Recovery from Mental Illness: A Service User Perspective on Facilitators and Barriers

Petersen, Kristian Kjær; Friis, Vivi Soegaard; Haxholm, Birthe Lodahl; Nielsen, Claus Vinther; Wind, Gitte

doi:10.1007/s10597-014-9779-7

Cited by 23 publications

(25 citation statements)

References 37 publications

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“…Although the precise service models may differ, the variation in level of support is similar. For clients in Sweden and Denmark having a ‘nest’, and forming attachments with others and sharing experiences in supported housing, was akin to the desire for security and the supportive presence of others in our findings [35, 36]. In Australia, when support workers and managers of a floating outreach programme were interviewed about their perceptions of the service, joint effort and involvement to avoid deskilling and dependency was highlighted through the theme of balancing the provision of care with the promotion of autonomy.…”

Section: Discussionmentioning

confidence: 85%

Intentions and experiences of effective practice in mental health specific supported accommodation services: a qualitative interview study

Sandhu

Priebe

Leavey

et al. 2017

BMC Health Serv Res

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BackgroundDeinstitutionalisation in Europe has led to the development of community-based accommodation for people with mental health problems. The type, setting, and intensity of support provided vary and the costs are substantial. Yet, despite the large investment in these services, there is little clarity on their aims and outcomes or how they are regarded by staff and the clients.MethodsWe interviewed 30 staff and 30 clients from the three main types of supported accommodation in England (residential care, supported housing, floating outreach) to explore their perspectives on the purpose of these services, and the components of care considered most helpful. The interviews were coded and analysed using thematic analysis.ResultsThere were generally consistent understandings amongst clients and staff across service types on the goals and purposes of supported accommodation services as: building independence and confidence; supporting people with their mental health; and providing safety and stability. We also noted a competing theme of anxiety about the continuity of support when clients move on from a service. Themes on the experience of what aided effective practice centred on: the supportive presence of others; incremental steps to progress; working together to avoid deskilling and dependency; feeling known and personally understood; tailoring support for social and community engagement; and building confidence through encouragement.ConclusionsThe findings provide an understanding of the commonalities in service approach, and goals of clients in these services, as well as the facilitators of goal attainment. However, they also highlight a common tension between providing safe and supportive living environments, whilst also promoting independence and facilitating rehabilitative change.

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Section: Discussionmentioning

confidence: 85%

Intentions and experiences of effective practice in mental health specific supported accommodation services: a qualitative interview study

Sandhu

Priebe

Leavey

et al. 2017

BMC Health Serv Res

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“…Service users expressed needs for diverse forms of support, ranging from help with practical matters such as budgeting, medication management, development of daily living skills, providing information (Andersson, 2016;Kirkpatrick, Younger, & Links, 1995;McCrea & Spravka, 2008) and assistance in gaining employment (Forchuk, Nelson, et al, 2006;Forchuk, Ward-Griffin, et al, 2006;Kowlessar & Corbett, 2009) to less tangible support with organising activities, providing daily structure (Browne et al, 2008;Jervis, 2002;Johnson, 2001;Kirkpatrick & Byrne, 2009;Kowlessar & Corbett, 2009;Nelson et al, 2005;Piat et al, 2008;Yanos et al, 2004) and gaining independence (Bryant et al, 2005;Goering et al, 1992;Petersen, Friis, Haxholm, Nielsen, & Wind, 2015). Service users valued encouragement (Kirsh et al, 2009), and staff efforts to promote confidence and sense of hope.…”

Section: Supportmentioning

confidence: 99%

“…The category linking all elements of service users' experiences is "home." There was a strong and repeated emphasis on feeling at home in supported accommodation (Carpenter-Song et al, 2012;Dorvil et al, 2005;Granerud & Severinsson, 2003;Kirkpatrick & Byrne, 2009;Petersen et al, 2015) and the aspiration to create a "home" (Chesters et al, 2005;Kirkpatrick et al, 1995;Nelson et al, 1997). This was true for service users in both permanent and transitional settings.…”

Section: Supported Accommodation As "Home"mentioning

confidence: 99%

Service user experiences of specialist mental health supported accommodation: A systematic review of qualitative studies and narrative synthesis

Krotofil¹,

McPherson²,

Killaspy³

2018

Health Soc Care Community

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Specialist supported accommodation services have become a key component of most community-based mental healthcare systems. While mental health policies highlight the importance of service user involvement in service development and care planning, there are no comprehensive literature reviews synthesising services users' perspectives on, or experiences of, supported accommodation services. This systematic review was undertaken to fill this gap. We searched electronic databases (January 2015, updated June 2017), conducted hand searches and used forward-backward snowballing to identify 13,678 papers. We inspected the full-text of 110 papers and included 50 of these in the final review. Data extraction and quality assessments were conducted. We used narrative synthesis to develop a conceptual model of service users' experiences that included structural, process, relational and contextual factors, such as the characteristics of the service, relationships with staff and other service users, the intensity and nature of support, the physical environment, and social and community integration. The review highlights the complex interplay of individual, service-level and community factors in shaping the lived experience of service users and their impact on personal identity and recovery. Our approach addressed some of the widely reported limitations of the quantitative research in this field, providing a conceptual model relevant to service user experiences across supported accommodation service types, population groups and countries.

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“…In recent years, studies on depression of patients with diabetes have been actively proceeding [7] . Individuals with diabetes have been reported as having a higher prevalence of depression compared to those without the condition.…”

Section: Introductionmentioning

confidence: 99%

Depression among Korean Adults with Type 2 Diabetes Mellitus: Ansan-Community-Based Epidemiological Study

Park

Kim

Gil

et al. 2015

Osong Public Health and Research Perspectives

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ObjectivesThere are an increasing number of studies being carried out on depression in patients with diabetes. Individuals with diabetes have been reported as having a higher prevalence of depression compared to those without diabetes. However, only a few studies involving Korean patients have been conducted. The aims of this study were to examine the prevalence of depression and to find various risk factors according to the degree of depression among Korean patients with Type 2 diabetes mellitus (T2DM).MethodsAn Ansan-community-based epidemiological study was conducted from 2005 to 2012. The total number of participants in this study was 3,540, from which patients with diabetes (n = 753) have been selected. The presence of depression was evaluated using the Beck Depression Inventory total score.ResultsThe prevalence of depression was 28.8%. The mean age of participants was 55.5 ± 8.2 years. We divided the participants into three groups (without-depression, moderate-depression, and severe-depression groups) to examine the depression prevalence among Korean T2DM patients. The unemployed participants had 2.40 [95% confidence interval (CI) 1.21–4.76], the low-income participants had 2.57 (95% CI 1.52–4.35), the participants using an oral diabetes medicine or insulin had 2.03 (95% CI 1.25–3.32), the participants who are currently smoking had 2.03 (95% CI 1.10–3.73), and those without regular exercise had 1.91 (95% CI 1.17–3.14) times higher odds of depression in the severe-depression group, compared with the without-depression group.ConclusionThere was a significant association between depression prevalence and diabetes, and we found various risk factors according to the degree of depression in Korean patients with T2DM.

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Recovery from Mental Illness: A Service User Perspective on Facilitators and Barriers

Cited by 23 publications

References 37 publications

Intentions and experiences of effective practice in mental health specific supported accommodation services: a qualitative interview study

Intentions and experiences of effective practice in mental health specific supported accommodation services: a qualitative interview study

Service user experiences of specialist mental health supported accommodation: A systematic review of qualitative studies and narrative synthesis

Depression among Korean Adults with Type 2 Diabetes Mellitus: Ansan-Community-Based Epidemiological Study

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