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Article
Publication date: 30 November 2012

Ruth O'Shaughnessy, Julia Nelki, Anna Chiumento, Amira Hassan and Atif Rahman

This paper aims to describe the evaluation of an innovative pilot mental health service for asylum seeking mothers and their babies in their first year of life, and to highlight…

Abstract

Purpose

This paper aims to describe the evaluation of an innovative pilot mental health service for asylum seeking mothers and their babies in their first year of life, and to highlight the challenges and possibilities when intervening with this group.

Design/methodology/approach

A mixed‐methods evaluation was designed based upon the participatory action research framework, viewing mothers and their infants as active participants in the research process. Evaluation comprised reflective infant‐led session evaluations, CARE Index video microanalysis, and reflective focus group discussions. CARE Index analysis was conducted by a trained Psychologist and an external coder to ensure reliability of findings. Focus group discussions were thematically analysed, and reflective infant‐led session evaluations scored for comparison.

Findings

Evaluation has highlighted the imperative of designing responsive service models able to adapt to cultural nuances and the realities of asylum seekers' lives. Qualitative data provide a rich narrative of the benefits of therapeutic interventions for this group, which are reaffirmed by CARE Index analysis and session evaluations.

Research limitations/implications

As a pilot service the numbers involved in this evaluation are small. Furthermore, a paucity of measurement tools validated in languages other than English forced reliance upon self‐designed tools such as the reflective infant‐led session evaluation designed to complement a “keeping the baby in mind” ethos of the intervention. This has been complemented by CARE Index analysis and qualitative focus group discussions. The combination of measurement instruments and data analysis tools provides a comprehensive indication of the impact of this pilot intervention.

Practical implications

The benefits and challenges of establishing an early‐intervention therapeutic service for refugee and asylum seeking women and their infants are detailed and reflected upon. It is hoped that by chronicling the experience and findings an evidence base is being built to support development of future innovative service models.

Social implications

Policy aspirations to meet the needs of refugee and asylum seeking women and their infants identify the need to provide rights‐based, humane and person‐centred services. The pilot model described here meets these aspirations and can be used as an adaptable and responsive model upon which other services can draw.

Originality/value

The paper provides a comprehensive service evaluation, highlighting key policy and practice implications to support the delivery of health and social care services targeting refugee and asylum seeking women and their infants.

Article
Publication date: 16 September 2011

Anna Chiumento, Julia Nelki, Carl Dutton and Georgina Hughes

Following a description of the Haven Project: a school based Child and Adolescent Mental Health Service (CAMHS) for refugee children in Liverpool, this paper aims to raise…

1475

Abstract

Purpose

Following a description of the Haven Project: a school based Child and Adolescent Mental Health Service (CAMHS) for refugee children in Liverpool, this paper aims to raise awareness of a multiagency model for replication across community mental health services.

Design/methodology/approach

Using semi‐structured interviews with school head teachers and outcome measures of group therapeutic sessions, a short service review has been conducted, set against background literature, identifying refugee statistics and highlighting mental health policy imperatives that advocate multi‐agency working.

Findings

The findings illustrate that refugee children are more likely and prefer to access a school based mental health service than a CAMH clinic. Links between schools and CAMHS facilitate mutual understanding of different agencies working in the interests of all children and, using outcome measures and quotes, the evidence indicates that the service achieves its aim: improvement in refugee children's mental health.

Research limitations/implications

Limitations to the findings are recognised in the small numbers presented, methodological restrictions, and the lack of routinely collated statistics on refugee populations.

Originality/value

Combining description and evaluation, this paper appraises service design and delivery methods to present an overview with policy and practice implications; addressing key mental health and public health policy priorities; and exemplifying multiagency collaboration between the health and education sector to meet the needs of an often invisible and neglected group: refugee children. It is anticipated this information will inform future service design, meeting policy priorities and the needs of service users as an accessible and responsive way to deliver CAMHS to vulnerable populations.

Details

Journal of Public Mental Health, vol. 10 no. 3
Type: Research Article
ISSN: 1746-5729

Keywords

Article
Publication date: 1 January 2014

Alex Avramenko

The purpose of this paper is to present results of an exploratory cross-cultural study aiming to examine the role and meaning of inspiration in organisational settings to advance…

1112

Abstract

Purpose

The purpose of this paper is to present results of an exploratory cross-cultural study aiming to examine the role and meaning of inspiration in organisational settings to advance the contemporary understanding of inspiration and its manifestations.

Design/methodology/approach

The study utilises Gadamerian philosophical hermeneutics to cultivate an understanding of the rationalisations of inspiration at work and to explore its conceptualisations to inform future research.

Findings

The findings strongly indicate that inspiration in its numerous manifestations is not confined to the domain of personal life and that it often occurs in organisational settings. There are no indications that inspiration is affected by the cultural belongingness of employees, rather it is found that attitudes towards inspiration differ among representatives of the different levels of the organisational hierarchy. A connection between motivation and inspiration is discussed and indication found that at the level of lay accounts the concepts are perceived to be both different and complementary.

Originality/value

The article presents a conceptualisation of inspiration in an organisational context to guide future research towards a more instrumental approach to recognising and utilising inspiration in contemporary management practice.

Details

Baltic Journal of Management, vol. 9 no. 1
Type: Research Article
ISSN: 1746-5265

Keywords

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