Being understood, being respected: an evaluation of mental health service provision from service providers and users' perspectives in Birmingham, UK

Rabiee, Fatemeh; Smith, Philip E.

doi:10.1080/14623730.2013.824163

Cited by 10 publications

(69 citation statements)

References 24 publications

(23 reference statements)

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“…In studies examining understanding and experience of mental health services for BME populations in the United Kingdom, the most frequently mentioned causes of mental health illness were social stress, family problems, and the will of God (Hatfield, Mohamad, Rahim, & Tanweer, 1996; Rabiee & Smith, 2013), as well as the result of “bad thoughts,” lack of will power, and weakness in personality (Suan & Tyler, 1990).…”

Section: Bme Explanatory Models Of Health and Illnessmentioning

confidence: 99%

Black and Minority Ethnic Groups’ Perception and Experience of Early Intervention in Psychosis Services in the United Kingdom

Islam

Rabiee

Singh

2015

Journal of Cross-Cultural Psychology

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115

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In the United Kingdom, Black and minority ethnic (BME) service users experience adverse pathways into mental health care. Ethnic differences are evident even at first-episode psychosis; therefore, contributory factors must operate prior to first presentation to psychiatric services. This study examines the cultural appropriateness, accessibility, and acceptability of the Early Intervention (EI) for Psychosis Services in Birmingham (the United Kingdom) in improving the experience of care and outcomes for BME patients. Thirteen focus groups were conducted with EI service users (n = 22), carers (n = 11), community and voluntary sector organizations (n = 6), service commissioners (n = 10), EI professionals (n = 9), and spiritual care representatives (n = 8). Data were analyzed using a thematic approach and framework analysis. Findings suggest that service users and carers have multiple, competing, and contrasting explanatory models of illness. For many BME service users, help-seeking involves support from faith/spiritual healers, before seeking medical intervention. EI clinicians perceive that help-seeking from faith institutions in Asian service users might lead to treatment delays. The value of proactively including service user's religious and spiritual perspectives and experiences in the initial assessment and therapy is recognized. However, clinicians acknowledge that they have limited spiritual/religious or cultural awareness training. There is little collaborative working between mental health services and voluntary and community organizations to meet cultural, spiritual, and individual needs. Mental health services need to develop innovative collaborative models to deliver holistic and person-centered care.

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Section: Bme Explanatory Models Of Health and Illnessmentioning

confidence: 99%

Black and Minority Ethnic Groups’ Perception and Experience of Early Intervention in Psychosis Services in the United Kingdom

Islam

Rabiee

Singh

2015

Journal of Cross-Cultural Psychology

Self Cite

115

View full text Add to dashboard Cite

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“…4,31,[51][52][53][54][55][56] Included sources: 'second tier' studies Ten papers, reporting eight studies, met the inclusion criteria for the review but did not contain enough relevant data for synthesis. 20,34,39,[41][42][43][44]47,50,61 Table 3 contains a summary of the aims, sample characteristics and methods for these 10 papers.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…There were eight peer-reviewed journal articles reporting six primary studies 34,39,41,43,44,47,50,61 and two survey-based reports. 20,42 Eight papers reported research conducted in England and/or Wales, 20,34,[41][42][43][44]50,61 and two reported research conducted in Northern Ireland. 39,47 The papers by Campbell et al 39 and Manktelow et al 47 were based on survey data collected in 1998-9, in the context of the Mental Health (Northern Ireland) Order (1986).…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…Telephone and face-to-face interview and focus groups were used in five studies to capture experiences. 34,39,41,43,50 Survey methods with opportunities for free-text or open responses were used on their own in three studies 20,42,61 and used in conjunction with interviews by Campbell et al 39 The views of service users were captured in seven studies, 20,34,39,[41][42][43][44]47,50 including two focusing on the experiences of black and minority ethnic service users. 41,50 Appointed NR or NPs were specifically sampled only in the study by Banks et al 34 Other family members or carers (i.e.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…not necessarily in any formal statutory role) contributed views in five studies. 20,39,42,43,50 Mental health professionals, including AMHPs and ASWs, were sampled in six studies. 20,34,39,42,50,61 Eligible sources retrieved late…”

Section: Description Of Included Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Experiences of the ‘Nearest Relative’ provisions in the compulsory detention of people under the Mental Health Act: a rapid systematic review

Shaw

Nunns

Briscoe

et al. 2018

Health Serv Deliv Res

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BackgroundService users detained for assessment and/or treatment under the Mental Health Act 1983 (MHA 1983) are allocated a ‘Nearest Relative’ (NR). The NR has access to confidential information about the service user and can make decisions about their care and treatment. Tensions exist regarding the identification, displacement and powers of the NR.ObjectivesTo examine the experiences of service users, carers and relevant professionals of the NR provisions of the MHA 1983, and the equivalent Named Person (NP) provisions in Scotland. Five research objectives were defined: understanding the experiences of and issues associated with (1) the identification of the NR, (2) the displacement of the NR, (3) confidentiality and information-sharing, (4) access to support from carers and (5) making decisions about treatment or care.Data sourcesSeven bibliographic databases were searched: MEDLINE (via Ovid), MEDLINE In-Process & Other Non-Indexed Citations (via Ovid), PsycINFO (via Ovid), Social Policy and Practice (via Ovid), Health Management Information Consortium (via Ovid), Cumulative Index to Nursing and Allied Health Literature (via EBSCOhost) and Applied Social Sciences Index and Abstracts (via ProQuest). Citation searching, author contact and grey literature searches were conducted.Review methodsA rapid systematic review was conducted in 6 weeks. Evidence published after 1998 from the UK pertaining to the experiences of those involved in compulsory detention under the MHA 1983 (or UK variants), including service users, carers, family members, NRs, NPs, mental health professionals, policy-makers and lawyers, was sought. Study selection, data extraction and critical appraisal were completed independently by two reviewers. We looked for data about experiences, which were obtained through qualitative means or surveys. Included studies containing several paragraphs of participant quotations and/or author interpretations were entered into a framework synthesis; the rest were summarised descriptively. The framework synthesis was based on the five research objectives and refined using the findings of key studies from England and Scotland and an inductive thematic analysis.ResultsTwenty studies were included with 12 prioritised for framework synthesis. Four themes emerged: (1) issues regarding the identification of the NR/NP, (2) confidentiality and information-sharing, (3) enabling the use of the NR/NP role and (4) the importance of maintaining relationships. The involvement of service users in choosing their representative and the role of services in supporting the NR/NP was identified as important.LimitationsThere is little recent evidence to inform this important and complex discussion. The review was rigorously conducted despite the short time scale; however, a more in-depth, iterative thematic analysis of all the included studies may have provided additional insights into the mechanisms underpinning the issues.ConclusionsThe NR provisions of the MHA 1983 are complex and of significant importance to individuals detained under the Mental Health Act and their carers. This rapid review provides specific examples of issues that individuals may experience. More research is needed to aid understanding of this complex topic.Future workPrimary research specifically focused on the perceived and actual use and impact of the NR provisions in England and Scotland.Study registrationThis study is registered as PROSPERO CRD42018088237.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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A “Rapid Best‐Fit” model for framework synthesis: Using research objectives to structure analysis within a rapid review of qualitative evidence

Shaw

Nunns

Briscoe

et al. 2020

Research Synthesis Methods

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The short time frame associated with rapid reviews can be challenging for researchers conducting qualitative evidence synthesis. In these circumstances a Best‐Fit Framework Synthesis, drawing upon existing theory and/or research, may be conducted to rapidly make sense of qualitative evidence. This article discusses a “Rapid Best‐Fit” approach to conducting Framework Synthesis within an 6‐week rapid systematic review of qualitative evidence. In the absence of a suitable theoretical model to inform the synthesis, we drew upon our research objectives to structure a framework, and to identify the studies which contained the most relevant data. Themes from these studies were used to revise the initial framework before inductive thematic synthesis finalized theme content. This “Rapid Best‐Fit” approach yielded results aligned with the needs of the commissioners of the review and is a useful addition to qualitative synthesis methods, allowing for the incorporation of diverse views and experiences into fast‐paced decision making scenarios.

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Being understood, being respected: an evaluation of mental health service provision from service providers and users' perspectives in Birmingham, UK

Cited by 10 publications

References 24 publications

Black and Minority Ethnic Groups’ Perception and Experience of Early Intervention in Psychosis Services in the United Kingdom

Black and Minority Ethnic Groups’ Perception and Experience of Early Intervention in Psychosis Services in the United Kingdom

Experiences of the ‘Nearest Relative’ provisions in the compulsory detention of people under the Mental Health Act: a rapid systematic review

A “Rapid Best‐Fit” model for framework synthesis: Using research objectives to structure analysis within a rapid review of qualitative evidence

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