽  
Daisy Fancourt
Keyword(s):  
Mental Health ◽  
General Practitioners ◽  
Mental Health Problems ◽  
Theoretical Domains Framework ◽  
Health Problems ◽  
Formal Training ◽  
Community Groups ◽  
Social Prescribing ◽  
Barriers And Enablers ◽  
Personal Skills

Abstract Background There is growing evidence for the use of social prescribing as a means to improve the mental health of patients. However, there are gaps in understanding the barriers and enablers faced by General Practitioners (GPs) when engaging in social prescribing for patients with mental health problems. Methods This study uses a qualitative approach involving one-to-one interviews with GPs from across the UK. The COM-B model was used to elucidate barriers and enablers, and the Theoretical Domains Framework (TDF) and a Behaviour Change Theory and Techniques tool was used to identify interventions that could address these. Results GPs recognised the utility of social prescribing in addressing the high levels of psychosocial need they saw in their patient population, and expressed the need to de-medicalise certain patient problems. GPs were driven by a desire to help patients, and so they benefited from regular positive feedback to reinforce the value of their social prescribing referrals. They also discussed the importance of developing more robust evidence on social prescribing, but acknowledged the challenges of conducting rigorous research in community settings. GPs lacked the capacity, and formal training, to effectively engage with community groups for patients with mental health problems. Link workers, when available to GPs, were of fundamental importance in bridging the gap between the GP and community. The formation of trusting relationships was crucial at different points of the social prescribing pathway, with patients needing to trust GPs in order for them to agree to see a link worker or attend a community activity, and GPs requiring a range of strong inter-personal skills in order to gain patients’ trust and motivate them. Conclusion This study elucidates the barriers and enablers to social prescribing for patients with mental health problems, from the perspectives of GPs. Recommended interventions include a more systematic feedback structure for GPs and more formal training around social prescribing and developing the relevant inter-personal skills. This study provides insight for GPs and other practice staff, commissioners, managers, providers and community groups, to help design and deliver future social prescribing services.

scholarly journals Coping with cognitive behaviour therapy for psychosis, adapting it for another culture, and community inclusion

2015 ◽  
Vol 19 (3) ◽  
pp. 107-113
Author(s):  
Sue Holttum
Keyword(s):  
Mental Health ◽  
Cognitive Behaviour Therapy ◽  
Active Role ◽  
Qualitative Studies ◽  
Social Model ◽  
Service Users ◽  
Behaviour Therapy ◽  
Community Groups ◽  
Content Type ◽  
Cognitive Behaviour

Purpose – The purpose of this paper is to highlight what helps and what is difficult about cognitive behaviour therapy for psychosis (CBTp) in relation to recovery and social inclusion, how it can be adapted for a non-western culture, and how inclusion in communities in which people feel comfortable can help their recovery. Design/methodology/approach – Three journal articles are described. The first summarises six small qualitative studies involving interviews with UK service users about what they found helpful and challenging about CBTp. The second article reports on a pilot trial of CBTp adapted for the culture in Pakistan, where families are seen as more involved in service users’ care. The third article describes USA-based participants’ engagement with different communities as part of their recovery. Findings – UK service users appreciated feeling equal to their therapist in CBTp, receiving an understandable explanation of their difficulties, and support for gradual steps towards activities they valued. However, it was difficult revisiting traumatic pasts to understand their difficulties, and UK mental health culture may hamper taking an active role in treatment. In Pakistan, CBTp can be successfully adapted to include a key family member and local spiritual beliefs. In a USA context, service users developed competencies in community groups they valued, and these could be minority or service user communities where people felt comfortable and could make a contribution. Originality/value – The experiences of service users of CBTp are rarely collated from several qualitative studies, and important themes came from doing so. It may be important to understand current barriers to doing CBTp homework and the effect of some aspects of mental health services on people’s readiness to take an active role. Studies of adapting CBTp for non-western cultures are rare, but it seemed successful in Pakistan, adopting a bio-psycho-spiritual-social model. The qualitative study of people’s engagement in US community groups highlights the importance of not dismissing engagement in minority groups for people’s recovery, rather than only the “wider” community.

Effective partnerships with community groups

2010 ◽  
pp. 529-536
Author(s):  
Kevin Khayat
Keyword(s):  
Mental Health ◽  
Local Community ◽  
Natural Extension ◽  
Voluntary Organizations ◽  
Community Groups ◽  
Health Service Provision ◽  
Knowledge And Skills ◽  
Track Record ◽  
The Uk ◽  
Mental Health Service Provision

"Chapter 57 considers how and why local community and voluntary groups can contribute to providing LI CBT. Many large regional or national voluntary organizations have a strong track record in mental health service provision (e.g. Rethink, Mind, and Cruse in the UK), but such groups are not the focus here, since LI CBT is a natural extension to their current range of services. Rather, this chapter considers how and why larger providers—whether public, private or voluntary sector—ought to consider incorporating the knowledge and skills of small, local groups."

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