Hybrid journal * Containing 1 Open Access article(s) in this issue * ISSN (Print) 2042-8308 - ISSN (Online) 2042-8316 Published by Emerald[362 journals]
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Authors:
Kirsty Lilley
Abstract: The purpose of this paper is to explore how revisiting happy and pleasant memories might bring some peace to the minds of those who struggle with the ongoing impact of early life relational trauma. The author explores previously forgotten but important memories of happier times and safe relationships which have been outweighed by other traumatic memories. The author writes about the impact of revisiting the past through a different lens and how this helped reshape and redefine the future. The author has written about revisiting happy and pleasant memories from lived experience. The writing is rich and evocative and gives voice to previously forgotten memories of pleasant life events and how soothing this has been. The author concludes that it has been a helpful and soothing experience to spend time recreating memories of previously happy experiences. It is noted that this brings some balance and perspective to an early life which was dominated by traumatic events. The author suggests that it is possible to lever these pleasant memories to improve self-confidence and to bring about a reduction in harsh self-criticism. The author concludes that the stories we tell ourselves about our early life experiences impact greatly on our sense of self and the future ability to create a meaningful life moving forward. Whilst it is important for many to revisit painful experiences to process them fully and move forward, it is also important to focus on more pleasant experiences and relational contacts to bring about a fresh perspective and increased confidence. This helps to move a person from threat-centred behaviour to a more soothed and contented state. The author has found that revisiting soothing and pleasant memories can serve to bring balance and a fresh perspective to early life experiences. It is also noted that the process of writing about these happy memoires has been beneficial in terms of successfully reliving them and savouring the helpful feelings they bring forth. By exploring the helpfulness of revising a life that has been greatly impacted by traumatic experiences and focusing on the more pleasant and happier times, the author has shown that it is possible to think and feel differently about the past. It is also noted that it is beneficial to feel the happiness these memories bring within the body and mind, and they can bring a sense of calm. This embeds the importance of also asking trauma survivors about the times that were more pleasant and happier for them within the therapeutic process. This is the author’s first hand and unique testimony of how helpful it was to revisit happier memories in terms of how soothing it was to focus on these amid other more problematic memories. It is noted that this helped the author to regain a sense of hope and agency in terms of moving forward. This opinion piece contains moving and evocative stories about memories of supportive and warm relationships in the life of the author. The author also notes how helpful the writing process has been in terms of slowing down and being able to fully inhabit and savour these more pleasant memories. Citation:
Mental Health and Social Inclusion
PubDate:
2022-11-25
DOI: 10.1108/MHSI-11-2022-0069 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Ma. Regina Hechanova-Alampay
,
Patrick Louis Angeles
,
Antover Tuliao
,
Edgar Hilario
,
Amadeus Fernando Pagente
,
Carol Villegas Narra
Abstract: The purpose of this study was to test a mobile application for mental health created for Filipinos. Specifically, it tested the Lusog-Isip mobile app vis-à-vis a mental health workbook as they affect psychosocial well-being and coping strategies of users. This study used a randomized control trial design. Participants were assigned to two conditions: a treatment group using the mobile app and a control group that used an existing mental health workbook. Pre- and post-tests were conducted before and two weeks after. Results revealed improved psychological well-being and use of cognitive reappraisal for both mobile app and workbook users. Users of the mobile app reported higher scores compared to those who used the workbook for emotional release. This study adds to the dearth of knowledge on the use of a mobile application for mental health in low-resource countries. It highlights the potential of using digital technologies to provide access to mental health resources in underserved populations. Citation:
Mental Health and Social Inclusion
PubDate:
2022-11-16
DOI: 10.1108/MHSI-04-2022-0024 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Paul Makin
Abstract: The aim of the paper is to describe Paul Makin’s psychiatric treatment after he developed a psychosis. Paul describes how, after an acute episode of psychosis, he ended up in a psychiatric unit. This is his narrative account of his recovery and the support he had in the community. Paul’s story shows how mental health services are stretched both in hospital and also in the community. This is only one story. It is unusual in that Paul’s first diagnosis was alcohol dependence. It was a few years, after he had stopped drinking completely, that he developed a psychosis. One man, two recoveries. Reading his story, Paul had problems getting any continuity of care. He does not blame the staff who were all doing their best, but a mental health system that has insufficient resources. While mental health is constantly in the news, resources seem as stretched as they always have been. They remain underfunded and undervalued. Paul’s is one story of many, but it will find resonance with others who have accessed mental health services in recent years. Citation:
Mental Health and Social Inclusion
PubDate:
2022-11-08
DOI: 10.1108/MHSI-06-2022-0038 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Praveen Kumar Sharma
,
Rajeev Kumra
Abstract: The purpose of this paper was to investigate the prevalence rates of stress, depression and anxiety and their sociodemographic factors linked with the Indian population following the second round of COVID-19 in India. A cross-sectional study was carried out using an online questionnaire. In total, 505 individuals participated through convenience sampling. To measure anxiety, depression and stress, the Depression Anxiety Stress Scale (DASS-21), a 21-statement self-reported questionnaire, was used. Multiple regression analyses were performed to evaluate the sociodemographic characteristics associated with depression, stress and anxiety. Results indicated salary/allowances reduction and alcohol consumption were associated with depression. Multiple regression also indicated that salary/allowances reduction, smoking status and alcohol consumption were associated with stress. In addition, this research also showed that chronic disease, salary/allowances reduction, smoking status and alcohol consumption were associated with anxiety. During the second COVID-19 wave in India, various individuals were affected. Anxiety, depression and stress were common among Indians after the second wave of COVID-19. Along with other actions to restrict the development of COVID-19, the Indian Government and mental health specialists must pay close attention to the inhabitants' mental health. More large-scale studies on various occupations should be conducted, and new mental health factors should be included. This study provides empirical insights related the sociodemographic factors and stress, anxiety and depression. Citation:
Mental Health and Social Inclusion
PubDate:
2022-11-08
DOI: 10.1108/MHSI-08-2022-0054 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Kirsty Lilley
Abstract: The purpose of this opinion piece is to give voice to the living experience of shame within myself as the author, both psychologically and physically. This is in the hope to increase awareness among others who experience shame and mental health professionals tasked with supporting people in emotional distress. The author has written a biographical piece outlining her experiences of living with shame and used rich, provocative and metaphorical language in describing the events which led to this and the impact this has had on my quality of life. The author has positioned shame as a character playing a role in her life. This piece reveals the inner turmoil experienced when living alongside shame and the resilience and fortitude needed to understand the role of shame and how it developed. With this knowledge and awareness, the author has found it is possible to move forward in life. The author has lived through adverse and challenging early life experiences within a difficult family environment. The author has shown that it is possible to undertake a healing journey and to come to an acceptance of shame within my own life and still move forward to create supportive relationships with others and a life worth living. These are often the stories of those people who survive great difficulty and still go on to help and support other people. The author has found and experienced that loving and supportive relationships give the best chance of healing from early life adversities. The author has also found that shame plays an interesting role as both necessary and painful. Moving forward from the distress often associated with shame is a long journey but one that is possible. The author has aimed to make clear that exploration and education about the lived experience of shame is both helpful for those who suffer and those who intend to help within the mental health professions. Listening to the stories of people with living experiences is vital and plays as important a role as academic theory and learning. This is a subjective living experience of shame and, in that way, adds to the helpful canon of stories that can inform our understanding of distress and the ability to help. The author has described shame as a character playing a role in her life and belief that this is an interesting way to view this. This piece also contains stories regarding the genesis of shame which are unique to her. The author understands and makes clear that his experience does not necessarily translate or relate to anyone else but stands on its own merit. The author hopes to have much more to contribute in terms of others’ understanding of emotional distress and shame, especially considering its transdiagnostic nature. Citation:
Mental Health and Social Inclusion
PubDate:
2022-11-01
DOI: 10.1108/MHSI-10-2022-0066 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Melissa Husbands
,
Julie Prescott
Abstract: The purpose of this study resolved to evidence worldwide studies addressing the effects of the global COVID-19 pandemic on higher education (HE) academic staff. Particularly in relation to wellbeing and pedagogical role, as part of a parallel study exploring the impact of COVID-19 on academics’ pastoral role. The systematized review identified eight relevant studies that shed light on the impacts of the COVID-19 pandemic on university academics’ well-being. The review highlights the paucity of research in this area, with no studies, at the time of the review, considering how academics responded to a broadening of their pastoral role amidst an evolving academic landscape, and how are universities supporting them. Firstly, only eight relevant studies were included, affecting generalisability of results owing to uneven distribution between geographic regions. Secondly, participants across the eight studies accounted for less than 0.05% of a population of 6 million university academics worldwide (Price, 2011). Thirdly, most of the studies used cross-sectional design, limiting assessment of the longer-term impact of an evolving HE landscape. The findings of this systematized review can be placed in the context of illuminating research deficits within a shifting HE landscape. Specifically, no studies that the authors are aware of have investigated how academics are responding to a broadening of their pastoral role amidst an evolving academic landscape, and how are universities supporting them. In providing pastoral support to students, the mental well-being of academics is frequently ignored (Urbina-Garcia, 2020). The provision of well-being support by university management for academics appears to be “limited to non-existent” (Hughes et al., 2018, p. 49). Critically, the Coronavirus pandemic appears to have both accelerated and precipitated a step-change to pastoral care within the HE teaching ecosystem. The impact of a broadening pastoral role on academics' well-being has yet to be fully realized and understood. The authors have subsequently conducted an empirical study to address this embryonic area of research. Citation:
Mental Health and Social Inclusion
PubDate:
2022-10-28
DOI: 10.1108/MHSI-09-2022-0065 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Patrick Hopkinson
,
Peter Bryngelsson
,
Andrew Voyce
,
Mats Niklasson
,
Jerome Carson
Abstract: The purpose of this study is to mirror the late guitarist Peter Green’s life experiences through insights from Andrew Voyce, who recovered from mental illness, and expertise from Peter Bryngelsson, a Swedish professional musician and author. The authors used a mixed method of collaborative autoethnography, psychobiography and digital team ethnography. Despite having not previously attracted academic interest, Peter Green’s experiences of mental health problems and his return to recording and performance provide a rich data source when mirrored and compared to the lives and experiences of Andrew Voyce and Peter Bryngelsson. The main limitation of this piece of work is that Peter Green died in 2020. During the process of writing, the authors have had to follow different, mostly unacademic, sources that have described various parts of Peter Green’s life. The authors have given examples and drawn conclusions from their own lives as well as from academic sources, which they have found appropriate. Both Andrew Voyce and Peter Bryngelsson’s stories would be helpful when it comes to a deeper understanding as to why Peter Green “took a left turn”, i.e., turned his back on an accepted lifestyle. Acid casualty is a problem connected to both mental distress and to the music industry. Peter Bryngelsson’s story tells us that one can remain sane and drug free and still be an influential and creative musician. The analysis has brought together two stories of mental distress in combination with insights. Citation:
Mental Health and Social Inclusion
PubDate:
2022-10-25
DOI: 10.1108/MHSI-09-2022-0062 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Jonathan Han Loong Kuek
,
Toby Raeburn
,
Melissa Yan Zhi Chow
,
Timothy Wand
Abstract: Contemporary interpretations of mental health recovery emphasize the need to understand better the lived experience of people with mental health conditions and how they define the idea of recovery. While traction for such ideas has been building in many western countries, the recovery movement is still in its early stages within most Asian countries. Hence, this study aims to add to this growing effort by understanding various factors that influence the recovery of people with mental health conditions in Singapore. Braun and Clarke’s thematic analysis was used on the qualitative data provided by 21 participants. Four themes were revealed: double-edged nature of social support, challenges accessing mental health support, personalized coping strategies and societal influences. As a result, the authors could better understand various factors that influenced the recovery process of people with mental health conditions in Singapore, such as the high costs and low levels of literacy regarding pathways to mental health services. In addition, the importance of societal influences on mental health recovery was highlighted, and their impact could be seen through the participants’ sharing. These findings form a foundation from which future research and recovery-oriented interventions can work from to provide more tailored approaches to supporting people with mental health conditions. This study identified cultural nuances to notions of recovery that are commonly found in personal recovery constructs that need to be considered when working within culturally diverse populations. Citation:
Mental Health and Social Inclusion
PubDate:
2022-10-14
DOI: 10.1108/MHSI-09-2022-0063 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Robert Hurst
,
Chathurika Kannangara
Abstract: The purpose of this paper is to give an overview of existing literature on post-traumatic growth (PTG), particularly in the ways that it relates to grief. This narrative literature review brings together 125 sources and presents them in a readable way. There is a great deal of evidence to suggest that PTG can come from grief. This is not always the case, however. This review presents only a selection of the existing literature – the review is not systematic. However, this allows for a narrative to be crafted, to aid readability. Suggestions for future research are made throughout, and potential therapeutic applications are mentioned. This paper discusses stigma, in the form of “disenfranchised grief”. In this, social pressures and expectations affect how a person processes their grief psychologically. While movements to increase discourse and reduce stigma are on the rise, more is needed. This review guides readers through existing literature, providing a wide overview of the topic of PTG in grief. Citation:
Mental Health and Social Inclusion
PubDate:
2022-10-13
DOI: 10.1108/MHSI-09-2022-0059 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Kirsty Lilley
,
Robert Hurst
Abstract: The purpose of this paper is to share Kirsty Lilley’s story. Kirsty wrote a biographic piece detailing her journey, then shared a creative piece of writing about trust before being interviewed by Robert. Kirsty shared stories from her life and how her experiences have shaped who she is. In Trust, she gives the reader an intimate insight into her internal and psychological experiences. Recovery narratives such as this give us an overview of only a single person’s experiences. However, they allow the person with lived experience to explore their story in depth. Kirsty writes evocatively – her stories will connect with readers. There is so much to learn from stories such as Kirsty’s. For those who have had similar experiences and for those who work in mental health services. This is the first time that Kirsty has chosen to share her unique story. It is also the first time in Remarkable Lives that a piece of creative writing has been included alongside a biography. Citation:
Mental Health and Social Inclusion
PubDate:
2022-10-04
DOI: 10.1108/MHSI-09-2022-0061 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Sami Abdullrahman Alhamidi
,
Seham Mansour Alyousef
Abstract: This paper aims to explore the value that care from a primary mental health care nurse (PMHCN) can bring to people with mental health (MH) problems in health-care delivery. This study used a focus group of 20 PMHCNs working in primary care (PC) health settings in Saudi Arabia before using thematic content analysis to describe and explore their views and experiences of the integration of MH care into PC units. The researchers used a semi-structured interview format, which began with open-ended probes and proceeded to use of theoretical sampling based on emerging data related to their experiences and perceptions in the integration process. Four main themes were derived from the thematic analysis of interviews: collaboration, knowledge and experience, awareness and orientation care and influential role. This study’s use of qualitative research methods has certain limitations, including the small sample size of 20 participants, which means that it may not be representative of all primary MH nurses in primary health-care centers in Saudi Arabia. To make the results applicable to a broader audience, the researcher sought to moderate this limitation by including participants with extensive experience in multiple settings and nurses of different ages. The cost implications of the PMHCN service are not yet comprehensively understood, but it is apparent that this model is not only regarded extremely positively by MH practitioners but may also have significant benefits in terms of patient outcomes. The configuration of local services and relevant patient demographics will affect the extent to which this study’s findings are transferable. Meanwhile, further research in this area could seek to provide further evidence about the aspects of the PMHCN service model, such as secondary care referrals and waiting times, accident and emergency attendances and patient recovery rates and the impact of providing such a service on health-care practitioners as well as its cost-effectiveness. This study’s findings suggest that PMHCNs believe that their care improves the quality of PC for patients in PC settings. Elements of the PC placement that professionals particularly valued include their ability to assist patients in their own community and the inclusion of volunteer stakeholders who act as preceptors. The participants expressed a need for improvement of policy related to referrals within the clinics. Citation:
Mental Health and Social Inclusion
PubDate:
2022-10-03
DOI: 10.1108/MHSI-07-2022-0041 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Reginald U. Amanze
,
Jerome Carson
Abstract: The purpose of this study was to investigate forgiveness and mental well-being amongst Forgiveness and mental well-being were investigated amongst British European and Nigerian African samples to compare and determine the similarities and differences in dispositional forgiveness levels between the two populations conducted in terms of their general samples, gender and age and the difference in mental well-being scores between the two samples. Finally, the relationship between forgiveness and mental well-being in both groups was examined. The Bolton Forgiveness Scale and the Short Warwick–Edinburgh Mental Well-Being Scale were administered to the participants (Nigerian n = 1,164, British n = 855). SPSS was used to analyse data; a series of t-test was conducted; and Eta-squared and Z-value were calculated to determine the magnitude of each significant difference among variables and the magnitude of the difference in the correlation coefficient among variables, respectively. Statistically significant results suggested significant differences in the way and manner dispositional forgiveness is conceptualised and practised within one group relative to the other, whereas non-significant results indicated similarities in forgiveness opinions and practises between the two groups. Overall British sample, men and those aged 36–55 reported higher levels of forgiveness than their Nigerian counterparts. However, Nigerians under the age of 35 reported higher levels of forgiveness than their British counterparts, and there was no statistically significant difference between the forgiveness levels of British and Nigerian women. Furthermore, the British total sample, men and women, all had higher well-being scores than their Nigerian counterparts. Forgiveness varies according to culture. The findings of this study suggest that the individualistic/collectivistic cultural arguments long held by some authors may not adequately explain the differences and similarities in forgiveness conceptualization and practise across cultures. As a result, research may focus on a variety of factors such as educational background, income, socioeconomic level and religion, among others. Second, consistent with previous studies, this research suggests that forgiveness is positively related to mental health and well-being. Finally, one of the limitations of this study is its exclusive focus on two countries, namely, the UK and Nigeria. Future research could include more countries with both individualistic and collectivistic societies. This paper, which is, to the best of the authors’ knowledge, the first to examine forgiveness and mental well-being in a comparative perspective between British European and Nigerian African samples, has made a unique contribution to the forgiveness and mental well-being literature and in particular, has provided a solid foundation and resources for future research of a similar nature in Africa, where little or no research had been conducted previously. Citation:
Mental Health and Social Inclusion
PubDate:
2022-09-19
DOI: 10.1108/MHSI-07-2022-0048 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Laura Scranage
,
Robert Hurst
Abstract: The purpose of this paper is to share Laura Scranage’s story. Laura wrote a short piece detailing her journey and was then interviewed by Robert. Laura spoke about the difficulties she has faced in life and how her experiences with horses have been deeply therapeutic. Recovery narratives such as this give us an overview of only a single person’s experiences. However, they allow the person with lived experience to explore their story in depth. Laura advocates for more research into how horses can be used in therapeutic interventions. There is so much to learn from a story such as Laura’s, for those who have had similar experiences and for those who work in mental health services. This is the first time that Laura has chosen to share her unique story. Citation:
Mental Health and Social Inclusion
PubDate:
2022-09-12
DOI: 10.1108/MHSI-08-2022-0050 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Arthur Asa Berger
,
Freda Gonot-Schoupinsky
Abstract: This paper aims to elicit insight on how humour may support mental health from Arthur Asa Berger, Professor Emeritus at San Francisco State University, author of more than 150 articles and 90 books, many on humour and humorous artist. This case study, followed by a 10-question interview, intentionally embraces visual autobiography to present Arthur’s creative humorous contributions. Arthur conveys the importance of humour, not so much from joke-telling, which can be problematic, but in fun conversations, witty remarks and puns. We learn of his 45 humour techniques, and ways to apply humour in teaching, writing and drawing for therapeutic benefit. This is a personal narrative, albeit from someone who has been academically and personally involved with humour for over 60 years. Evidence of the benefits of humour for mental health is mounting. Appreciating and harnessing humour, including with the 45 humour techniques, whenever you can, is recommended. Humour supports relationship building and social inclusion. Social humour is best when it amuses others, offers positive insights into social relationships and is life affirming to both the humourist and their audience. To the best of the authors’ knowledge, Arthur was the first to publish a PhD dissertation on a comic strip and has been at the vanguard of humour application in teaching, academic writing, drawing, popular comedy and humorous murder mysteries for decades. Arthur will be 90 years old in 2023. Citation:
Mental Health and Social Inclusion
PubDate:
2022-09-06
DOI: 10.1108/MHSI-08-2022-0051 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Simona Karbouniaris
,
Marjolein Boomsma-van Holten
,
Antoinet Oostindiër
,
Pascal Raats
,
Cecil C. Prins-Aardema
,
Alie Weerman
,
Jean Pierre Wilken
,
Tineke A. Abma
Abstract: This study aims to explore the perspectives of psychiatrists with lived experiences and what their considerations are upon integrating the personal into the professional realm. As part of a qualitative participatory research approach, participant observations during two years in peer supervision sessions (15 sessions with 8 psychiatrists with lived experiences), additional interviews as part of member feedback and a focus group were thematically analysed. Although the decision to become a psychiatrist was often related to personal experiences with mental distress and some feel the need to integrate the personal into the professional, the actual use of lived experiences appears still in its early stages of development. Findings reveal three main considerations related to the personal (3.1), professionality (3.2) and clinical relevance (3.3) comprising 11 facilitators and 9 barriers to harness lived experiences. This study was conducted locally and there are no similar comparable studies known. It was small in its size due to its qualitative nature and with a homogeneous group and therefore may lack generalisability. Future directions to further overcome shame and stigma and discover the potential of lived experiences are directed to practice, education and research. Psychiatrists with lived experiences valued the integration of experiential knowledge into the professional realm, even though being still under development. The peer supervision setting in this study was experienced as a safe space to share personal experiences with vulnerability and suffering rather than a technical disclosure. It re-sensitised participants to their personal narratives, unleashing its demystifying, destigmatising and humanising potential. Citation:
Mental Health and Social Inclusion
PubDate:
2022-08-18
DOI: 10.1108/MHSI-07-2022-0049 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Jesse Omoregie
,
Jerome Carson
Abstract: Unwanted intrusive thoughts (UITs) are a major public health concern (Nock et al., 2008; Bentum et al., 2017), and they are key to the development of a variety of dysregulated behaviours (Jungmann et al., 2016; Bergen et al., 2012). Thus, this study aims to investigate reductive mechanisms for unwanted intrusive thoughts by analysing aspects of affectivity in clinical and non-clinical samples. Quantitative means of data collection and analysis were used to explore UITs and affectivity. In total, 530 adults took part in this study (236 males, 253 females and 15 transgenders). Participants consisted of clinical (N = 168) and non-clinical samples (N = 336) who completed the Midlife in the United States sense of control scale (Lachman and Weaver, 1998), 20-item neuroticism scale (Goldberg, 1999), self-compassion scale (Neff, 2003a), flourishing scale (Diener et al., 2009), Positive and Negative Affect Schedule - Negative Scale (Watson et al., 1988), generalised anxiety disorder seven-item (Spitzer et al., 2006) and repetitive thinking questionnaire-10 (McEvoy et al., 2010). Participants who experienced high levels of psychological flourishing, emotional stability, self-compassion, perceived control and affective well-being were prone to experience minimal UITs. Anxiety was positively related to UITs. These findings suggest that these aspects of affectivity may aid the reduction or management of clinical and non-clinical unwanted intrusive thoughts. This study has addressed gaps in knowledge and the literature on UITs by demonstrating that psychological flourishing, emotional stability, self-compassion, perceived control and affective well-being as aspects of affectivity can be implemented as a reductive mechanism for UITs, and such implementation may have a high probability of effective reduction or management of clinical and non-clinical unwanted intrusive thoughts. Citation:
Mental Health and Social Inclusion
PubDate:
2022-08-12
DOI: 10.1108/MHSI-06-2022-0040 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Seham Mansour Alyousef
,
Sami Abdullrahman Alhamidi
Abstract: Research supports the value of clinical supervision as an essential aspect of mental health nursing. Despite the need for this, there appears to be a deficit in qualified supervision in the mental health field, although efforts have been made toward advanced mental health practitioner nursing. This study aims to characterize the ideas that advanced mental health nurse practitioners hold about supervision in practice and to consider what is required to support changes to advanced mental health nursing in Saudi Arabia. This study adopted a qualitative exploratory design that applied a phenomenological approach as the research method. Twelve postgraduate mental health nurses were recruited through purposive sampling. The data analysis generated the central theme, which indicates the attributes of a competent supervisor of advanced mental health nurse practitioners. The components of a supervisor’s competence had the following three main themes: nursing competencies, professional characteristics and communication. A limitation of this study is that the data was collected from practicing advanced care mental health practitioners in Saudi Arabia. Further research conducted in different geographical areas and with different categories of staff is warranted. The results of those studies could be compared against the results presented here. Best practice measures indicated that mental health nurse practitioners working in mental health settings and private practice should receive supervision to help them reflect upon their daily nursing practice challenges. The findings of this study indicate that to support mental health practitioners and advanced mental health practitioners working in private practice, competent supervisors need to be on hand and willing to invest in creating a supportive culture in practice. Citation:
Mental Health and Social Inclusion
PubDate:
2022-08-09
DOI: 10.1108/MHSI-07-2022-0043 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Melvin Bradley
Abstract: In this paper I will discuss loneliness in the community. Finding a non-medical way to support people who feel lonely is really important. Many will never have considered joining groups of identity like the offer briefly discussed. In future community mental health features, the author will consider topics such as community mental health advocacy, debt, benefits and finance, housing and self-help. In this column, the author briefly considers the concepts of loneliness, social isolation and solitude; review some research; and offer ideas about how help may be given in community settings. Citation:
Mental Health and Social Inclusion
PubDate:
2022-08-05
DOI: 10.1108/MHSI-07-2022-0045 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Melvin Bradley
Abstract: The purpose of this paper is to discuss a social constructionist point of view about mental health in contrast to the medical model. This is a discussion paper bringing together two systems of thought concerning mental health and its origins. It is not clear that there is any substantive evidence to support the medical model of mental illness. Researchers may be helped to consider a qualitative approach to knowledge rather than the traditional positivist approach. This paper will help people to think about mental health in a way that is not orthodox. It will bring an understanding that even though mental illness is not an illness in the traditional sense, there is still no blame or shame associated with it. The author is an active operational senior manager at a user-led community mental health organisation with over 20 years’ experience in the field. The organisation and its services track a social constructionist philosophy. Citation:
Mental Health and Social Inclusion
PubDate:
2022-08-02
DOI: 10.1108/MHSI-07-2022-0042 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Colette Lane
Abstract: Literature regarding recovery has focussed on diagnoses such as schizophrenia, with few papers focussing on borderline personality disorder (BPD). This is a significant area in need of change because a lack of research concentrating on recovery from BPD could be seen to perpetuate the view that recovery from this condition may not be possible. Recovery Colleges (RCs) in the UK began in 2009and aim to offer co-produced and co-facilitated psychoeducational courses to encourage recovery and enable people to develop skills and knowledge so they become experts in the self-management of their difficulties. Given the gaps within the recovery literature, it is unclear how Recovery Colleges can support recovery for people diagnosed with BPD. The purpose of this study was to explore the impact of a Recovery College course for people diagnosed with BPD. Using participatory methods, this paper aims to explore the question of what personal recovery looks like for people with BPD and how this may prove useful in developing future practice in RCs. Qualitative feedback data was collected from 51 managing intense emotions courses delivered to 309 students using a patient reported experience measure between Autumn 2015 and Autumn 2021. The results of this study indicate that people with BPD can experience recovery, whilst still experiencing symptoms, as long as they receive appropriate co-produced, recovery-orientated support and services. Further research in this area could help shape future clinical practice by embedding a recovery-focussed programme into community services. Literature regarding recovery has focussed on diagnoses such as schizophrenia withfew papers focussing on BPD. This is an area in need of change because a lack of research on recovery from BPD could be seen to perpetuate the view that recovery from this condition may not be possible. RCs offer co-produced and co-facilitated psychoeducational courses around recovery, enabling people to develop skills and knowledge to become experts in the self-management of their difficulties. Given the gaps within the recovery literature it is unclear how RCs can support recovery for this group of service users. Citation:
Mental Health and Social Inclusion
PubDate:
2022-07-29
DOI: 10.1108/MHSI-07-2022-0044 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Merv Neal
,
Freda Gonot-Schoupinsky
Abstract: The purpose of this paper is to engage with, and elicit insights from, Merv Neal, a laughter professional, on the use of laughter to benefit mental health. This case study is presented in two sections: a biography of Merv Neal, followed by a ten-question interview with him. Many insights on laughter are shared. Merv lists five benefits for mental health: laughter brings you into the present moment; laughter is a distraction; laughter breaks negative thought patterns; laughter silences the inner critical voice; and laughter brings joy. This is a personal narrative, albeit from someone who has professionally used laughter to support mental health issues for over 15 years. Laughter can be beneficial to support mental health. More evidence for its impact on mental health is needed. Prescribing laughter has been largely overlooked as a way to harness laughter for mental health to date. Investigating how and when to prescribe laughter for mental health is recommended. Mental health issues can vary enormously, but loneliness is often involved. Encouraging social laughter is therefore important, including, surprisingly perhaps, by also practicing laughing alone. Laughter, accessible to all, presents itself as a free and easy way to support community mental health. To the best of the authors’ knowledge, this is the first case study and interview with a long-standing laughter professional on the topic of laughter and mental health. Citation:
Mental Health and Social Inclusion
PubDate:
2022-07-21
DOI: 10.1108/MHSI-06-2022-0039 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Tuija Viking
,
Lena Nilsson
Abstract: The purpose of this paper is to contribute theoretical ideas of how peer support workers (PSWs) bring added value to interprofessional learning (IPL) in mental health care teamwork. The question is: How can we theoretically understand the value of PSWs’ expertise for IPL in mental health care teamwork' Initially, the authors formulate a hypothesis. Then, the authors describe the focus and context in IPL and PSWs, respectively, and the PSWs’ and mental health professions’ different roles, expertise and perspectives. The authors also refer to some peer provided programs related to IPL. Finally, the authors construct an outline and apply ideas from Wenger’s Communities of Practice (CoP). Using CoP, the PSWs as newcomers can by their perspectives change mental health professions’ perspectives and stimulate IPL in teamwork. The paper gives theoretical insights of how PSWs can facilitate IPL in mental health care teamwork. Citation:
Mental Health and Social Inclusion
PubDate:
2022-05-26
DOI: 10.1108/MHSI-01-2022-0004 Issue No:Vol.
ahead-of-print
, No.
ahead-of-print
(2022)
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Authors:
Julie Prescott
Abstract: Editorial: Gaining support online and via digital innovations Citation:
Mental Health and Social Inclusion
PubDate:
2022-09-26
DOI: 10.1108/MHSI-11-2022-100 Issue No:Vol.
26
, No.
4
(2022)
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Authors:
Megan S. Patterson
,
Christina Amo
,
Allison N. Francis
,
Katie M. Heinrich
,
Tyler Prochnow
,
Jocelyn Hunyadi
,
Sydney Miller
Abstract: This paper aims to use social network analysis (SNA) to determine whether compulsive exercise (CE) was related to social connections and network position among participants of group-exercise programs. Members from two group-exercise programs (Gym 1: n = 103; Gym 2: n = 56) completed an online survey measuring their social connections within the program, CE, depressive symptoms and sense of belonging. Network position was calculated for each person based on network centrality scores (i.e. closeness, eigenvector centrality). Linear network autocorrelation models determined whether respondents reported similar CE as their network ties (i.e., network effects) and whether network position was related to CE in these networks. Eigenvector centrality (i.e., being connected to popular/important people within the network; Gym 1: parameter estimate [PE] = 0.51, p < 0.01, Gym 2: PE = 0.39, p = 0.02) and network effects (i.e. having similar CE scores as direct network ties; Gym 1: PE = 0.07, p < 0.01, Gym 2: PE = 0.19, p < 0.01) were related to CE among participants in these programs. This study builds on existing SNA research suggesting the importance of social connections and network position on CE, and, to the best of the authors’ knowledge, is the first to explore these effects among group-exercise participants. This study describes how the social environment can impact, both positively and negatively, someone’s susceptibility for CE and supports fostering social connections within group-exercise programs as a way to potentially combat harmful CE among its participants. Citation:
Mental Health and Social Inclusion
PubDate:
2022-07-25
DOI: 10.1108/MHSI-03-2022-0016 Issue No:Vol.
26
, No.
4
(2022)
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Authors:
Aashiya Patel
,
Aaron Sefi
,
Terry Hanley
,
Charlotte Conn
,
Julie Prescott
Abstract: Literature suggests young people (YP) from ethnic minority backgrounds face barriers in accessing mental health support due to discrimination and stigma and so this study aims to explore how YP from ethnic minority backgrounds interact with online counselling. The study used secondary data provided by Kooth, a digital mental health service for YP, for users who accessed the service from September 2020 to 2021 (N = 118,556). The users measure of need (YP-CORE) was assessed upon sign up to the service, and they also chose the ethnicity and background they felt best represented by. The study hypothesised the following: H1. There would be a significant difference between ethnic group of YP and source of referral; H2. There would be a significant difference in ethnic group of YP and YP-CORE score. The one-way ANOVA and chi-squared analyses demonstrated a significant difference for both hypotheses indicating a significant association between source of referral and ethnicity, and a significant difference in measure of need when comparing YP who self-identified as White to those who self-identified as Asian. Findings reveal school-based services are the most popular source of referral for all YP; however, a higher number of YP from Asian and Black ethnicities reached out through informal sources such as Google as opposed to health professionals such as GPs. From the data, YP who identified as Indian, Chinese and African present to online counselling at a lower level of distress compared to their White British counterparts, contradictory to findings investigating measure of need in face-to-face settings. Citation:
Mental Health and Social Inclusion
PubDate:
2022-07-12
DOI: 10.1108/MHSI-05-2022-0032 Issue No:Vol.
26
, No.
4
(2022)
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Authors:
Nicky Lidbetter
,
Nic Seccombe
,
Ember Girling Rogers
,
Tina Lee
Abstract: The purpose of this paper is to describe the development, implementation, delivery and evolution of a community-led, comprehensive, peer support service, including co-production approaches, peer support worker role development, outcomes, acceptability and lessons learnt over a five-year timeframe. This case study presents a reflection on a charity’s peer support service development along with outcomes to highlight client progress. Improvement in well-being as measured through the Warwick Edinburgh Mental Wellbeing Scale (WEMWBS) was evidenced along with demonstrating that the peer support service offers complementary support to Improving Access to Psychological Therapies (IAPT) services. There was limited quantitative data, and that which existed was analysed on a service-wide basis as opposed to looking at individual components of the service. This paper demonstrates the value of peer support provision as part of an overall primary care, community-based mental health service, including findings that suggest that for some individuals, where IAPT services did not help them as much, a peer-based service appeared to be more suitable. The peer support service provided a complementary and alternative service to conventional primary care mental health services whilst offering individuals with lived experience to gain volunteering, employment and development opportunities. Whilst peer support services have been well documented in the literature for clients experiencing serious mental illness, research on the use of such approaches in the management of common mental health difficulties including anxiety and depression is not as well established. The aim of this paper is to detail the experiences of a user-led charity in developing and delivering peer support services, including challenges encountered. Furthermore, this paper describes a peer support service that has been integrated with a co-existing low intensity IAPT service, reporting recovery rates for clients that have accessed both peer support and IAPT services. Citation:
Mental Health and Social Inclusion
PubDate:
2022-06-29
DOI: 10.1108/MHSI-05-2022-0030 Issue No:Vol.
26
, No.
4
(2022)
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Authors:
Andrew Voyce
Abstract: Essay asks questions about people with schizophrenia and recovery. The essay is written in an autoethnographic style. The purpose of this paper is to portray the actual outcome for a person with schizophrenia, in the context of recovery and the achievement of independence. Statistics are from review of various sources and are compared with autoethnographic data. The implications are to confirm social exclusion for the cohort of people with schizophrenia. Practical implications include the recognition of the unusual destinations for those with schizophrenia. Independence is a desirable and much espoused social outcome and yet so few people with schizophrenia are empowered in this way, meaning that they fail to share a social dialogue with many of their fellow citizens. This essay details a struggle to live up to social norms which are hindered because of a life with schizophrenia. Citation:
Mental Health and Social Inclusion
PubDate:
2022-06-28
DOI: 10.1108/MHSI-05-2022-0036 Issue No:Vol.
26
, No.
4
(2022)
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Authors:
Julie Prescott
,
Amy Rathbone
Abstract: Stress and burnout are continuous concerns in clinical settings. This has been exacerbated due to the recent COVID-19 pandemic which has impacted health-care professionals globally. Supervision can support staff in clinical setting and help prevent stress and burnout. The purpose of this review is to consider the efficacy of mobile apps for reducing stress and burnout in clinical settings and supervisions. A comprehensive literature search was carried out using online databases such as Scopus, PubMed, CINAHL, PsychINFO, PsychARTICLES, MEDLINE and SAGE. From the searches, nine studies were included in the review after meeting the inclusion criteria. Of the nine studies, eight related to stress and/or burnout and one related to work engagement. There were no specific studies which related directly to the use of mobile health (mHealth) for clinical supervision. Through a focus on the efficacy of mHealth for stress and burnout in clinical settings and supervisions, the review highlights the efficacy of mHealth apps used in for stress and burnout in clinical settings and the importance of engagement of clinical staff. This will not only provide a higher quality of empirical evidence, but it will also lead to more positive outcomes for the mental health of clinical staff. This review focussed upon the efficacy of mHealth for stress and burnout in clinical settings and supervisions. In comparison to previous reviews, this review differs because it combines both stress and burnout and clinical supervisions as the focal areas for improvement via the use of mHealth. Citation:
Mental Health and Social Inclusion
PubDate:
2022-06-09
DOI: 10.1108/MHSI-04-2022-0025 Issue No:Vol.
26
, No.
4
(2022)
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Authors:
Tula Brannelly
,
Steven Trenoweth
,
Josie Tuck
Abstract: The purpose of this paper is to present the findings of a discussion between people who use crisis services and academics about the development of a mental health digital technology app. The approach is underpinned by participatory methods that centralise the voice of lived experience in the development or delivery of mental health responses. The people who contributed to the conversation identified that the app may reflect a recovery approach to mental health whilst also supporting self-management. The app design was a central repository with links to other apps for self-monitoring or interventions. The app was designed with people with lived experience with an explicit aim to understand what people with lived experience would want from a mental health digital technology. Citation:
Mental Health and Social Inclusion
PubDate:
2022-05-25
DOI: 10.1108/MHSI-04-2022-0019 Issue No:Vol.
26
, No.
4
(2022)
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Authors:
Hung Thanh Nguyen
,
Thi Truc Quynh Ho
Abstract: Online self-disclosure and online social support have important effects on well-being. The purpose of this study was to examine the indirect effect of online social support through social networking sites (SNSs) in the link between online self-disclosure through SNSs and well-being among Vietnamese adolescents. Using a convenience sample of 980 Vietnamese adolescents (332 men, 648 women) and three scales (the Subjective Happiness Scale, the Self-Disclosure Scale and the Two-Way Social Support Scale), this study investigated whether online self-disclosure has a direct and indirect effects on well-being when mediated by online social support. Mediation analysis showed that online social support partially mediated the link between online self-disclosure and well-being among Vietnamese adolescents, β = 0.008, standard error = 0.004, confidence interval = [0.001, 0.017]. This study provides an important practical basis for developing interventions to improve the well-being of adolescents who use SNSs. This finding indicated that adolescents’ well-being can be enhanced through online self-disclosure and online social support. Citation:
Mental Health and Social Inclusion
PubDate:
2022-05-25
DOI: 10.1108/MHSI-01-2022-0003 Issue No:Vol.
26
, No.
4
(2022)
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Authors:
Khia Stacey
,
Robert Hurst
Abstract: The purpose of this paper is to share Khia Stacey’s story. Khia Stacey wrote a short piece detailing her journey, and she was then interviewed by Robert Hurst. Khia Stacey spoke about experiencing trauma, facing difficulties within child and adolescent mental health services and how she chose to fight on. Recovery narratives such as the current one give the readers an overview of only a single person’s experiences. However, they allow the person with lived experience to explore their story in depth. Khia Stacey stresses the importance of listening to service users and gives advice on how mental health professionals can better support those in services. There is so much to learn from a story such as Khia’s – for those who have had similar experiences and for those who work in mental health services. This is the first time that Khia has chosen to share her unique story. Its value is apparent immediately upon reading it. Citation:
Mental Health and Social Inclusion
PubDate:
2022-04-13
DOI: 10.1108/MHSI-03-2022-0015 Issue No:Vol.
26
, No.
4
(2022)
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Authors:
Waleed Sweileh
Abstract: The lesbian, gay, bisexual and transgender (LGBT) people face discrimination, verbal harassment, rejection and physical violence that affect their mental health and well-being. Adolescence is a critical period for the development of mental health and well-being. The purpose of this study is to analyze research publications on the mental health and well-being of LGBT adolescents. A comprehensive research strategy was implemented using the SciVerse Scopus database to accomplish the objective of the study. The study period was all times up to 2020. VOS viewer program was used for mapping of frequent author keywords, journal citations and research collaboration. The search strategy found 1,167 documents authored by 4,067 researchers and disseminated through 321 scientific journals. Research on the topic started half a century ago but showed a visible steep growth after 2008. Authors and institutions in the USA dominated the field. Northwestern University, based in the USA, was the most active institution. No significant cross-country collaboration was observed in this field. The most active journal was Journal of Adolescent Health (n = 67, 5.7%), followed distantly by the Journal of LGBT Youth (n = 48, 4.1%). The contribution of journals in the field of mental health to the topic was limited. Documents on family acceptance, suicidality and school victimization/violence received the highest number of citations. The retrieved documents in the field had five major topics: suicide, mental health/depression, bullying/victimization, substance use/alcohol and violence. The present study has a few limitations that are typical of any bibliometric study. Both the search strategy and the use of Scopus are inherent limitations of bibliometric studies. Policymakers and public health experts in various countries need to prioritize research on the mental health and well-being of LGBT adolescents based on the number of publications produced by the country. The finding that certain world regions have limited research contribution does not mean the absence of mental health problems of LGBT adolescents. The limited number of scholars in the field of sexual health, the cultural barriers are the main obstacles for publishing in this field. Research on LGBT adolescents’ mental health and well-being should be prioritized in countries and world regions with limited research in this field. Therefore, journal editors should endorse publications in this field through publishing thematic issues in this field. To the best of the authors’ knowledge, this is the first study to assess the scientific research publications on the mental health of the LGBT people as an indication of interest and social problems facing this community. Citation:
Mental Health and Social Inclusion
PubDate:
2022-04-08
DOI: 10.1108/MHSI-02-2022-0013 Issue No:Vol.
26
, No.
4
(2022)
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Authors:
Lara Howe
,
Ben Grey
,
Paul Dickerson
Abstract: This paper aims to explore the care experiences of individuals using short-term homeless services in the UK, who identify as being neglected in childhood. The study endeavours to give voice to the subjective experiences of homeless individuals in these specific domains and optimise therapeutic and housing services provided to individuals from this sub-population. Semi-structured interviews containing elements of the “Adult Attachment Interview” (AAI) were conducted with eight individuals who had experienced childhood neglect and used short-term homeless services in adulthood. Interviews were analysed using an attachment informed version of Interpretative Phenomenological Analysis (AI-IPA). Analysis parsed participants’ data into four master themes: “Everything was wrecking all the time”: Unsafe spaces; “Kind of pretending I was […] dead”: Strategies for survival; “My mum didn’t believe me”: Traumatic self-shaping; and “My first reckoning with self”: Restoration & Recovery. Together, themes indicated that participants had undergone traumatic early and later-life care experiences but were engaged in idiosyncratic recovery journeys. The meanings that participants derived from their past experiences of neglect were nuanced and interacted with their current relationships in complex and highly personal ways. By applying an innovative methodology to a predominantly unchartered empirical area, this project extends existing research and presents a meaningful set of results. Implications for the delivery of short-term homeless services and therapeutic practitioners are discussed. Citation:
Mental Health and Social Inclusion
PubDate:
2022-03-08
DOI: 10.1108/MHSI-12-2021-0088 Issue No:Vol.
26
, No.
4
(2022)
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Hybrid journal * Containing 1 
Open Access article(s) in this issue *
