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Article
Publication date: 1 August 2003

Jane Wells, Jane Barlow and Sarah Stewart‐Brown

Reviews previous studies of the universal approach to mental health promotion, and disease prevention programmes or interventions in schools. Over 8,000 publications were…

14138

Abstract

Reviews previous studies of the universal approach to mental health promotion, and disease prevention programmes or interventions in schools. Over 8,000 publications were identified initially and 425 studies obtained for further review. The inclusion criteria were met by 17 (mostly US) studies investigating 16 interventions. Positive evidence of effectiveness was obtained for programmes that adopted a whole‐school approach, were implemented continuously for more than a year, and were aimed at the promotion of mental health as opposed to the prevention of mental illness. Provides evidence that universal school mental health promotion programmes can be effective and suggests that long‐term interventions promoting the positive mental health of all pupils and involving changes to the school climate are likely to be more successful than brief class‐based mental illness prevention programmes.

Details

Health Education, vol. 103 no. 4
Type: Research Article
ISSN: 0965-4283

Keywords

Content available
Article
Publication date: 25 May 2023

Hannah Lester, Yana Ryakhovskaya and Titus S. Olorunnisola

Resilience is an increasingly important concept that contributes to sustainability and wellbeing of a community. Asset-based community development (ABCD) may offer promising…

Abstract

Purpose

Resilience is an increasingly important concept that contributes to sustainability and wellbeing of a community. Asset-based community development (ABCD) may offer promising approaches to boosting community resilience in Australia, especially within marginalised groups.

Design/methodology/approach

A scoping review was conducted to conceptualise existing literature on ABCD approaches to building resilience. Research databases were searched with relevant details.

Findings

Thirty-three sources were identified as meeting the inclusion criteria and were reviewed in terms of six themes: integration and identity, health, mental health, education, employment and community planning. Issues identified by the literature within these themes can be alleviated through asset-based approaches. Implications for planning of asset-based programs and policy change are discussed in light of the findings.

Practical implications

The results of this study provide several implications for practise, policy recommendations and future research into this area. Results suggest that increasing capacity around asset-based coping mechanisms, such as support networks through religious and cultural groups, would promote community development and foster resilience. Furthermore, policy on refugees in multiple areas, such as psychological service provision and employment, should be redesigned in a way that acknowledges their complex and diverse needs and facilitates their integration into the community. Though multiple ways to achieve this goal have been explored in literature, a sustained and broader approach is necessary to see widespread change. Further research and funding are required to explore and implement appropriate responses. Based on the findings and discussion above, the authors make the following policy recommendations. Service providers need to be aware of and incorporate culturally appropriate programs in the areas of mental health assessment and intervention, education and employment. The trauma-informed approach should be used when dealing with refugee groups and other groups who have faced hardships. Government policy should focus on improving community engagement to create and strengthen social networks, which are vital in boosting integration into the community and increasing health education and access to services. Government should focus on asset-based approaches in designing education and employment integration programs to promote social belonging and community engagement, and thus, community resilience, which will consequently have beneficial individual and group outcomes. The current governmental policy surrounding refugees should be overhauled with the goal of successful refugee integration in mind, such as incorporating the ability for refugees to access vital services such as employment and skills transferability programs. Due to current policy, these services are inaccessible to a large portion of refugees, hindering their integration. Government needs to create specific guidelines for the provision of psychological services to refugees to improve the quality of mental health services available to this group.

Originality/value

This paper comprises an original data analysis of the relevant existing literature by the project team. The process was rigorous, and no content of the analysis has been published previously except the material published by other authors. All previously published materials were duly acknowledged.

Details

International Journal of Migration, Health and Social Care, vol. 19 no. 2
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 1 September 2006

Heather Straughan and Michael Buckenham

This paper reports outcomes from a holistic, recovery‐based, user‐led group training for people with DSM‐IV bipolar disorder. Drawn from professional therapies and personal…

Abstract

This paper reports outcomes from a holistic, recovery‐based, user‐led group training for people with DSM‐IV bipolar disorder. Drawn from professional therapies and personal experience of the illness by the user‐researcher, the training was delivered over 12 weekly sessions. Using a case‐study approach, an experimental design incorporated pilot (eight participants), main study (five) and control groups (six). Self‐report scales measured mood, coping, empowerment and quality of life pre‐, post‐ and six months post‐training. Semi‐structured interviews noted individual change within the same time frame. Interviews with mental health professionals, medical note analysis and user‐researcher observations also informed the study. Findings from self‐report questionnaires indicated that participants experienced improved mood stability, symptom severity, coping and quality of life and greater empowerment. Out of the six controls, two indicated slight but slow recovery, four continued to use poor coping skills, and two of these four experienced major relapses.

Details

Journal of Public Mental Health, vol. 5 no. 3
Type: Research Article
ISSN: 1746-5729

Keywords

Article
Publication date: 11 August 2023

Brandon A. Knettel, Anna Oliver-Steinberg, M.J. Lee, Hillary Rubesin, Naomi N. Duke, Emily Esmaili and Eve Puffer

The refugee journey is fraught with challenges before, during and after resettlement. There is a critical need for mental health support upon arrival, and refugees face language…

Abstract

Purpose

The refugee journey is fraught with challenges before, during and after resettlement. There is a critical need for mental health support upon arrival, and refugees face language, cultural and logistical barriers. Arts-based therapies are a promising approach to mitigating such barriers. The purpose of this study was to elicit professional stakeholder perspectives on mental health challenges among refugees, the value of arts-based programs and future directions.

Design/methodology/approach

The authors conducted three 90-min focus groups with 19 professional stakeholders in North Carolina, USA. This included mental health professionals, professors and community services/resettlement workers. Participants were identified from professional networks and snowball sampling. Each group was held by videoconference, audio recorded and transcribed. Data were analyzed through a team-based approach using applied thematic qualitative analysis.

Findings

Interviewees described a need for targeted, culturally compatible mental health services for refugee families, including trauma-informed, family-focused services with language interpretation. Arts-based therapies were viewed as highly acceptable and culturally responsive approaches for understanding distress and building resilience and less stigmatizing than traditional mental health services. Services in schools and community settings would further reduce stigma and minimize logistical barriers. Participants identified needing strong, culturally sensitive assessment tools to measure treatment progress as a key future direction.

Originality/value

The study offers novel insights into the value of arts-based approaches and considerations for program development. The next phase of the project will obtain the perspectives of refugee parents and children to understand client preferences for arts-based therapies.

Details

International Journal of Migration, Health and Social Care, vol. 19 no. 3/4
Type: Research Article
ISSN: 1747-9894

Keywords

Open Access
Article
Publication date: 10 May 2024

Susanna Mills, Eileen Kaner, Sheena Ramsay and Iain McKinnon

Obesity and associated morbidity and mortality are major challenges for people with severe mental illness, particularly in secure (forensic) mental health care (patients who have…

Abstract

Purpose

Obesity and associated morbidity and mortality are major challenges for people with severe mental illness, particularly in secure (forensic) mental health care (patients who have committed a crime or have threatening behaviour). This study aims to explore experiences of weight management in secure mental health settings.

Design/methodology/approach

This study used a mixed-methods approach, involving thematic analysis. A survey was delivered to secure mental health-care staff in a National Health Service (NHS) mental health trust in Northern England. Focus groups were conducted with current and former patients, carers and staff in the same trust and semi-structured interviews were undertaken with staff in a second NHS mental health trust.

Findings

The survey received 79 responses and nine focus groups and 11 interviews were undertaken. Two overarching topics were identified: the contrasting perspectives expressed by different stakeholder groups, and the importance of a whole system approach. In addition, seven themes were highlighted, namely: medication, sedentary behaviour, patient motivation, catered food and alternatives, role of staff, and service delivery.

Practical implications

Secure care delivers a potentially “obesogenic environment", conducive to excessive weight gain. In future, complex interventions engaging wide-ranging stakeholders are likely to be needed, with linked longitudinal studies to evaluate feasibility and impact.

Originality/value

To the best of the authors’ knowledge, this is the first study to involve current patients, former patients, carers and multidisciplinary staff across two large NHS trusts, in a mixed-methods approach investigating weight management in secure mental health services. People with lived experience of secure services are under-represented in research and their contribution is therefore of particular importance.

Details

The Journal of Forensic Practice, vol. 26 no. 2
Type: Research Article
ISSN: 2050-8794

Keywords

Open Access
Article
Publication date: 11 September 2021

Jude Stansfield, Nick Cavill, Louise Marshall, Claire Robson and Harry Rutter

This paper aims to use systems mapping as a tool to develop an organisation-wide approach to public mental health to inform strategic direction within a national public health…

4031

Abstract

Purpose

This paper aims to use systems mapping as a tool to develop an organisation-wide approach to public mental health to inform strategic direction within a national public health agency.

Design/methodology/approach

Two workshops were facilitated with internal staff from a wide range of public health policy teams working in small groups to produce paper-based maps. These were collated and refined by the project team and digitised.

Findings

The approach engaged a range of teams in forming a shared understanding and producing a complex system map of the influences on population mental health and well-being, where current policy initiatives were addressing them and what the gaps and priorities were. Participants valued the approach which led to further study and organisational commitment to the whole system working as part of national public mental health strategy.

Research limitations/implications

The approach was limited to internal stakeholders and wider engagement with other sectors and community members would help further the application of complex system approaches to public mental health.

Originality/value

It was a valuable process for developing a whole-organisation approach and stimulating thinking and practice in complex system approaches. The paper provides a practical example of how to apply systems mapping and its benefits for organising public mental health practice.

Details

Journal of Public Mental Health, vol. 20 no. 4
Type: Research Article
ISSN: 1746-5729

Keywords

Article
Publication date: 2 November 2015

Mirika Flegg, Maggie Gordon-Walker and Shona Maguire

The purpose of this paper is to report the findings of a third-sector community review into peer-to-peer best practices in mental health service provision in Sussex. This…

Abstract

Purpose

The purpose of this paper is to report the findings of a third-sector community review into peer-to-peer best practices in mental health service provision in Sussex. This community initiative was funded by the Big Lottery to explore the benefits of the peer-led approach on individual and public health outcomes and identify avenues for partnership working.

Design/methodology/approach

A total of 131 participants who had engaged with peer-to-peer services both as receivers and providers of support were invited to share knowledge and best-practice expertise via a survey, focus groups and a public consultation day.

Findings

This case study review suggests peer-to-peer support services as an innovative approach to reducing suicide, self-harm, reliance on public health services (GPs, hospital stays, etc.) and engaging with drugs, alcohol and criminal activity. In addition to offering a holistic and social approach to mental health, it further identifies that engagement in peer-to-peer activities potentially provide long-term benefits by reducing the stigma associated with mental health conditions and treatment. This review highlights the importance of third-sector groups in providing peer-to-peer mental health support services. It recommends a network of Peer-to-Peer services to share best practices and improve partnership working.

Originality/value

Conducted by and for people with personal or family experiences with mental health challenges, this review captures the often inaccessible ideas of a highly marginalised group. It communicates how they would prefer to work in partnership with academic institutions, public and statutory service to improve individual and community health outcomes.

Details

The Journal of Mental Health Training, Education and Practice, vol. 10 no. 5
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 23 August 2023

Khaled Nasri, Mohamed Anis Ben Abdallah and Fethi Amri

This study aims to investigate the impact of job loss on the mental health of individuals in Tunisia during the COVID-19 crisis.

Abstract

Purpose

This study aims to investigate the impact of job loss on the mental health of individuals in Tunisia during the COVID-19 crisis.

Design/methodology/approach

In this research, the authors use the counterfactual decomposition technique and the potential outcome approach. In the first part, the authors calculated mental health indicators for all individuals included in the sample based on the World Health Organization-5 items. The individuals were then grouped into two subpopulations: the first group included those who had lost their jobs and the second group included individuals whose status in the labor market had remained unchanged. In the second part, the authors used the Blinder and Oaxaca decomposition to explain the mean difference in the mental health scores between the two groups and determine the factors contributing to this difference.

Findings

The empirical results identified symptoms of depressed mood, decreased energy and loss of interest in several individuals. Based on these three symptoms, the authors were able to classify individuals into three types of depression: mild, moderate and severe. In addition, it appeared that job loss had significantly contributed to the worsening mental health of the individuals.

Originality/value

Although the psychological impact of the COVID-19 outbreak among health-care professionals has been the subject of other studies in health literature on Tunisia, to the best of the authors’ knowledge, no research has addressed the impact of job loss on the mental health of Tunisian workers. Thus, this study fills this gap in the literature.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 16 September 2013

Benjamin Gray, John Larsen and Alison Faulkner

The physical health needs of people with mental health problems are currently under addressed and often ignored, both in training and in practice. The PRIMROSE trial intervention…

Abstract

Purpose

The physical health needs of people with mental health problems are currently under addressed and often ignored, both in training and in practice. The PRIMROSE trial intervention was designed to remedy that – focusing in particular on risk of cardiovascular disease (CVD). This paper describes how people with experience of using mental health services and carers contributed to the development of the PRIMROSE intervention. It draws out key messages for educators, researchers and practitioners.

Design/methodology/approach

Using a case study approach the paper outlines how a Third sector organisation supported the study team in setting up a Lived Experience Advisory Panel (LEAP), drawing on a pre-existing model and recent thinking about service user and carer involvement in research. It is described how the approach sought to engage wider involvement of people with an interest in CVD while also offering more focused input into specifically the development of the trial intervention.

Findings –

An innovative approach was taken whereby a large LEAP, comprising 27 service users and carers, was supporting the development of the study mainly through e-mail and web updates and feedback, while a sub-group of the LEAP, with eight members, met three times and had a focus on inputting ideas into the development of the intervention. The creation of a LEAP proved helpful to the project, resulting in an enhanced and more relevant intervention – summed up in a series of eleven recommendations. Appointment of an independent chair of the sub-group proved invaluable and there is learning from this project for other similar initiatives.

Originality/value

This study has value for others who are developing practice interventions. A range of suggestions were made which will have relevance for training, ensuring that physical health issues are not ignored. There is much to learn too from the process of this project, for the involvement of service users and carers in research, education and in practice development.

Details

The Journal of Mental Health Training, Education and Practice, vol. 8 no. 3
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 2 February 2023

Andrés Felipe Agudelo Hernández and Ana Belén Giraldo Alvarez

The purpose of this paper is to understand the functioning of a mutual aid group for mental health in rural area and analyze their own strategies for the recovery of mental…

Abstract

Purpose

The purpose of this paper is to understand the functioning of a mutual aid group for mental health in rural area and analyze their own strategies for the recovery of mental health, especially those focused on cooperation, social innovation and the strengthening of their own culture through coffee.

Design/methodology/approach

The qualitative approach was addressed through the thematic analysis, method to identify, analyze and report patterns within the data. For the selection of participants, the members of a mutual aid group called “Cooperativa de Mujeres' was selected. This group functions as an autonomous business organization in Risaralda, Colombia. They have accompanied people diagnosed with anxiety, depression and domestic violence. Six women were interviewed, between the ages of 18 and 62.

Findings

Two thematic nuclei are described: “One for all” made up of categories such as identification with the other, need for the other, being able to communicate, contributing to the group involuntarily and actions to help others. “All for one”, made up of categories such as growing together, welcoming individuals in their individuality from group dynamics, strengthening the relationship of the person with reality, strengthen from the experiences of others.

Research limitations/implications

Mutual Aid Groups in mental health propose associative structures that they seek to oppose the barriers of historical exclusion in the labor field and in this way contribute to the fact that the models, although they have a long history, have been little studied with a view to their implementation by health systems.

Practical implications

Current research in the field of health should focus on recognizing the flaws of the current mental health model focused on medicalization, psychologization and institutionalization, and point to a greater commitment to intersectoral support for initiatives and scenarios that promote links, networks, autonomy and care for each other and the environment, where sustainability and social and economic growth are fundamental.

Social implications

The transformative actions of cooperatives are configured with a fundamental element when it comes to generating spaces for the rehabilitation of mental health.

Originality/value

Components of a mutual aid group in rural areas are explored, which could serve to replicate said structures in similar scenarios, especially in territories where social inequities make recovery difficult, such as Colombia.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

1 – 10 of over 44000