scholarly journals ”You Never Know What Happens Next” – Young Adult Service Users’ Experience with Mental Health Care and Treatment through One Year

2016 ◽  
Vol 16 (3) ◽  
Author(s):  
Marian Ådnanes ◽  
Sissel Steihaug
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Young Adult ◽  
Mental Health Care ◽  
Service Users ◽  
Adult Service ◽  
Care And Treatment ◽  
One Year

scholarly journals A Sense of ‘Déjà Vu’ – a preliminary (and immediate) response to the Report of the Scrutiny Committee on the draft Mental Health Bill

2014 ◽  
Vol 1 (12) ◽  
pp. 77
Author(s):  
Lucy Scott-Moncrieff
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Service Users ◽  
Final Version ◽  
Care And Treatment ◽  
The Government ◽  
Set Up ◽  
Draft Bill ◽  
Oral Evidence

<p>The draft Mental Health Bill was published on the 8th September 2004. In advance of publication a joint committee of both Houses of Parliament was set up to subject the draft Bill to prelegislative scrutiny and, following consultation, to recommend improvements before a final version of the Mental Health Bill is introduced in parliament.</p><p>The Committee first met on the 15th September 2004, and the report was published on the 23rd March 2005. In the intervening period the Committee considered 450 written submissions, heard oral evidence from 124 witnesses (including professionals, carers and service users) and visited three hospitals, including Broadmoor.</p><p>The Scrutiny Committee came up with 107 conclusions and recommendations, and I think it would be fair to say that if the Government accepts these, the Mental Health Bill that will be introduced to Parliament will bear very little relationship to the draft Bill published last September. On several occasions the Committee commends the very different approach taken in the Scottish Mental Health (Care and Treatment) (Scotland) Act 2003 due to be introduced in stages starting in April of this year.</p>

scholarly journals Shared Decision-Making: An Autoethnography About Service User Perspectives in Making Choices About Mental Health Care and Treatment

2021 ◽  
Vol 12 ◽  
Author(s):  
Joanna Fox
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Decision Making ◽  
Mental Health Care ◽  
Shared Decision Making ◽  
Service User ◽  
Treatment Options ◽  
Service Users ◽  
Shared Decision ◽  
Care And Treatment

Shared decision-making (SDM) between mental health medication prescribers and service users is a central pillar in the recovery approach, because it supports people experiencing mental ill-health to explore their care and treatment options to promote their well-being and to enable clinicians to gain knowledge of the choices the service user prefers. SDM is receiving increasing recognition both in the delivery of physical and mental health services; and as such, is of significance to current practice. As an expert-by-experience with over 30 years of receiving mental health treatment, I have made many choices about taking medication and accessing other forms of support. The experiences of SDM have been variable over my career as a service user: both encounters when I have felt utterly disempowered and interactions when I have led decision-making process based on my expertise-by-experience. In this article, I recount two experiences of exploring care and treatment options: firstly, a discharge planning meeting; and secondly, the choice to take medication over the long-term, despite the side effects. The article will explore both opportunities and barriers to effective shared decision-making, as well as skills and processes to facilitate this approach. The need to balance power between service users and professionals in this interaction is highlighted, including the need to respect expertise built on lived experience, alongside that of clinical expertise. This narrative is framed within an autoethnographic approach which allows me to contextualize my personal experiences in the wider environment of mental health care and support.

scholarly journals Mental health care and treatment in prisons: a new paradigm to support best practice

2017 ◽  
Vol 16 (1) ◽  
pp. 3-4 ◽  
Author(s):  
Brian McKenna ◽  
Jeremy Skipworth ◽  
Krishna Pillai
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Best Practice ◽  
New Paradigm ◽  
Care And Treatment

One-Year Cost Implications of Using Mental Health Care After Discharge From a General Medical Hospitalization

2012 ◽  
Vol 63 (7) ◽  
pp. 672-678 ◽  
Author(s):  
Justin K. Benzer ◽  
Jennifer L. Sullivan ◽  
Sandra Williams ◽  
James F. Burgess
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
One Year ◽  
Cost Implications

scholarly journals Combining online and offline peer support groups in mental health care: A qualitative study of service users� experiences (Preprint)

2018 ◽  
Author(s):  
Monica Strand ◽  
Deede Gammon ◽  
Lillian Sofie Eng ◽  
Cornelia Ruland
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Peer Support ◽  
Support Groups ◽  
Local Community ◽  
Mental Health Problems ◽  
Service Users ◽  
Face To Face ◽  
Individual Interviews

BACKGROUND Peer support groups for people with long-term mental health problems are at the heart of recovery-oriented approaches in mental health care. When conducted face-to-face (offline) or on the Internet (online), peer support groups have proven to have differing strengths and weaknesses. Little is known about the benefits and challenges of combining the two formats. OBJECTIVE The aim of this study was to gain insights into the benefits and challenges of combining online and offline peer support groups facilitated through an Internet intervention designed to support recovery processes. METHODS In this exploratory and descriptive study, an e-recovery portal called ReConnect was used by service users in two mental health communities in Norway for 6-12 months. The portal included an online peer support forum which also facilitated participation in local in-person ReConnect-cafés. Both formats of peer support were facilitated by an employed service user consultant with lived experience of mental health problems and with training in peer support. Qualitative data about service users’ experiences of using the portal were collected through focus groups and individual interviews and inductively analyzed thematically with focus on benefits and challenges of peer support online and offline. RESULTS A total of 14 service users 22-63 years of age with various diagnoses, receiving services at both primary and specialist levels of mental health care participated in three focus groups and 10 individual interviews. Two main themes were identified in the analysis: 1) balancing anonymity and openness, and 2) enabling connectedness. These themes are further illustrated with the subthemes: i) dilemmas of anonymity and confidentiality, ii) towards self-disclosure and openness, iii) new friendships, and iv) networks in the local community. Three of the subthemes mainly describe benefits. Challenges were more implicit and cut across the subthemes. Identified challenges were linked to transitions from anonymity to revealing one’s identity, how to protect confidentiality, or to participation at face-to-face meetings in the local community. CONCLUSIONS Our study suggests that online peer support groups and offline meetings complement each other, and the combination is mainly beneficial to users. The identified benefits appeared to arise from participants’ options of one format or the other, or that they could combine formats in ways that suited their individual values and comfort zones. We also identified challenges related to combination of formats, and both formats require appropriate facilitation of peer support. Combining online formats that enable anonymity, a non-judgmental atmosphere, and 24/7 accessibility regardless of location, with offline formats that foster local, in-person community ties, is a promising concept for facilitating recovery-oriented care, and warrants continued research.

scholarly journals Exploring Perceptions of Continuity of Care Among People With Long-Term Mental Disorders in Denmark

2019 ◽  
Vol 29 (13) ◽  
pp. 1916-1929
Author(s):  
Anna P. Folker ◽  
Mette M. Kristensen ◽  
Amalie O. Kusier ◽  
Maj Britt D. Nielsen ◽  
Sigurd M. Lauridsen ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Disorders ◽  
Mental Health Care ◽  
Continuity Of Care ◽  
Service Users ◽  
Mental Health Care System ◽  
Template Analysis ◽  
Depth Interviews

Continuity of mental health care is central to improve the treatment and rehabilitation of people with mental disorders. While most studies on continuity of care fail to take the perspectives of service users into account, the aim of this study was to explore the perceived meanings of continuity of care among people with long-term mental disorders. Fifteen service users participated in semi-structured in-depth interviews. We used template analysis to guide the analysis. The main transversal themes of continuity were “Navigating the system” and “Connecting to people and everyday life.” While the first theme related to the participants’ experiences of their interaction with the mental health care system, the latter related to their hopes and perceived opportunities for a good life as desired outcomes of mental health care. We conclude that efforts to improve continuity of mental health care should be tailored to the priorities of service users.

scholarly journals Shifting to Remotely Delivered Mental Health Care: Quality Improvement in the COVID-19 Pandemic

2020 ◽  
Vol 1 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Patrick Daigle ◽  
Abraham Rudnick
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Quality Improvement ◽  
Mental Health Care ◽  
Health Care Quality ◽  
Care Quality ◽  
Health Clinic ◽  
Quality Improvement Initiative ◽  
Service Users ◽  
Specialized Mental Health

This paper presents an organizational (ambulatory) case study of shifting mental health care from in-person to remote service delivery due to the current (COVID-19) pandemic as a rapid quality improvement initiative. Remotely delivered mental health care, particularly using synchronous video and phone, has been shown to be cost-effective, especially for rural service users. Our provincial specialized mental health clinic rapidly shifted to such remote delivery during the current pandemic. We report on processes and outputs of this rapid quality improvement initiative, which serves a purpose beyond pandemic circumstances, such as improving access to such specialized mental health care for rural and other service users at any time. In conclusion, shifting specialized mental health care from in-person to remotely delivered services as much as possible could be beneficial beyond the current pandemic. More research is needed to optimize the implementation of such a shift.

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