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Mental Health and Social Inclusion
Journal Prestige (SJR): 0.223
Number of Followers: 36  
 
Hybrid Journal Hybrid journal   * Containing 3 Open Access Open Access article(s) in this issue *
ISSN (Print) 2042-8308 - ISSN (Online) 2042-8316
Published by Emerald Homepage  [362 journals]
  • Mental health and character strengths: the dual role of boosting
           well-being and reducing suffering

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      Authors: Ryan M. Niemiec
      Abstract: This paper aims to examine how character strengths have an important dual role in mental health in both promoting well-being and mental wellness and also in reducing symptoms and suffering. While there are many studies that have touched upon variables that character strengths can enhance for mental well-being or reduce for suffering, the author actually knows very little about how character strengths might relate to or impact mental health. A large-scale study of 12,050 individuals was conducted to explore the self-perceived character strengths that are most helpful for mental health, for handling physical adversity, for handling social adversity and for fostering psychological well-being. Some character strengths showed a general effect – showing a strong perceived impact across multiple domains – such as love, perspective, kindness, hope, humor and curiosity. Other character strengths showed a specific effect in that there was a strong perceived impact in one domain, such as perseverance and self-regulation for physical health, spirituality and social intelligence for social health and creativity for mental health. A strength-based approach to understanding and managing emotions was substantially more preferred than cognitive or behavioral approaches. Other findings examined the character strengths most desired to be improved upon for mental health. The research strategy was cross-sectional, thereby causality cannot be determined. Because of the large sample size, researchers are encouraged to consider examining the findings in intervention studies. This study indicates that character strengths are highly relevant for mental health, all 24 character strengths are possible pathways to impact mental health (some more than others) and individuals can readily connect ways they can use their character strengths to positively improve their well-being and manage their suffering. Character strengths and their substantial positive potential provide an avenue for public impact on a large scale. To the best of the author’s knowledge, this is the first known study to directly examine multiple intersections among mental health and character strengths in a large sample.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-03-13
      DOI: 10.1108/MHSI-01-2023-0012
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • “My words matter”: perspectives on evaluation from people who access
           and work in recovery colleges
         This is an Open Access Article Open Access Article

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      Authors: Sophie Soklaridis, Rowen Shier, Georgia Black, Gail Bellissimo, Anna Di Giandomenico, Sam Gruszecki, Elizabeth Lin, Jordana Rovet, Holly Harris
      Abstract: The purpose of this co-produced research project was to conduct interviews with people working in, volunteering with and accessing Canadian recovery colleges (RCs) to explore their perspectives on what an evaluation strategy for RCs could look like. This study used a participatory action research approach and involved semistructured interviews with 29 people involved with RCs across Canada. In this paper, the authors share insights from participants about the purposes of RC evaluation; key elements of evaluation; and the most applicable and effective approaches to evaluation. Participants indicated that RC evaluations should use a personalized, humanistic and accessible approach. The findings suggest that evaluations can serve multiple purposes and have the potential to support both organizational and personal-recovery goals if they are developed with meaningful input from people who access and work in RCs. The findings can be used to guide evaluations in which aspects that are most important to those involved in RCs could inform choices, decisions, priorities, developments and adaptations in RC evaluation processes and, ultimately, in programming. A recent scoping review revealed that although coproduction is a central feature of the RC model, coproduction principles are rarely acknowledged in descriptions of how RC evaluation strategies are developed. Exploring coproduction processes in all aspects of the RC model, including evaluation, can further the mission of RCs, which is to create spaces where people can come together and engage in mutual capacity-building and collaboration.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-03-07
      DOI: 10.1108/MHSI-01-2023-0002
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Irish transgender voices on mental health and mental health care
         This is an Open Access Article Open Access Article

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      Authors: Jan de Vries, Carmel Downes, Danika Sharek, Louise Doyle, Rebecca Murphy, Thelma Begley, Edward McCann, Fintan Sheerin, Siobhan Smyth, Agnes Higgins
      Abstract: People who identify as transgender face stigma, isolation and harassment while often struggling to come to terms with their gender identity. They also disproportionately experience mental health difficulties. The purpose of this paper is to present the voices of transgender people in the Republic of Ireland (RoI) in regard to the issues they are facing, improvements they would like to see made to schools, workplaces, services and society in general and whether mental health supports fulfil their needs. Ten open questions were embedded within a quantitative online survey (LGBTIreland study) on factors impacting social inclusion, mental health and care. These open questions were re-analysed with exclusive focus on the transgender participants (n = 279) using content/thematic analysis. The participants in this study reported significant signs of mental distress. The following themes emerged: impact of stigma, deficiencies in mental health services, need for education on transgender identity, importance of peer support, achieving self-acceptance and societal inclusion questioned. Efforts to recruit young participants have led to a possible over-representation in this study. The findings suggest the need for improvement in mental health support services, including further education in how to meet the needs of transgender individuals. Transgender people in Ireland experience social exclusion. The need for more inclusivity was emphasised most in secondary schools. Education on transgender identities in all contexts of society is recommended by the participants. This study reports on the largest group of transgender participants to date in RoI. Their voices will affect perceptions on social inclusion and mental health care.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-03-03
      DOI: 10.1108/MHSI-12-2022-0085
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • The role of music in social projects: an introduction to its well-being
           benefits

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      Authors: Oscar Odena
      Abstract: The purpose of this paper is to provide an introduction to the role of music in social projects. This paper introduces the reader to the field of social music projects and why it is important. Ongoing conflicts, inequalities and the use of orchestras and choirs for other-than-musical purposes, have all contributed to an increasing interest and adoption of music practices in social projects to support people’s inclusion and well-being, from both service providers and service users. This paper will look at research into music for social inclusion, with particular attention on benefits related to well-being and methodological innovations in this field. The research examples will also consider the implications of various social music projects for the support of well-being of diverse groups of people. Different approaches and points of view will be considered in relation to their impact on inclusion and well-being. Over the past 17 years, the author has developed an interest in the use of music and musical creativity for social purposes. The author has recently edited a book, published by Routledge, on music and social inclusion and feels it is an important topic for the Journal of Mental Health and Social Inclusion.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-03-01
      DOI: 10.1108/MHSI-01-2023-0013
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Contributions of eudaimonic well-being to mental health practice

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      Authors: Carol D. Ryff
      Abstract: The purpose of this article is to examine synergies between a eudaimonic model of psychological well-being (Ryff, 1989) and mental health practice. The model grew out of clinical, developmental, existential and humanistic perspectives that emphasized psychological strengths and capacities, in contrast to the focus on emotional distress and dysfunction in clinical psychology. Conceptual foundations of the eudaimonic approach are described, along with the six components positive functioning that are used to measure well-being. These qualities may be important in facilitating the recovery experiences, which are of interest in Mental Health and Social Inclusion. Four categories of empirical evidence about eudaimonia are reviewed: how it changes with aging, how it matters for health, what are its biological and neurological underpinnings and whether it can be promoted. Major contemporary forces against eudaimonia are also considered, including ever-widening inequality, the enduring pandemic and world-wide strife. In contrast, encounters with the arts and nature are put forth as forces for eudaimonia. The relevance of these ideas for mental health research and practice is considered. Enormous suffering defines our contemporary world. Such realities call for greater attention to factors that undermine as well as nurture the realization of human potential, the core of eudaimonic well-being. Mental health is often defined as the absence of mental illness. The novelty of the eudaimonic approach is to define mental health as the presence of well-being, assessed with different components of positive functioning.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-03-01
      DOI: 10.1108/MHSI-12-2022-0091
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Is this the real life' Or just a fantasy' A closer look at
           maladaptive daydreaming

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      Authors: Mahimna Vyas, Mehatab Shaikh, Shubh Rana, Anjana Gauri Pendyala
      Abstract: Maladaptive daydreaming (MD) has yet to be recognized as a formal condition. This paper aims to shed light on the phenomenon of daydreaming, its potential maladaptive nature and the characteristics of MD, as well as potential interventions that may be implemented to address it. The present paper is a general conceptual review of the condition of MD. It provides a historical overview of the phenomenon and attempts to draw meaningful inferences from the scientific work pertaining to the development of diagnostic criteria, the assessment and interventions developed to treat MD. Studies have shown that MD can cause distress and impair an individual's typical functioning, and specific diagnostic criteria and symptoms have been identified. Scheduled clinical interviews, self-report measures and derivative treatment modules are currently utilized to understand, assess and treat the symptoms related to MD. Formal recognition of the condition ensures that the individuals receiving treatment for the condition are provided with insurance coverage and reimbursement for treatment.
      Authors also hope for MD recognition, awareness, reduced stigma and acceptance. This review offers a fair overview of the recent scientific findings pertaining to MD and attempts to open a channel of discourse to enhance the inclusivity of relevant psychopathological conditions in the existing classifications.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-02-28
      DOI: 10.1108/MHSI-01-2023-0014
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Factors contributing suicide in India

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      Authors: Avanish Bhai Patel
      Abstract: The death of a person caused by suicide is a matter of grave concern in contemporary society. Today, a number of people in society are taking their own lives because of many reasons. This study aims to examine the causes of suicide in Indian society using anomie theory. The author has applied the content analysis method. The researcher has collated 210 occurrences of suicide from newspapers of Uttar Pradesh between 1 October 2020 and 30 April 2021. The author has recognised the type, patterns and causes of suicide in society by analysing and observing daily news items. The result demonstrates that most suicides (16.67%) have been caused by frustration/mental illness, followed by several other causes of suicide such as family problems (13.81%), love affairs (10.00%), poverty (9.05%), harassment (8.57%) and sexual harassment (7.62%). The data shows a major gap in the number of suicide deaths between the genders. This is an original work of researcher which is basically based on anomie theory.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-02-17
      DOI: 10.1108/MHSI-01-2023-0011
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Reflections on Sixth form education: a weight worth bearing'

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      Authors: Lewis Coates
      Abstract: The purpose of this paper is to share experiences of attending Sixth Form (SF) and to provide reflections on coping, stress management and support for an underresearched cohort of students in Britain. This will be the first in several papers dedicated to the experiences of Sixth Form (SF) students and the need for more research into this area as well as the exploration of the sources of stress that SF students may face. Reflective, narrative first-person approach with supporting literature and own research over the master’s thesis of the author and current PhD research. Key reflections are SF education lacks support for students who may feel undersupported. Many things other than academics are occurring in this time of life and can become problematic to the students if not supported. Students experience a myriad of changes across this time period but are left behind the author’s support and revision systems that cater to General Certificate of Secondary Education students but are unable to provide support for SF students. Social implications are focussed on building awareness and research into the support needs and sources of stress for SF students. This paper is one person’s experience with the institution of SF and the expectations, challenges and sources of stress that the author experienced. This paper contributes to the exploration of this underresearched cohort of students.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-02-15
      DOI: 10.1108/MHSI-01-2023-0006
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Crafting and recognising good enough autoethnographies: a practical guide
           and checklist

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      Authors: Alec John Grant
      Abstract: The purpose of this study is to provide a practical guide and checklist for newcomers to autoethnography. The approach is grounded in autoethnographic methodology, functioning as a comprehensive teaching resource. When used as a learning resource, this study will enhance the work of beginning autoethnographers. As an arts and humanities and social science-based research approach, autoethnography is a vital, creative methodology in advancing social justice in mental health. This study, written by an experienced teacher, mentor and supervisor of the approach with an international reputation, is original in its provision of a comprehensive teaching resource in article form to assist the development of beginning autoethnographers.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-02-10
      DOI: 10.1108/MHSI-01-2023-0009
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • “Development and evaluation of perspective: counselling simulator”: a
           gamified tool for developing risk-assessment skills in trainee counsellors
           

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      Authors: Charlotte Conn, Aashiya Patel, Jacob Gavin, Mishell Granda-Salazar, Andrew Williams, Steven Barnes
      Abstract: Self-efficacy is the bridge between theoretical knowledge of counselling and practical application of effective techniques (Akinlolu and Chukwudi, 2019). Furthermore, risk-assessment and management are fundamental components of counselling training and self-efficacy in these areas is central to ethical practice. Gamification represents an opportunity to increase motivation encouraging users to engage with serious content via an entertaining medium. This study aims to present two studies concerning an outline of the development process and an initial evaluation of “Perspective: Counselling Simulator”, a gamified training tool for developing and enhancing self-efficacy in risk-assessment skills in trainee counselling students in the UK. This paper presents the development and initial user-evaluation of “Perspective”, as well as an initial evaluation of the game’s capacity to deliver risk-assessment education in a group of UK-based trainee counsellors to British Association for Counselling and Psychology (BACP) standards. Firstly, mid-development assessment of a prototype-version of the game produced a good system usability score and positive user-feedback, while identifying areas for further improvement. Secondly, data relating to an initial evaluation of the efficacy of the game suggest that the game in its current form is significantly improved in terms of system usability and produces descriptive, albeit not statistically significant improvements to self-reported self-efficacy. Additional feedback was provided by users and further development and evaluation is planned. This paper represents, to the best of the authors’ knowledge, the first of its kind in developing and evaluating a gamified tool with accessibility and scalability for teaching and consolidating risk-assessment skills of UK counselling students in-line with BACP standards.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-02-10
      DOI: 10.1108/MHSI-12-2022-0090
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • An exploration of the implementation of peer work across multiple fields
           in Ireland

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      Authors: Daryl Mahon, Danika Sharek
      Abstract: Peer support work is increasingly becoming part of the delivery of health and social care services. However, in an Irish context, there is a paucity of research in this area. This study aims to investigate the experiences of peers and other key stakeholders across four sectors in Ireland. Qualitative interviews (N = 35) were conducted with key respondents in mental health, substance use, migrant health and homelessness sectors. Data were analysed using thematic analysis and reported using an ecological framework. Peer work is a slowly emerging area of practice, although mental health is further ahead in this journey. Findings suggest that peers are important additions to service delivery but also have various support and development needs. Organisations can encourage and support peers into employment through enacting human resource policy and practices, effective supervision, management and maintaining a positive working culture. Helping other professionals to understand the peer role and how it can function within the wider team is highlighted. National policy and governance structures can also support the emergence of the peer role, which exists in a highly complex arena. Peers can play a meaningful role in supporting service users in four sectors of health and social care in Ireland. Structures and processes to help embed these roles into systems are encouraged across micro, meso and macro levels. Implications and limitations are discussed for moving forward with peer work. To the best of the authors’ knowledge, this is the first study to include these four areas of practice simultaneously.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-02-03
      DOI: 10.1108/MHSI-12-2022-0082
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • (Re)-constructing patients’ post-treatment identities through a gender
           lens: a case among psychiatric patients in Malaysia

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      Authors: Nur Zafifa Kamarunzaman
      Abstract: Psychiatric patients’ post-treatment identities are one of the potent indicators reflecting the efficacy of the medical intervention. This study aims to explore how psychiatric patients construct their post-treatment social identities through a gender lens. This study used a descriptive phenomenological approach, and in-depth interviews were undertaken on 29 informants with experience of psychiatric treatment for at least one year and who are in the remission stage. The lived experience of each informant was scrutinised, which covered how psychiatric post-treatment affects and alters their personal life, work and social relationships. Data collected were then analysed using thematic analysis. The result found two mutually reinforced identities, namely, self-empowerment and resilience emerged from their experience with psychiatric post-treatment. Firstly, self-empowerment themes include acceptance of the disorders, meaningful choices, assertiveness and helping others. Such self-empowerment attributes enabled them to negotiate with the doctors during the treatment and also with their family members and partners. Secondly, psychiatric post-treatment allows them to be resilient; their good feeling of being liberated from the symptoms while allowing them to partake in a normal lifestyle. Meanwhile, gender differences were found to have diverse meaning-making that positively impacted their lives, particularly among female informants. Firstly, the data collection was only made in two states in North Peninsular Malaysia; hence, it would be biased in this sense to generalize to a larger population. At the same time, a prevalent study could be undertaken to view the pervasiveness of mental illness among Malaysians. Secondly, the study did not investigate the social institutions that are linked to the relief of psychiatric patients in the country. Thus, there is a grey area on how at the systemic level aid is given to the patients and the impact of such action. A rigour campaign on promoting mental health should be undertaken to create an inclusive environment for the patients. This is consistent with the aspiration of deinstitutionalization and the Shared Prosperity Vision 2030 agenda by the Malaysian government. This is a call for an allotment in special education, training, and funding, employment, housing and other aspects that are significant for their livelihood. The findings discovered that their social environment primarily caused the depression suffered by the patients. The remark is particularly true for female informants who had very little control over their lives and bodies. Hence, health professionals should consider practicing cultural and gender-sensitive treatment for these patients. Such treatments are to avoid re-discriminating, or re-victimisation feelings to occur during the treatment. Patients’ post-treatment social identity construction is seldom reported systematically through a gender lens. This study is one of the early efforts on gender lens that allow one to understand how it influences social structures and institutions, especially in the Malaysian realm.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-02-02
      DOI: 10.1108/MHSI-08-2022-0056
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Literacy and mental health across the globe: a systematic review

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      Authors: Lucy Hunn, Bonnie Teague, Paul Fisher
      Abstract: The purpose of this systematic review is to assess if there is a relationship between literacy abilities and mental health outcomes as reported in global literature. Fourteen percent of the global population has little or no literacy. Literacy skills impact on daily functioning and have been shown to impact on social outcomes. Whilst there has been research examining the potential association between literacy and mental health outcomes in specific populations, there has been no systematic review of this literature to date. A systematic review was carried out using Embase, PsycINFO and PubMed to identify relevant papers that measured both literacy and mental health. Data relating to the association between literacy and mental health were extracted. The papers included were assessed for quality using a bespoke quality rating tool. A narrative synthesis describes the findings. Nineteen studies from across nine countries were included in the analysis. Seventeen studies showed a significant association between literacy and mental health, those with lower literacy had greater mental health difficulties. Some papers reported factors that interacted with this association, such as age, gender, poverty and years of education. To the best of the authors’ knowledge, this is the first systematic review to look at the global picture of literacy and mental health. It suggests there is a relationship between literacy abilities and mental health outcomes, highlighting the importance of healthcare professionals and services including identification of literacy needs within routine mental health practice.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-02-02
      DOI: 10.1108/MHSI-09-2022-0064
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Coffee as an axis of recovery: cooperativism and mental health

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      Authors: Andrés Felipe Agudelo Hernández, Ana Belén Giraldo Alvarez
      Abstract: The purpose of this paper is to understand the functioning of a mutual aid group for mental health in rural area and analyze their own strategies for the recovery of mental health, especially those focused on cooperation, social innovation and the strengthening of their own culture through coffee. The qualitative approach was addressed through the thematic analysis, method to identify, analyze and report patterns within the data. For the selection of participants, the members of a mutual aid group called “Cooperativa de Mujeres' was selected. This group functions as an autonomous business organization in Risaralda, Colombia. They have accompanied people diagnosed with anxiety, depression and domestic violence. Six women were interviewed, between the ages of 18 and 62. Two thematic nuclei are described: “One for all” made up of categories such as identification with the other, need for the other, being able to communicate, contributing to the group involuntarily and actions to help others. “All for one”, made up of categories such as growing together, welcoming individuals in their individuality from group dynamics, strengthening the relationship of the person with reality, strengthen from the experiences of others. Mutual Aid Groups in mental health propose associative structures that they seek to oppose the barriers of historical exclusion in the labor field and in this way contribute to the fact that the models, although they have a long history, have been little studied with a view to their implementation by health systems. Current research in the field of health should focus on recognizing the flaws of the current mental health model focused on medicalization, psychologization and institutionalization, and point to a greater commitment to intersectoral support for initiatives and scenarios that promote links, networks, autonomy and care for each other and the environment, where sustainability and social and economic growth are fundamental. The transformative actions of cooperatives are configured with a fundamental element when it comes to generating spaces for the rehabilitation of mental health. Components of a mutual aid group in rural areas are explored, which could serve to replicate said structures in similar scenarios, especially in territories where social inequities make recovery difficult, such as Colombia.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-02-02
      DOI: 10.1108/MHSI-12-2022-0087
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Research protocol for a preliminary evaluation of a gamified tool for
           adult wellbeing

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      Authors: Jacob Gavin, Steven Barnes
      Abstract: The purpose of this paper is to outline a research protocol for an initial investigation into the efficacy of an early-development gamified intervention (“Wellbeing Town”) designed with potential end-users with the aim of improving adult wellbeing. Rationale for the proposed research is discussed along with a summary of the planned methodological approach. Preliminary evaluation of “Wellbeing Town” is proposed to begin using a quasi-experiment, pre- vs post-intervention repeated-measures design with follow-up. Evaluation of changes in self-reported wellbeing will be supplemented with an investigation into the extent of self-directed play between post-intervention and follow-up, and its implications for follow-up outcome. As this paper represents a protocol for future evaluation, no data is reported presently. The authors present the protocol for data analysis. Once concluded, this study represents an initial evaluation of a gamified tool for adult wellbeing designed in conjunction with potential end-users. Should the game elicit significant improvements to wellbeing when played, proposals for further evaluation and possible future scalability are presented.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-01-27
      DOI: 10.1108/MHSI-01-2023-0001
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Laughter, mental health and cancer: a case study of Ros Ben-Moshe

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      Authors: Ros Ben-Moshe, Freda Gonot-Schoupinsky
      Abstract: The purpose of this paper is to meet Ros Ben-Moshe, a cancer survivor – or rather thriver – and lecturer in positive psychology at La Trobe University, describes how she uses laughter to boost levity and mental health. This case study is divided into two parts: an autoethnographic life story of Ros Ben-Moshe, followed by 10 questions and answers. Regular laughter is an enjoyable way to stimulate the feel-good chemicals dopamine, oxytocin, serotonin and endorphins. A laughter mindset is an important tool for overall wellbeing. It can help build connections and re-frame negative situations. This is a personal narrative and gives the perspective of one person who harnessed the benefits of laughter following a cancer diagnosis. Laughter can be used strategically to reset our internal mindset and prime ourselves towards optimal mental health and wellbeing, even while struggling with serious health issues. Research into how and when to prescribe laughter for mental health and overall wellbeing is therefore of interest. Social laughter is important and rewarding. For those anxious about social laughter, finding people to laugh with who do not judge you is recommended, as are affirmations to lessen anxiety. To the best of the authors’ knowledge, this is the first case study and interview with a cancer survivor on the topic of laughter, cancer and mental health.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-01-26
      DOI: 10.1108/MHSI-11-2022-0071
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Positive addiction recovery for an online audience: implementation design
           and user evaluation

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      Authors: Lisa Ogilvie, Julie Prescott
      Abstract: The positive addiction recovery website (https://positiveaddictionrecovery.com) has been created following a successful pilot study of a programme of work known as positive addiction recovery therapy (PART). The aim of the website is to disseminate PART to an online audience, extending its reach to a larger population. The purpose of this study is to explain the process of creating this online resource and to conduct a user evaluation to understand how well received the website is likely to be to its target audience. An implementation framework cognisant of positive computing, positive technology, contemporary understanding of human–computer interaction and knowledge acquired from the delivery of eHealth interventions from the past decade was used to create the website. To understand user opinion of the resultant website, data were collected using the mobile application ratings scale user version. By adopting a tailored implementation framework, with appropriate determinant factors of wellbeing and evidenced theoretical input, a website resource was created that users considered engaging and informative. The findings also suggest that participants appreciated the importance of intended behavioural change, having interacted with the interventions on the website. To the best of the authors’ knowledge, the website is the first online version of PART, a new programme of work aimed at people in addiction recovery.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-01-26
      DOI: 10.1108/MHSI-11-2022-0072
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Suicide attempts as turning points

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      Authors: David Lester
      Abstract: The purpose of this study is to examine why an attempt at suicide does not always indicate the beginning of a life with poor mental health. Case studies, supplemented by follow-up studies of attempted suicides. One of the strongest predictors of a healthy life after the suicide attempt was found to be improvement in the appropriateness of behavior toward others and improved adult functioning. The results suggest that behavioral coaching, in addition to traditional psychiatric treatment, could help attempted suicides move on with their lives productively.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-01-25
      DOI: 10.1108/MHSI-12-2022-0092
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • The career of a suicidologist

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      Authors: David Lester
      Abstract: This essay aims to describe how the author began his career as a suicidologist and his style that made him so productive. The author used autobiographical details to illustrate the elements of his career. Childhood experiences include sleeping in air raid shelter from 1942 to 1945 in London (UK), while his style includes obsessiveness in reading everything on suicide, applying ideas from other fields (such as economics) to the study of suicide and obtaining academic freedom early in his career. The essay offers guidelines for others who are in the early stages of a career as a researcher.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-01-20
      DOI: 10.1108/MHSI-12-2022-0084
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Homelessness: partnerships and approaches to tackling complex needs

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      Authors: Angela Woods, Ben Hughes, Rebecca Lace, Joanne Dickinson
      Abstract: This paper – the first of three – aims to explore some of the complex physical and mental health needs of those experiencing homelessness. It will act as a leader to the other articles by establishing the nature of the problem and offer a rationale for carrying out a service user needs assessment as part of a review of local service provision in the North West of England against the backdrop of the current COVID-19 epidemic. There are a number of complex social and health inequalities often experienced by those who are homeless. Effectively tackling these requires a co-ordinated multi-agency response to both prevent and tackle the harms associated with being and becoming homeless. Partnership working offers the best opportunity to meet the complex needs of those experiencing homelessness. The current delivery model being actioned in the North West of England highlights the importance of the links between statutory and non-statutory services. An ongoing service user needs assessment will further help to highlight contemporary issues faced by those experiencing homelessness and those providing services in the context of the COVID-19 epidemic. Future papers as part of this series of three will consider the implications of social exclusion and barriers to accessing services faced on a day-to-day basis by those experiencing homelessness. The opportunity to reflect on established views in relation to the nature and scope of homelessness. It will consider the implications exclusion from society and service provision that this group face on a day-to-day basis. The paper will describe a contemporary approach to tackling current issues faced by those experiencing homelessness in the current context of the COVID-19 epidemic.
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-01-16
      DOI: 10.1108/MHSI-11-2022-0081
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Editorial

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      Authors: Jerome Carson
      Abstract: Editorial
      Citation: Mental Health and Social Inclusion
      PubDate: 2023-01-11
      DOI: 10.1108/MHSI-02-2023-101
      Issue No: Vol. 27, No. 1 (2023)
       
  • Help over harm: practical and ethical considerations for the evaluation
           and deployment of therapeutic games

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      Authors: Steven Barnes, Tara Chandler, Mishell Granda-Salazar
      Abstract: The aim of this paper is to collate and discuss a number of key issues regarding the development, deployment and monitoring of games designed for therapeutic purposes. The authors collate a number of core areas for consideration and offer suggestions regarding the challenges facing the field of therapeutic gaming. In this paper, four major areas of interest are presented: ensuring and communicating therapeutic game effectiveness; data-security and management; effective game design; and barriers to therapeutic game uptake and engagement. Present implications of these issues are discussed and suggestions are provided for further research and to help move the field toward establishing consensus regarding standards of practice. This paper represents, to best of the authors’ knowledge, the first of its kind in the field of therapeutic games to collate and address the core issues facing the development, deployment and growth of this potentially valuable medium.
      Citation: Mental Health and Social Inclusion
      PubDate: 2022-12-26
      DOI: 10.1108/MHSI-11-2022-0080
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2022)
       
  • Remarkable lives – Ella Vadasz in conversation with Robert Hurst

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      Authors: Ella Vadasz, Robert Hurst
      Abstract: The purpose of this paper is to share Ella Vadasz’s story. Ella wrote a biography of her experiences, including two poems. Robert then asked a series of questions from the perspective of a mental health academic. Ella shared stories from her life and how her experiences have shaped her. She talked about the emotional impact of a custody battle. Recovery narratives such as this give us an overview of only a single person’s experiences. However, they allow the person with lived experiences to explore their story in depth. What Ella has written is very emotional. Her story will give readers an insight into her life and experiences. There is so much to learn from stories such as Ella’s, in particular from her critique of social services in Scotland and England. To the best of the authors’ knowledge, this is the first time that Ella has chosen to share her unique story. This paper features two poems written by her – a first for Remarkable Lives. The value of Ella sharing her story is apparent upon reading it.
      Citation: Mental Health and Social Inclusion
      PubDate: 2022-12-16
      DOI: 10.1108/MHSI-11-2022-0074
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2022)
       
  • Initial evaluation of a mobile therapeutic game for adolescent anxiety
           disorders

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      Authors: Steven Barnes, Julie Prescott, Joseph Adams
      Abstract: This study aims to evaluate a novel mobile therapeutic videogame for adolescents with anxiety disorders (ADs), combining elements of cognitive-behavioural therapy and attention-bias modification, in terms of both its therapeutic efficacy over a controlled intervention and two-month follow-up, as well as the extent and implications of self-directed play. A within-groups design with two parallel conditions [clinical anxiety (N = 16) and subclinical/at-risk (N = 15)] were measured on both self-reported anxiety and threat-detection bias (TDB) across three timepoints (pre- and post-intervention and two-month follow-up). Significant reductions were observed in both self-reported state and trait anxiety and TDB over the course of the two-week intervention, which were maintained at follow-up. Engagement in self-directed play during the follow-up period significantly predicted outcomes at two-month follow-up for clinical participants. To the best of the authors’ knowledge, this paper represents the first of its kind to evaluate a mobile therapeutic game designed with and solely for adolescents with ADs. This study also represents the first of its kind to examine the extent and implications of self-directed play for outcomes.
      Citation: Mental Health and Social Inclusion
      PubDate: 2022-12-15
      DOI: 10.1108/MHSI-11-2022-0076
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2022)
       
  • The role of student peers in HE student mental health and well-being

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      Authors: Joanne Smith, Gareth Hughes, Leigh Spanner
      Abstract: There is evidence that students’ experiences in higher education can be adversely affected by mental health issues, whilst well-being can be bolstered through a sense of belonging. This study aims to draw from Student Minds research into student mental health to consider the importance of peers to constructing a sense of belonging. This paper draws from a thematic review of 12 focus groups – involving student services staff in six UK universities (69 participants) – conducted as part of the consultation and creation of the Student Minds University Mental Health Charter. The schedule considered student support, service structures and developments to enhance student well-being and manage mental health risks. A significant theme explored here is the positionality of student peers in terms of relatability, and the importance of orientation and belonging for student mental health and well-being. The findings also consider types of peer involvement (formal/informal) and the influence of structure, training and boundaries in interventions. Findings reveal the importance of feeling a sense of belonging in the university community to achieve well-being and good mental health. Peer support is an important contributor that supports transitions into university and creates a sense of belonging, which is important to all students, but more so to those less familiar with university, who lack role models and more easily feel isolated. The research has implications for higher education providers, which should inform the promotion of peer support within student services, based on the recognised contribution to well-being and mental health. This is important for student success and related opportunities. Success in higher education will open opportunities and create improved future prospects for individuals. This will not be realised for individuals who face boundaries and barriers to successful transition through university. The importance of belonging and role of peer support has implications for those who find themselves excluded in society. This is a qualitative study which gives voice to individuals in universities across the UK. The theme of peer support within this context and linked with mental health and well-being is underexplored.
      Citation: Mental Health and Social Inclusion
      PubDate: 2022-12-13
      DOI: 10.1108/MHSI-11-2022-0070
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2022)
       
  • Writing happy memories to soothe a troubled mind

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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)
       
  • The development and pilot evaluation of a mental health mobile app in the
           Philippines

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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)
       
  • What happens after psychosis' The support I have received

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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)
       
  • The second COVID-19 coronavirus wave and its implications for stress,
           anxiety, and depression among Indian adults

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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)
       
  • Exploring the living experience of shame; protector or persecutor'

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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)
       
  • Wellbeing and pedagogical role of higher education academics in the
           COVID-19 pandemic: a systematized review

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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)
       
  • A tale of two Peters: an analysis of the life of Peter Green using
           collaborative/community autoethnography and digital team ethnography

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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)
       
  • Lived experience perspectives of factors that influence mental health
           recovery in Singapore: a thematic analysis

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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)
       
  • Post-traumatic growth from grief – a narrative literature review

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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)
       
  • Remarkable lives – Kirsty Lilley in conversation with Robert Hurst

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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)
       
  • The primary mental health care nurse specialist practice experience in
           primary care centers in Saudi Arabia: a qualitative study

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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)
       
  • Forgiveness and mental Well-being: a transnational comparison

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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)
       
  • Remarkable lives – Laura Scranage in conversation with Robert Hurst

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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)
       
  • Humour and mental health: a case study of Arthur Asa Berger

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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)
       
  • Explorations on the use of lived experiences by psychiatrists:
           facilitators and barriers

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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)
       
  • Reductive mechanisms for unwanted intrusive thoughts: exploring
           affectivity in clinical and non-clinical samples

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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)
       
  • Evaluating the need for supervision of advanced mental health
           practitioners in psychiatric practices in Saudi Arabia

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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)
       
  • Loneliness and community mental health

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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)
       
  • The social construction of mental illness in contrast to medical models

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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)
       
  • Recovery college intervention for people living with BPD

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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)
       
  • Laughter and mental health: a case study of Merv Neal

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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)
       
  • Ideas of how peer support workers facilitate interprofessional learning in
           mental health care teamwork: conceptual paper
         This is an Open Access Article Open Access Article

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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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