Educating for critical social work practice in mental health

Morley, Christine; Stenhouse, Kate

doi:10.4324/9781003270157-6

Cited by 2 publications

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“…Excluding the aphasic post‐stroke population from research could be due to (a) the societal belief that disabilities reduce mental capacity, (b) a lack of knowledge from researchers regarding how to communicate with this cohort effectively and (c) the effects of unaddressed mental health outcomes (Carota et al., 2016; McLean et al., 2019; Ryan et al., 2019). Furthermore, excluding this population could also be attributed to medical models that commonly dominate mental health intervention (Morley & Stenhouse, 2020; Tew, 2013). Omitting aphasic patients from stroke research means that findings are likely to be significantly underestimated and non‐representative of the total stroke population (Franklin et al., 2018).…”

Section: Resultsmentioning

confidence: 99%

Voicing the perspectives of stroke survivors with aphasia: A rapid evidence review of post‐stroke mental health, screening practices and lived experiences

Kristo

Mowll

2021

Health Social Care Comm

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A rapid evidence review (RER) of empirical literature was conducted to explore aphasic stroke survivors' mental health outcomes and lived experiences, as well as the screening instruments for this cohort. The RER was informed by a critical disability theory approach and synthesised qualitative and quantitative evidence within and across 29 studies, published between 2000 and 2021, from a systematic search of three databases. Understanding the relationship between post-stroke aphasia and mental health outcomes is essential for developing comprehensive treatment strategies and designing appropriate long-term care. Available screening instruments currently only detect depression and anxiety, which are then used to detect further mental health issues.The RER revealed that the current screening instruments demonstrate reliability; however, research remains limited regarding their validity. Furthermore, limited studies include aphasic patients as participants and decision-makers in stroke research.Methodological limitations across studies include comparators and small sample sizes.Importantly, across the studies, there is a lack of representation of culturally diverse and minority participants. Overall, the RER results found a high prevalence of aphasic stroke survivors experiencing depression and other mental health outcomes, indicating that implementing mood screening in a timely manner is essential. In addition, the results support that psychological care pathways must be developed and evaluated in consultation with aphasic patients' and carers' lived experiences to identify stepped levels of care and establish appropriate screening instruments. Furthermore, the health system requires consistency, which would ideally be achieved by establishing staff roles and responsibilities regarding mood screening and supportive care in these psychological care pathways. Including mental health specialists such as social workers and establishing specialist training in the multidisciplinary team would support this endeavour. There is a need for further research regarding mood screening instruments, a diversity of aphasic stroke survivors' lived experiences and the clinical expertise of those providing psychological support.

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Section: Resultsmentioning

confidence: 99%

Voicing the perspectives of stroke survivors with aphasia: A rapid evidence review of post‐stroke mental health, screening practices and lived experiences

Kristo

Mowll

2021

Health Social Care Comm

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“…Despite its prominence, the biomedical paradigm has been critiqued for concealing the links between adversity and distress, for overstating the role of biological processes in experiences of distress, and for constructing artificial boundaries between psychological “normality” and “abnormality” (Allsopp et al, 2019). Biomedical and diagnostic understandings also lead to very narrow interventions – primarily medication, and therapy focused upon individual behavioural changes – thus foreclosing opportunities to address the social drivers of emotional suffering (Morley & Stenhouse, 2021). In this paper, we follow other critical mental health theorists who use the term “distress” rather than “mental illness,” as a way of questioning a narrow and oppressive framing of emotional suffering as merely a biological process.…”

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confidence: 99%

“My Voice Was Discounted the Whole Way Through”: A Gendered Analysis of Women’s Experiences of Involuntary Mental Health Treatment

Tseris

Hart

Franks

2022

Affilia

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Although it is well established that women experience significant gendered oppressions when accessing mental health services, research exploring the impacts of involuntary mental health services is frequently conducted without attending specifically to gender. This article reports on a qualitative study that explored women's experiences of compulsory mental health treatment in Australia. In-depth interviews revealed substantial gendered harms experienced by women within involuntary mental health treatment settings. Themes identified were: involuntary treatment replicates the dynamics and tactics of gendered violence; treatment involves profound deprivation and losses, with potential implications across the lifecourse; mental health services disrupt and undermine mothering; and recovery is found outside of coercive mental health systems. The study reveals the heightened harms experienced by women within involuntary mental health contexts, as well as women's strategic resistances to psychiatric oppression. It demonstrates the relevance of a conceptual lens that is attuned to gender, in order to develop a deeper understanding of women's experiences of intersecting oppressions within involuntary mental health settings. Implications include the need for alliance-building across feminist and critical mental health movements, and the need for a much more robust engagement by the social work profession in challenging the widespread acceptance of involuntary mental health treatment.

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Educating for critical social work practice in mental health

Cited by 2 publications

References 0 publications

Voicing the perspectives of stroke survivors with aphasia: A rapid evidence review of post‐stroke mental health, screening practices and lived experiences

Voicing the perspectives of stroke survivors with aphasia: A rapid evidence review of post‐stroke mental health, screening practices and lived experiences

“My Voice Was Discounted the Whole Way Through”: A Gendered Analysis of Women’s Experiences of Involuntary Mental Health Treatment

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