| 1. |
- Blomdahl, Christina, et al.
(författare)
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Art therapy for patients with depression: expert opinions on its main aspects for clinical practice
- 2016
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 25:6, s. 527-535
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Tidskriftsartikel (refereegranskat)abstract
- Background: Art therapy is based mainly on clinical experience and is rarely described and evaluated scientifically. There is a need for further exploration of its use in patients with depression. Aim: The aim of this study was to explore what experts consider to be the main aspects of art therapy in clinical practice for patients with depression. Method: Eighteen occupational therapists experienced and educated in art therapy participated. The experts answered three rounds of Delphi questionnaires and ranked their agreement with 74 assertions. Consensus was defined as 70% or higher. Results: The experts agreed more on assertions about theoretical frames of reference than about clinical practice. The main aspects of art therapy were agreed to be the patients’ opportunity to express themselves verbally and through making art. It was equally important that art tasks provided an opportunity to address depressive thoughts, feelings, life experiences, and physical symptoms. Conclusions: Experts in the field of art therapy considered that the main aspect of clinical practice in art therapy for patients with depression is that art themes should promote expression related to both to depression and personal history.
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| 2. |
- Brännlund, Annica, et al.
(författare)
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Mental-health and educational achievement : The link between poor mental-health and upper secondary school completion and grades
- 2017
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Ingår i: Journal of Mental Health. - : Taylor & Francis Group. - 0963-8237 .- 1360-0567. ; 26:4, s. 318-325
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Tidskriftsartikel (refereegranskat)abstract
- Background: Education profoundly affects adult socioeconomic status, so it is important to ensure that all children have the capability and opportunity to achieve educational goals.Aims: The study aimed to examine the relationship between mental-health during adolescence and upper secondary school completion and grades, which has received comparatively little research attention to date.Method: Longitudinal administrative and registered data were used to analyse the relationship between school achievement and prescriptions of psycholeptic and psycho-analeptic drugs. The sample consisted of all children born in Sweden in 1990 (n=109223), who were followed from birth to age 20. Logistic and OLS regressions were performed separately for boys and girls, controlling for birth health and family characteristics.Results: A negative relationship between mental-health problems and educational outcomes was found; this result was almost independent of the controls. Only minor differences between the sexes were detected.Conclusions: Poor mental-health during childhood correlated negatively with educational attainment. Given the strong link between educational success and adult life, more resources are needed to support children with mental-health problems.
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| 3. |
- Eberhard, Sophia, et al.
(författare)
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Hazardous alcohol use in general psychiatric outpatients.
- 2015
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 1360-0567 .- 0963-8237. ; 24:3, s. 162-167
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Tidskriftsartikel (refereegranskat)abstract
- Hazardous alcohol use in psychiatric patients may increase the risk of the development of a substance use disorder and negatively affect the course of the psychiatric disorder.
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| 4. |
- Farahani, Mohammad-Naghy, et al.
(författare)
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The relations between conscientiousness and mental health in a North-European and a West-Asian culture
- 2019
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Ingår i: Journal of Mental Health. - : Taylor & Francis. - 0963-8237 .- 1360-0567. ; 28:2, s. 112-118
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The relationship between conscientiousness, mental health and mental illness has been an issue for the last two decades.AIMS: By using a dual model of mental health, the present study examined a non-linear relationship between conscientiousness and healthy or non-healthy symptoms in two different cultures.METHOD: Participants in this study were 296 Iranian and 310 Swedish university students (18-24 years of age). We used two different conscientiousness scales; the 12-item conscientiousness subscale of the NEO/FFI as an imported (etic) scale, and a 10-item Iranian conscientiousness scale as an indigenous (emic) and culture-dependent scale.RESULTS: In both conscientiousness scales, multivariate analysis of variance showed that conscientiousness differentiated among four mental health groups (languishing, troubled, symptomatic and flourishing), although languishing and troubled individuals were less conscientious than flourishing and symptomatic individuals. Furthermore, the non-healthy symptomatic individuals were more conscientiousness than flourishing individuals. The results showed no significant differences between the two cultures in terms of the four mental health categories.CONCLUSIONS: It was concluded that the relationship between conscientiousness and mental health/mental illness is more a non-linear relationship than a linear one.
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| 5. |
- Lexén, Annika, et al.
(författare)
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Mental health professional experiences of the flexible assertive community treatment model : a grounded theory study
- 2016
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 25:4, s. 379-384
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Tidskriftsartikel (refereegranskat)abstract
- Background: Despite the lack of evidence for effectiveness of the Flexible Assertive Community Treatment (Flexible ACT), the model is considered feasible and is well received by mental health professionals. No current studies have adequately examined mental health professional experiences of working with Flexible ACT. Aims: The aim of this study was to explore mental health professional experiences of working with the Flexible ACT model compared with standard care. Method: The study was guided by grounded theory and based on the interviews with 19 theoretically chosen mental health professionals in Swedish urban areas primarily working with consumers with psychosis, who had worked with the Flexible ACT model for at least 6 months. Results: The analysis resulted in the core category: “Flexible ACT and the shared caseload create a common action space” and three main categories: (1) “Flexible ACT fills the need for a systematic approach to crisis intervention”; (2) “Flexible ACT has advantages in the psychosocial working environment”; and (3) “Flexible ACT increases the quality of care”. Conclusions: Mental health professionals may benefit from working with the Flexible ACT model through decreased job-strain and stress, increased feeling of being in control over their work situation, and experiences of providing higher quality of care.
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| 6. |
- Ljungberg, Amanda, et al.
(författare)
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Non-helpful relationships with professionals : aliterature review of the perspective of persons with severe mental illness
- 2016
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 25:3, s. 267-277
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Forskningsöversikt (refereegranskat)abstract
- Background: The relationship with professionals has proved to be important with regard to outcome for persons with severe mental illness (SMI). The understanding of non-helpful relationships is important complementary knowledge to that regarding helpful relationships.Aim: To review the available qualitative research providing knowledge of non-helpful relationships from the perspective of persons with SMI.Method: A review of qualitative studies, based on an earlier systematic search, analyzed through thematic analysis.Results: The main themes were non-helpful professionals, organization versus relation and the consequences of non-helpful relationships with professionals. Examples of professionals described as non-helpful were pessimistic and uncaring professionals who were paternalistic and disrespectful. Discontinuity, insufficient time and coercion were some of the contextual factors described as non-helpful. These sorts of relationships were non-helpful because they hindered helpful relationships from developing and contributed to further suffering, instilling hopelessness and hindering personal growth.Conclusions: Non-helpful relationships with professionals can be understood as impersonal relationships that contain no space for negotiation of the relationship nor of the support and treatment provided through it. It is important that organizations provide professionals with favorable conditions to negotiate the organizational framework and to treat persons with SMI as whole human beings.
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| 7. |
- Markström, Urban, 1969-, et al.
(författare)
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What influences a sustainable implementation of evidence-based interventions in community mental health services? : development and pilot testing of a tool for mapping core components
- 2018
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Ingår i: Journal of Mental Health. - : Routledge. - 0963-8237 .- 1360-0567. ; , s. 395-401
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Tidskriftsartikel (refereegranskat)abstract
- Background: An important aspect of research regarding the implementation of evidence-based practice is the sustainability and long-term stability of a programme. There is a need to measure these critical components for establishing successful programmes.Aim: The aim was to develop and pilot test the sustainable implementation scale (SIS) for measuring the critical components in the sustainable implementation of community mental health services.Method: The scale was based on implementation research and consisted of three subscales regarding (1) the organisational level, (2) the team level and (3) continuous support. Data from interviews and documents were collected from 14 programmes implementing the Individual Placement and Support model of supported employment.Results: Internal consistency was acceptable for all subscales and for the scale as a whole. Regarding the scale, an analysis of the differences between fully established programmes and the programmes that were not established or were or only partially established after three years showed statistically significant differences, indicating that a greater number of implementation components were present in the fully established programmes.Conclusions: SIS showed both good reliability and acceptable internal consistency as well as the ability to predict programme survival.
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| 8. |
- Oliveira, Sandra E. H., et al.
(författare)
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Internalized stigma and quality of life domains among people with mental illness : the mediating role of self-esteem
- 2016
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 25:1, s. 55-61
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Tidskriftsartikel (refereegranskat)abstract
- Background: People with mental illness who internalize stigma often experience reduced self-esteem and impaired quality of life (QOL).Aims: To propose a theoretical model in which self-esteem mediates the effects of internalized stigma on the multidimensional domains comprising QOL.Method: In 403 inpatients and outpatients (DSM-IV, American Psychiatric Association, 1994), from hospital-based and community mental health facilities, self-report measures of internalized stigma (ISMI), self-esteem (RSES) and QOL (WHOQOL-Bref) were administrated.Results: Structural equation modeling results supported the proposed model. Self-esteem fully mediated the relation between internalized stigma and the physical and the social relationships domains, and partially mediated the relationship between internalized stigma and psychological, environment and level of independence QOL domains. Such results provided empirical support and shed light upon previous research. Specifically the results emphasize the mediating role that self-esteem plays in the degree to which internalized stigma exerts a negative effect on specific QOL domains.Conclusions: Self-esteem appears to be a core element in reducing the negative effects of internalized stigma on aspects of QOL among people with mental illness. These findings suggest there is a crucial impact regarding clinical mental health interventions along with important theoretical implications.
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| 9. |
- Olsson, Helén, 1961-, et al.
(författare)
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Reducing violence in forensic care : How does it resemble the domains of a recovery-oriented care?
- 2016
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 25:6, s. 506-511
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Tidskriftsartikel (refereegranskat)abstract
- Background: Forensic psychiatry is characterized by involuntary treatment and risk of violence. The concept of recovery is rarely in focus as the primary focus is on risk assessment, violence prevention and reducing coercion in care.Aim: To determine what resources forensic staff use to avoid or prevent violent situations, and to explore how these practices resemble the domains of recovery-oriented care.Method: Semi-structured interviews with staff who were identified by forensic patients as key workers in their recovery process. Interview texts were analyzed using interpretive content analysis.Results: Staff prevent violent situations using tacit knowledge and experience, and through a shared collegial responsibility. Staff safeguard patients, encourage patient participation, and provide staff consistency.Conclusions: The results have implications for forensic care as well as psychiatry regarding the process of making recovery a reality for patients in the forensic care setting.
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| 10. |
- Rosenberg, David, 1957-, et al.
(författare)
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Shared decision making in community mental health services - an evaluation of three self-reporting instruments
- 2017
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Ingår i: Journal of Mental Health. - Abingdon, Oxon : Routledge. - 0963-8237 .- 1360-0567. ; 26:2, s. 142-149
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Tidskriftsartikel (refereegranskat)abstract
- Background: Despite the potential impact of shared decision making on users satisfaction with care and quality in health care decisions, there is a lack of knowledge and skills regarding how to work with shared decision making among health care providers.Aim: The aim of this study was to evaluate the psychometric properties of three instruments that measure varied dimensions of shared decision making, based on self-reports by clients, in a Swedish community mental health context.Method: The study sample consisted of 121 clients with experience of community mental health care, and involved in a wide range of decisions regarding both social support and treatment. The questionnaires were examined for face and content validity, internal consistency, test-retest reliability and construct validity.Results: The instruments displayed good face and content validity, satisfactory internal consistency and a moderate to good level of stability in test-retest reliability with fair to moderate construct correlations, in a sample of clients with serious mental illness and experience of community mental health services in Sweden.Conclusions: The questionnaires are considered to be relevant to the decision making process, user-friendly and appropriate in a Swedish community mental health care context. They functioned well in settings where non-medical decisions, regarding social and support services, are the primary focus. The use of instruments that measure various dimensions of the self-reported experience of clients, can be a key factor in developing knowledge of how best to implement shared decision making in mental health services.
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