Hybrid journal * Containing 5 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:Bushra Ghannam, Husam Al Khatib, Abeer Alzayyat, Ayman Hamdan Mansour Abstract: Adolescence is a developmental stage of transition that is marked by multiple biopsychosocial changes that affect their well- and ill-being. This study aims to examine the multidimensional of well- and ill-being among adolescents, and to understand the relationship between well-being and depression using the PERMA model among school-age adolescents. A descriptive, cross-sectional design was used to recruit 625 school-age adolescents (343 males and 282 females), using convenience sampling technique from the central district of Jordan. Self-administered questionnaire was used to collect data in relation to depression and well-being. The analysis revealed that 32% had a well-being score below the median and 19% had severe depressive symptoms. Depression and well-being were moderately correlated, with the connectedness dimension being the most correlated to depression, whereas the engagement dimension was the least correlated. Females had higher scores on all subscales of depression and a significantly higher score on depression than males, whereas males had higher scores on all well-being dimensions and significantly higher scores on overall well-being than females. Adolescents’ mental health is compromised and affected by their perception of well-being, and a comprehensive psychoeducation for adolescents on how to enhance well-being might combat development of depressive symptoms. This study used all PERMA model components to provide an in-depth description of adolescents’ well-being, which is a crucial initial phase in better understanding how this age group experiences well-being and how it connects to their ill-being, as indicated by their depressive symptoms. The in-depth description of adolescents’ well-being will aid in planning early intervention and prevention programs for mental illness. Citation: Mental Health and Social Inclusion PubDate: 2023-05-26 DOI: 10.1108/MHSI-04-2023-0047 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Suzette Cora Ragadu, Sebastiaan Rothmann Abstract: This study aims to investigate the associations among decent work (DW), capabilities and the flourishing of employees in a South African context. A cross-sectional survey was conducted with a convenience sample (N = 436) of early childhood development practitioners from two South African provinces. A demographic questionnaire, the Decent Work Scale, the Capability Set for Work Questionnaire and the Flourishing-at-Work Scale were administered. Latent class analysis showed four capability sets: robust, relational, knowledge/skills and weak capability sets. Employees with a robust capability set were more inclined to report DW than those with knowledge/skills and weak capability sets. Employees with a weak capability set were significantly less inclined to report organisational values that complement family and social values than the other three capability sets. Employees with a robust capability set reported significantly higher emotional well-being (EWB), psychological well-being (PWB) and social well-being (SWB) levels than those with relational, knowledge/skills and weak capability sets. DW was significantly related to EWB, PWB and SWB. This study contributes to the literature regarding DW, capabilities and flourishing of employees in a non-western, educated, industrialized, rich and democratic and non-POSH context. The study highlights the need for well-being policies that focus on DW and the capabilities of people in disadvantaged positions. These together would strengthen their agency for converting capabilities into well-being. Citation: Mental Health and Social Inclusion PubDate: 2023-05-26 DOI: 10.1108/MHSI-05-2023-0054 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Jerome Carson Abstract: The main aim of this paper is to provide a living tribute of lived expert by experience and researcher Andrew Voyce. Andrew provided the author with a list of names of people he might approach to write a tribute on his behalf. The accounts describe the influence that Andrew has had both as an educator and as a trusted colleague for the people approached. In many ways, the voices of people with mental health problems have been marginalised. Few mental health journals, with only some exceptions, encourage lived experience contributions. The mental health agenda continues to be dominated by professional groups. The remarkable individuals who continually battle with serious mental illness are often lost in official discourses. Despite the fact that the topic of mental health is now much more in the public domain, research tells us that the most effective anti-stigma strategy is contact with sufferers. The archivist Dr Anna Sexton co-produced one of the few mental health archives that only featured people with lived experience. Andrew was one of the four people featured in it. This account “showcases” the work of this remarkable man. Citation: Mental Health and Social Inclusion PubDate: 2023-05-19 DOI: 10.1108/MHSI-04-2023-0046 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Paul McGivern Abstract: This commentary discusses the broader potential of student response systems (SRS) regarding their positive impact on student mental health and wellbeing. The purpose of this paper is to draw on relevant literature to illustrate the wider social and intrapersonal benefits of SRS beyond its use as an educational tool. Tenets of social information processing theory are used in conjunction with the literature from health, sociological and psychological disciplines to explicate the mental health benefits of SRS. SRS can make a positive contribution students’ mental health and wellbeing, thus assisting the broader pastoral support and employability frameworks of higher education institutions. An original perspective on the use of SRS in promoting the mental health and wellbeing of university students Citation: Mental Health and Social Inclusion PubDate: 2023-05-19 DOI: 10.1108/MHSI-04-2023-0048 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Megan S. Patterson, Mandy N. Spadine, Allison N. Francis, Tyler Prochnow Abstract: The purpose of this study is to assess factors related to sorority women connecting with people who exacerbate feelings of exercise guilt and body dissatisfaction (BD), both of which preclude compulsive exercise. In all, 207 sorority women (egos) completed online surveys measuring physical activity, BD, compulsive exercise and egocentric networks (n = 1,105 social ties/alters). Two random coefficient multilevel models assessed factors related to an ego connecting to someone who makes her feel: guilty about her exercise habits and good about her looks. Exercise patterns within networks related to how often an alter made ego feel guilty about her exercise habits; alter gender and communication frequency related to how often an alter made ego feel good about her looks; and ego’s BD score was related to both feelings of guilt and body satisfaction. The findings of this study support and extend literature highlighting the importance of someone’s immediate social network on their body image and related behaviors. Citation: Mental Health and Social Inclusion PubDate: 2023-05-16 DOI: 10.1108/MHSI-01-2023-0004 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Sanjana Parwani, Asim Kumar Talukdar Abstract: The sexual minority groups in India seem to be suffering from continued social exclusion affecting their mental health. This study aims to investigate the effect of the hostile attitude of society and lack of social support on the mental health of the Indian LGBT+ members. Hypotheses were developed by drawing theories and concepts from the literature and were tested using the partial least square–structural equation model with a sample size of 151 of the Indian LGBT+ community. The findings showed a strong negative effect of the hostile attitude of society on the mental health of the Indian LGBT+ community. The findings further showed that weak problem-focused and emotion-focused coping self-efficacy negatively mediated the relationship between the hostile attitude of society and mental health, while lack of social support negatively moderated the relationship between the hostile attitude of society and both problem-focused and emotion-focused coping self-efficacy of the Indian LGBT+ community. This study makes a novel and significant theoretical contribution by investigating the effect of the hostile attitude of society and the lack of social support on the mental health of the Indian LGBT+ community members. This study also makes a significant practical contribution in underpinning the urgent need for social inclusion and support to improve the mental health of Indian LGBT+ community members, which is currently in dire condition. Citation: Mental Health and Social Inclusion PubDate: 2023-05-10 DOI: 10.1108/MHSI-01-2023-0003 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Aleisha Fitzgerald, Tom Moberg, Phelim Quinlisk, Chloe Costello Abstract: While the research literature on Recovery Colleges is relatively well-established, comprehensive research concerning Recovery Education for young people is currently scarce. The purpose of paper is to provide an overview of determinants of, and barriers to, the successful implementation of youth-adapted Recovery Colleges, known as Discovery Colleges, and to explore the wider impact of Discovery Colleges and Recovery Colleges. In consultation with a Recovery College Peer Educator, three undergraduate applied psychology students conducted a literature review with no date limits on publications in the Google Scholar and PubMed electronic databases. A total of 15 publications were included. Determinants for successful implementation included the importance of previously established Recovery College foundations, service and content accessibility and evaluative feedback. Barriers were primarily related to differences in how development, identity and environment between adults and young people impact positive educational outcomes. The wider impact of Discovery Colleges highlighted an improvement in relationships between service users and health-care professionals, an improved attitude towards education; improvements in well-being, self-worth and social connection; and promotion of transformative learning and personal autonomy. Through this, Discovery Colleges also continue to challenge the contemporary medical model of mental health. To the best of the authors’ knowledge, this was the first literature review conducted specifically focussing on important factors in establishing Discovery Colleges. This literature review provides an important overview for both service users and staff members in how the development and implementation of this exciting and relatively new initiative can be further explored and enhanced going forward. Citation: Mental Health and Social Inclusion PubDate: 2023-05-09 DOI: 10.1108/MHSI-04-2023-0041 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Fatemeh Amini, Seyyed Mohammad Mousavi, Jamshid Yazdani Charati Abstract: This study aims to compare the social support among patients with schizophrenia or methamphetamine dependency with healthy individuals. Using convince sampling, the authors recruited 80 patients (schizophrenia, n = 40; methamphetamine dependency, n = 40) and their companions (healthy individuals, n = 40) who were referred to a psychiatric hospital in a cross-sectional study in Sari, Iran. In in-person interviews, the authors collected data on demographic characteristics and measured social support using a standardized questionnaire. The three groups were similar regarding age and marital status, but different in gender distribution (p = 0.001). The average social support score was 58.0 in the schizophrenia group and 42.3 in the methamphetamine-dependent group, both significantly lower than 63.6 in the healthy group (p = 0.001). The social support scores in schizophrenia and methamphetamine-dependent groups were significantly lower than those in the healthy group across all subgroups of gender (p < 0.04), age (p < 0.05) and marital status (p < 0.001). The methamphetamine-dependent group had the lowest score overall and across all demographic groups and social support subdomains. This study had two main limitations. First, the study samples were from one city and one hospital in the north of Iran and so may not be generalizable to other population and settings. Second, the authors did not study the causes or predictors of low social support like social stigma which should be studied in future studies. Despite the limitations, this study found low social support for people diagnosed with schizophrenia or methamphetamine dependency. Intervention to increase social support for them, especially for those with substance use, is required. Citation: Mental Health and Social Inclusion PubDate: 2023-05-05 DOI: 10.1108/MHSI-02-2023-0019 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Cemil Akkaş, Aykut Hamit Turan Abstract: As our time spent on social networking sites (SNS) is increasing, more people are facing the psychological and mental consequences of SNS use. Given the growing body of research on the relationship between social network use and life satisfaction, this study aims to provide an overview of empirical studies through a systematic literature review. As a result of the screening process, 43 articles were included in the review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. First, the characteristics of the studies included in the review, such as sample country, data collection method and data analysis method, are presented. Then, the findings on the relationship between SNS use and life satisfaction are outlined. Based on the results, it is seen that the relationship between SNS use and life satisfaction varies considerably with the sample and platforms studied. Theoretically, this systematic review provides a comprehensive picture of the relationship between SNS use and life satisfaction and encourages researchers to study the topic further. There are reviews on the relationship between SNS use and psychological factors such as self-esteem, loneliness or depression. In the reviews, limited variables such as problematic social network use, adolescents’ social network use and social network addiction have been examined instead of general social network use. However, the number of reviews on the relationship between social network use and life satisfaction is quite limited. To the best of the authors’ knowledge, this systematic review is both a comprehensive literature review and one of the first studies to provide a broad perspective on the relationship between social network use and life satisfaction. Citation: Mental Health and Social Inclusion PubDate: 2023-05-05 DOI: 10.1108/MHSI-03-2023-0037 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Jerome Carson Abstract: This paper aims to provide a living tribute to the mental health activist and international trainer Peter Bullimore. Peter provided a list of people to who he wanted to provide tributes. Jerome approached all these people. All agreed. Several people from around the world attest to the influence that Peter’s teaching and personality have had on their clinical practice and on their lives. The disappearance of an Open Mind has left a shortage of journals, which welcome the user perspective. Mental Health and Social Inclusion have always championed the voice of people with lived experience. These are selected tributes to one man’s work in the field of mental health. These accounts provide insights into the work of a remarkable individual. Students of the mental health professions are mainly exposed to work produced by their peers. The history of mental health is filled with the stories of professionals, not the people who have used services. Historically accounts of psychiatry are written by mental health professionals. Service user or lived experience accounts are often written from the perspective of the person’s story of illness and recovery. There are comparatively few, which celebrate the additional achievements of specific individuals with lived experience. Citation: Mental Health and Social Inclusion PubDate: 2023-05-05 DOI: 10.1108/MHSI-04-2023-0038 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Valeriia Palii, Mariana Velykodna, Marcio Pereira, Rosaleen McElvaney, Sam Bernard, Vitalii Klymchuk, Oleg Burlachuk, Alexander A. Lupis, Nadiia Diatel, Jane L. Ireland, Kimberley McNeill, Janina L. Scarlet, Ana L. Jaramillo-Sierra, Bassam Khoury, Diana Rocio Sánchez Munar, Sarah L. Hedlund, Tara Flanagan, Jeanne LeBlanc, Diana Maria Agudelo Velez, Yvonne Gómez-Maquet Abstract: This paper aims to discuss current work and further steps of the psychological hotline launched by the National Psychological Association of Ukraine (NPA), along with a call for action to mental health professionals worldwide. This paper describes the training and support of the NPA’s hotline staff as well as reflections on the hotline’s work from June 2022 to April 2023. With broad international support, the NPA’s psychological hotline currently operates in 21 countries providing psychological assistance and referrals to other service providers within Ukraine and abroad. The authors propose further steps of its work, including international collaboration. Providing citizens of Ukraine with broad public access to evidence-based remote psychological support through NPA’s hotlines is a high priority considering the war’s negative impact on mental health diverse and the limited capacity of the state mental health system. Citation: Mental Health and Social Inclusion PubDate: 2023-05-04 DOI: 10.1108/MHSI-04-2023-0040 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Ayesha Adeel, Chathurika Kannangara, Harnovdeep Singh Bharaj, Ambar Basu, Barrie Green, Lisa Ogilvie, Jerome Carson Abstract: Digital mental health interventions (DMHIs) are promising alternatives to traditional face-to-face psychological interventions to improve psychological outcomes in various chronic health conditions. However, their efficacy among people with diabetes is yet to be established. Therefore, this narrative review aims to identify the importance and need for evidence-based research on DMHIs targeting the psychological outcomes in people with diabetes. Using a narrative review approach, this study highlights the technological advancements in diabetes health care and identifies a need for developing DMHIs for people with diabetes. DMHIs are promising for improving psychological outcomes in people with diabetes. However, there is a need for further rigorous, controlled and high-quality diabetes-focused studies, to make firm conclusions on the effectiveness and appropriateness of DMHIs for patients with diabetes. This review also suggests that DMHIs based on psychological theories and studies with higher quality methodologies are also needed. This review highlights the contemporary literature on diabetes and related technological advancements. The findings of this study serve as a basis of the improvement of policy on digital mental health services for people with diabetes, to impact the global burden of the disease. Citation: Mental Health and Social Inclusion PubDate: 2023-05-02 DOI: 10.1108/MHSI-03-2023-0029 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Michael F. Steger, Angelina Sung, Truc Anh L. Dao, Trudy M. Tompkins Abstract: The purpose of this paper is to examine meaning in life as an important resource during the COVID-19 pandemic. This paper summarized key research establishing links between meaning in life and mental health and well-being variables, reviewed the literature on meaning as a protective factor and meaning-making as a coping mechanism amidst the COVID-19 pandemic, as well as provided focal points in cultivating meaning in life. Studies strongly support the notion that meaning in life is essential for health and well-being. Research also suggests that meaning protects against worsening mental health, and that engaging in meaning-making is a coping process that ultimately leads to improved adjustment despite the stressors of the COVID-19 pandemic. Eight themes are also identified in cultivating skills to build meaning during adverse times. Integrating what research has found about meaning, resilience and coping can help individuals develop practical strategies to cultivate meaning in their lives to support themselves and their communities during stressful times. Understanding the ways in which meaning can support individuals’ health and well-being is critical during a global upheaval such as that of the COVID-19 pandemic. Citation: Mental Health and Social Inclusion PubDate: 2023-05-02 DOI: 10.1108/MHSI-04-2023-0039 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Mary Kay Morrison, Ros Ben-Moshe, Freda Gonot-Schoupinsky Abstract: The purpose of this paper is to meet Mary Kay Morrison, an active member and past president of the Association for Applied and Therapeutic Humor (AATH). This case study is presented in two sections: an autobiography of Mary Kay Morrison, followed by a ten-question interview. Mary Kay recommends exploration of the benefits of humor and laughter for mental health professionals. In recognition of the need for clarifying terminology, she coined the terms Humergy, which is joyful, optimistic, healthy energy and Humordoomer, which denotes a person who zaps that energy from us. Her work includes exploring the five stages of Humor Development as a significant factor in understanding cognitive development. This is a personal narrative, albeit from an educator who has been active in the field of applied and therapeutic humor for over 30 years. Humor and laughter research is recommended to explore their use in optimizing mental health. Mary Kay endorses expanding pioneering work in therapeutic humor as a treatment for anxiety and depression. She shares recommendations for humor practice in both prevention of mental health challenges and as a viable treatment for anxiety and depression. Three humor benefits with particular social applications are highlighted. Humor facilitates communication, creates an optimal learning environment and supports change. To the best of the authors’ knowledge, this is the first case study about Mary Kay Morrison, Past President of the AATH and founder of the AATH Certified Humor Professional program. Citation: Mental Health and Social Inclusion PubDate: 2023-04-28 DOI: 10.1108/MHSI-03-2023-0036 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Monika Kornacka, Anna Jaskulska, Kinga Skorupska, Marta Szastok, Małgorzata Nadziejko, Wiesław Kopeć Abstract: One of the recommendations in process-based cognitive therapies suggests that functional analysis created by the clinician should be supported by empirical data collected through daily sampling. It enables the computing of a dynamic network of psychological processes and symptoms supporting clinical decisions but also therapeutic progress monitoring. However, the experience sampling solutions available in the market do not enable the automatic creation of this kind of network; thus, the use of this approach in clinical practice is practically impossible without advanced statistical skills and significant time investment. The purpose of the present paper is to describes a protocol of a research project based on a participatory approach aiming to create a solution enabling therapists not only to set up a personalized daily sampling for their patients and collect the data but also providing a fully automated visualization of the network adapted for therapeutic purposes. The project will require creating a platform for therapists where they can set up monitoring and receive dynamic networks visualization, creating an experience sampling application for patients connected to the platform and creating an optimal data visualization system that will enable therapists to accurately and quickly interpret the network. A series of participatory workshops, qualitative and quantitative studies are described. The presented studies will enable us to evaluate the ergonomy of use of both platform and app in laboratory and ecological settings along with the evaluation of network interpretation accuracy. To the best of the authors’ knowledge, this is the first participatory design protocol for creating a solution that might enable clinicians to use a dynamic network approach in their everyday clinical practice. The challenges and opportunities of creating this kind of mHealth solution are discussed. Citation: Mental Health and Social Inclusion PubDate: 2023-04-27 DOI: 10.1108/MHSI-01-2023-0015 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Julie Prescott, Terry Hanley Abstract: The aim of this research is to gain an insight into the attitudes that therapists, both qualified and trainee, have towards the use of artificial intelligence (AI)/machine therapy in therapeutic practice. The paper also aims to gain an insight into attitudes towards machine therapy and the potential of developing a therapeutic alliance with a machine therapist. A short questionnaire was developed to gauge therapists and trainee therapists’ attitudes towards machine therapy. The questionnaire included a scenario for participants to read and then respond to questions on the therapeutic alliance using questions based upon those asked on the working alliance short inventory scale. At the end of the questionnaire, there was also the opportunity for participants to respond to an open-ended question. It is evident from the responses that there is a clear reservation about the use of AI technology within the therapeutic setting. In spite of this reticence, many participants recognised the potential and are open to the possibilities this technology can bring. It was notable that the therapists largest concern was about the potential to create a strong bond with a machine therapist. This paper presents findings on therapists’ attitudes towards AI use within therapeutic practice and machine therapy. Whilst limited in scope, it provides a yardstick for considering the way that attitudes towards these emerging technologies might change in the future. Citation: Mental Health and Social Inclusion PubDate: 2023-04-26 DOI: 10.1108/MHSI-02-2023-0020 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Barrie Green Abstract: This paper aims to describe a link between and benefits of two initiatives targeted at mental health and social inclusion. One being informal, the sport of walking football; the other a formal self-help well-being group. This reflective commentary describes two group activities which are aimed at addressing physical and mental health challenges of older adults. These are described by the author to highlight the benefits that they provide for some of the challenges faced by men in particular in later life. Using a narrative approach to describe a synergy between the two initiatives created by the link between the activities, and the participants. The Lawnmower Maintenance Society has proved to be a successful model for promoting and supporting the participant’s mental health and well-being. As we emerge from the trauma of COVID-19 and the isolation of lockdown, such initiatives may help redress the imbalance in health which resulted. Although there are several similar groups, there seems to be a positive link between the physical and mental health benefits of using Walking Football as a shared interest of the attendees. Feedback from participants and interest from the wider community suggest the positive impact of such groups, particularly as National Health Service resources are stretched beyond capacity. Although this study reports on one new group for men, to the best of the author’s knowledge, this is the first to bring together the areas of Walking Football and a men’s support group. This type of support group could easily be extended if the footballing authorities wish to replicate it in other parts of the country. It is well known that men are very reluctant to talk about personal problems. Other workers have also tried innovative solutions to this problem, such as Men in Sheds. This case study offers a further contribution to this area. There are several academic papers, as well as information on well-being groups in both the print and social media. This commentary outlines a small, but contemporary, description of one such initiative. Citation: Mental Health and Social Inclusion PubDate: 2023-04-26 DOI: 10.1108/MHSI-03-2023-0035 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Madan Kataria, Ros Ben-Moshe, Freda Gonot-Schoupinsky Abstract: The purpose of this paper is to meet Dr Madan Kataria, the founder and creator of Laughter Yoga. This case study is presented in two sections: a transcribed autobiography of Madan Kataria, followed by a ten-question interview with him. The popularity of Laughter Yoga (LY) has spread from a handful of people since 1995 to a global movement with tens of thousands of people who commune in person and online, laughing for the health of it. This is a personal narrative, albeit from someone who has been at the forefront of using intentional laughter for well-being for 30 years. LY promotes an array of physical, psychological and emotional health outcomes that does not rely on humour or jokes to stimulate laughter. It is a beneficial resource suited for use in vulnerable population groups, including people experiencing depression or anxiety. The LY methodology is suited to people of all ages and abilities, enhancing mental health, decreasing stress levels and growing social connections and community through the universal language of laughter. To the best of the authors’ knowledge, this is the first case study and interview with Dr Kataria that delves into his personal background, outlining his motivation and experience behind founding LY internationally. Citation: Mental Health and Social Inclusion PubDate: 2023-04-11 DOI: 10.1108/MHSI-03-2023-0032 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Nicky Lidbetter, Emma Eaton, Paul Cookson, Moira Bell Abstract: The aim of this paper is to describe and detail a new workforce initiative developed by a third sector organisation: the Multi-Modality Practitioner (MMP) approach, in the provision of support for individuals and families presenting in the community with multiple and varied needs. This paper presents a case study on a third sector organisation’s pioneering workforce initiative – the MMP approach. The MMP approach has been developed as an alternative to existing approaches designed to address “single issues”, providing those working in the fields of health and social care and beyond, with a range of technically eclectic interventions from different modalities and approaches, to enable them to appropriately meet the needs of individuals and families presenting with multiple needs. This case study is limited to providing a rationale for the development of the MMP approach and a description. It does not include any formal analysis as a future evaluative paper will report on an independent theory-based examination of the MMP approach via Theory of Change and Contribution Analysis methodologies. This case study describes the innovative role that the MMP approach as a workforce innovation plays in meeting multiple needs in the community when deployed as either a stand-alone approach, or one that can be integrated with existing community-based services including, but not limited to, mental health, employability, addiction, housing, homelessness, public health and child and family services. The MMP approach constitutes a disruptive, pionneering, client-centred, workplace innovation that is trauma-informed, relational, strengths-based and continuity of care focused, capable of supporting individuals and families with multiple needs, negating onward referral and with potential to reduce demand on public services. It also provides those working in a range of health and social care roles with the opportunity to expand their therapeutic repertoire through high-quality, multi-skilled training in evidence-based and societally important, technically eclectic interventions drawn from a range of modalities. Pluralistic practice and multimodal theories have been in existence for over two decades, the MMP approach however, whilst sharing some of these concepts and philosophies, differs in that it provides those trained in the approach with a ‘toolkit’ of interventions that are technically eclectic, drawn from a range of modalities and approaches and aimed at meeting multiple needs in a pragmatic and accessible manner. Furthermore, the Diploma in Multi-Modality Practice is the first training course of its kind available at postgraduate level. Citation: Mental Health and Social Inclusion PubDate: 2023-04-07 DOI: 10.1108/MHSI-01-2023-0010 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Raluca Ioana Pascale, Calli Tzani, Maria Ioannou, Thomas James Vaughan Williams, Daniel Hunt Abstract: The purpose of this study is to investigate the psychological consequences of human trafficking and to reveal the importance of appropriate post-trafficking psychological interventions. Specifically, this study provides a detailed analysis of human trafficking categories, as well as the characteristics of victims and traffickers’ motives. More recent data in the literature show that trauma-coerced attachments and complex post-traumatic stress disorder are also observed among trafficking survivors. Each of the mentioned mental disorders is presented separately, and results are discussed throughout this study. Consequently, psychological interventions are proposed in accordance with the human trafficking category, survivors’ characteristics and needs and with the relevant personal risk factors determined among victims. Sex trafficking can have a severe effect on a victim’s mental health, and mental health disorders are substantially higher in human trafficking victims compared to non-trafficked victims or general psychiatric population. Limitations, implications and future recommendations are discussed. A limited number of past studies evaluated the mental health consequences and identified that survivors have a higher prevalence of anxiety disorders, depression disorders and post-traumatic stress disorder. Citation: Mental Health and Social Inclusion PubDate: 2023-04-07 DOI: 10.1108/MHSI-03-2023-0026 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Danielle Jeffries, Robert Hurst Abstract: The purpose of this paper is to share Danielle Jeffries’ story. Danielle wrote a biography of her experiences. Robert then asked a series of questions from the perspective of a mental health academic. Danielle shared stories from her life, and how her experiences have shaped her, including being sectioned under the Mental Health Act. 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. What Danielle has written is very powerful. Her story will give readers an insight into her life and experiences. There is so much to learn from stories such as Danielle’s. In particular, the way that she speaks about the impact of a diagnosis of borderline personality disorder. This is the first time that Danielle has chosen to share her unique story. The value of Danielle sharing her story is apparent upon reading it. Citation: Mental Health and Social Inclusion PubDate: 2023-04-07 DOI: 10.1108/MHSI-03-2023-0031 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Sandy Rao, Gina Dimitropoulos Abstract: This study aims to gain insights from peer support workers (PSWs) on the unseen mechanisms of peer support work that may be applied to implementing a child and youth mental health peer support program in a children’s hospital emergency department (ED). This study used a critical realist perspective with a qualitative research design. Eight participants, all PSWs in health, community and social services working with adults, adolescents and children, were recruited from Alberta, Canada. Data were collected through in-person semi-structured interviews and analyzed using Braun and Clarke’s reflexive thematic analysis. The results generated interrelated patterns of meaning among PSWs that were grouped into three main themes: inside out and outside in, no one leaves empty-handed and sculpting health system softness. All participants were trained by the same organization and may have similar understandings and approaches to the peer support role. Participants were predominantly of a similar demographic; thus, participants with minoritized identities may have challenges not represented. Using nontraditional staffing models in an acute center may facilitate a shift to meet the chronic and complex issues of the 21st century. Youth peer support roles may reduce stigma by challenging stereotypes and myths, reduce social isolation and improve meaning, connection and belonging for individuals with mental illness who are often dislocated and disconnected from society. This study exemplified the positive impacts peer support could make by improving child, youth and family experiences; reducing stigma; providing hope and help; and embedding the recovery model directly into the ED. Citation: Mental Health and Social Inclusion PubDate: 2023-04-04 DOI: 10.1108/MHSI-02-2023-0016 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Ayat J. Nashwan, Lina Alzouabi Abstract: This study aims to address the social, cultural, financial and psychological obstacles these women face in preserving their living arrangements and in parenting as well as the coping mechanisms women adopt to overcome everyday challenges. Researchers used qualitative methodology and interviews to fulfill the aims. Researchers used qualitative methodology and interviews to fulfill the aims. The sample consists of 20 Syrians living in Jordan’s Amman, Irbid and Al Ramtha in specially designed compounds for them (14 widows and 6 divorcees). This study’s findings demonstrate that social and cultural norms existing in Jordan and Syria are generally similar, in which women view the males in the family as a source of socioeconomic and emotional stability for them. Widows and divorcees face serious sociocultural, financial and psychological challenges in maintaining their living conditions and the integration process as well as performing single parenting. Faith and social connections represent an important part of coping with the situation in the short term; nevertheless, financial and psychological support seems a vital component in the long term. Research on the conditions of widows and divorcees provides evidence to comprehensively approach the issue of “vulnerabilities” in the humanitarian-policy programming targeting refugees. Theoretically, the findings may provide empirical insights for discussions around women’s changing identities through displacement, agency and empowerment in relation to parenting experiences. The lived experience of widowhood and divorce among Syrian is understudied, while their resilience strategies are less known. To fill these gaps, this study focuses on Syrian refugee widows and divorcees who are raising their children in specially designated compounds in Jordan and the difficulties they face on social, economic and emotional levels. Besides its originality in providing empirical material about challenges Syrian women faced, our study contributes to better understand women's claims for agency and empowerment as a part of identity changes. Citation: Mental Health and Social Inclusion PubDate: 2023-03-27 DOI: 10.1108/MHSI-01-2023-0007 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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Authors:Freda Gonot-Schoupinsky, Mark Weeks, Jerome Carson Abstract: The purpose of this opinion piece is to present a case for the potential of positive autoethnography (PosAE) as a new autoethnographic approach. This work resulted from on-going discussions between the authors as to the practicalities and benefits of associating the qualitative approach of autoethnography with the field of positive psychology. PosAE is proposed to encourage writers to actively reflect on the importance for themselves, and their readers, of including positive narrative elements, prospective visions and exploratory trajectories in their work. This research builds on existing research that has included positive psychology in autoethnography. As positive psychology is grounded in empirical research, the authors are suggesting that PosAE is allied to pragmatic autoethnography. PosAE offers to facilitate positive thought, affect and strategies that could improve well-being. For example, some people struggling with serious health issues, and those helping them, may find it useful for articulating conditions and envisioning, even experiencing, positive change. With so many lives impacted by mental health issues globally, and with rapidly changing societies struggling to provide stability and purpose, an autoethnography that provides tools such as PERMA (Positive emotions, Engagement, Positive Relationships, Meaning, Accomplishments/Achievements) to communicate the positive seems timely. To the best of the authors’ knowledge, this is the first time the creation of an autoethnographic approach explicitly linked to positive psychology has been proposed. Citation: Mental Health and Social Inclusion PubDate: 2023-03-22 DOI: 10.1108/MHSI-02-2023-0021 Issue No:Vol. ahead-of-print, No. ahead-of-print (2023)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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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)
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Guest editorial Steven Barnes, Julie Prescott Mental Health and Social Inclusion, Vol. 27, No. 2, pp.101-104Mental Health and Social Inclusion2023-05-10 DOI: 10.1108/MHSI-04-2023-102 Issue No:Vol. 27, No. 2 (2023)
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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)
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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)
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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)
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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: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: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: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: 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)
Hybrid journal * Containing 5 
Open Access article(s) in this issue *
