This study explored the changing views of key stakeholders (peer support workers, their co-workers, and service users) about peer support services in a non-Western community, using a longitudinal qualitative approach. Five trainee peer support workers (PSWs), 15 service users, and 14 co-workers were interviewed over a 12-month period, under the auspices of the Peer Support Workers Project (also known as the Mindset project) in Hong Kong. A total of 77 interviews were transcribed and thematic analyses were conducted across the participant groups at three different time points (training, work placements, and employment). During the initial implementation of the services, uncertainty about the role of the PSWs were reported. However, trusting and beneficial relationships with service users were gradually built, showing growing resilience and confidence over time. The participants realized that PSWs' experiences of mental illnesses were a unique asset that could help service users to alleviate their own somatic symptoms and improve their connections with others. Our findings highlight that the perceptions of peer support services changed from confusion to viewing PSWs as an asset, to an awareness of the importance of family support, and to the belief that implementing such a program will benefit both service users and PSWs.
This study evaluates the effectiveness of the strengths model of case management (SMCM) for people with severe mental illness in Hong Kong. This is the first controlled trial outside the United States to investigate the impacts of SMCM on caseworkers as well as service users alongside fidelity measures. Method: Service users and their caseworkers were recruited from three types of supported accommodation for this 12-month nonrandomized controlled trial. Mixed modeling was used to investigate within-subject differences. Results: Results indicated that SMCM was effective in helping users progress toward their recovery goals and in alleviating emotional exhaustion among caseworkers. However, it was ineffective in improving, hope, wellbeing, work alliance, and psychiatric symptoms. High intervention fidelity was associated with positive outcomes. Conclusions: Conceptually, SMCM has the potential to improve service users' functional but not personal recovery. It is also potentially conducive to the well-being of caseworkers.
Background The strengths model of case management (SMCM), which was developed by Rapp and Goscha through collaborative efforts at the University of Kansas, assists individuals with mental illness in their recovery by mobilizing individual and environmental resources. Increasing evidence has shown that the utilization of the SMCM improves outcomes, including increased employment/educational attainment, reduced hospitalization rates, higher self-efficacy, and hope. However, little is known about the processes through which the SMCM improves outcomes for mental health service users. This study explores the views of case workers and service users on their experience of providing or receiving the SMCM intervention. Methods A qualitative design was employed using individual interviews with service users and case workers drawn from two study conditions: the SMCM group and the control group (treatment as usual). For both study conditions, service users were recruited by either centres-in-charge or case workers from integrated community centres for mental wellness (ICCMWs) operated by three non-governmental organizations (NGOs) in different districts of Hong Kong. Through purposeful sampling, 24 service users and 14 case workers from the SMCM and control groups joined the study. We used an inductive approach to analyse the qualitative data. Results We identified two overarching themes: service users’ and case workers’ (1) perceptions of the impacts of the interventions (SMCM and control group) and (2) experiences of the interventions, such as features of the interventions and the factors that facilitated the outcomes. The results showed that there were improvements in the functional recovery of the SMCM group in areas such as employment and family relationships, how self-identified goals were achieved, and how service users gained a better understanding of their own strengths and weaknesses. Regarding their experience of the interventions, participants in both the SMCM group and the control group reported that a good relationship between service users and case workers was vital. However, some concerns were raised about the use of SMCM tools, including the strengths assessment and the personal recovery plan (PRP) and the risk of case workers being subjective in the presentation of cases in group supervision sessions. Conclusion The results were promising in terms of supporting the use of the SMCM, with some refinements, in mental health services for Chinese clients. Trial registration The Australian New Zealand Clinical Trials Registry (ANZCTR), ACTRN12617001435370, registered on 10/10/2017.
Adolescence is an important period in which an individual experiences significant changes in physical, mental and social aspects. When an adolescent with risk of having depression or anxiety disorder cannot derive appropriate treatment in an earlier stage, they may encounter a higher tendency to trigger onset of the problems in their adulthood. So the adolescent mental health is too important to neglect However, here in Macau, there is still no research investigating the issue of adolescent daily emotional problem. Therefore, this research will look into adolescent mental health in Macau, emotional problems and the relationship between thinking strategy and difficultyhandling strategy. This research uses DASS21 questionnaire, Cognitive Emotion Regulation Questionnaire (CERQ), and Pressure Manage Mode as investigation tools. 2780 pieces of questionnaires were sent out and 2766 questionnaires were successfully responded. The respondent rate is up to 99.5%. The research found that about 22% adolescent have serious anxiety symptoms. The more negative thinking strategies they adopted to face the challenges or dissatisfaction, the higher level of depression, anxiety and stress they suffered. Furthermore, the adolescent tend to avoid and neglect the problems when they undergo emotional problems.
Objectives: Strengths-based approaches to case management for people with mental illness have been widely used in Western countries. The aim of this study was to evaluate the effectiveness of Strengths Model Case Management (SMCM) among mental health clients in Hong Kong. Method: Two hundred and nine service clients were recruited from three Integrated Community Centres. Multiple measures related to recovery progress (e.g., Recovery Assessment Scale) were reported by both the clients and caseworkers before intervention and at 6 and12 months post-recruitment. Results and conclusion: Although there were no significant differences in improvement of most outcomes between the SMCM and control groups, the recovery scores of the SMCM group remained stable over time regardless of age, and also middle-aged participants (i.e., 40–59 years old) in the SMCM group achieved higher recovery scores over time than those in the control group. Trial registration number: Australian New Zealand Clinical Trials Registry (ACTRN) 12617001435370.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.