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Chapter 18 - Theory into Practice

from Section 3 - Including People

Published online by Cambridge University Press:  24 November 2022

Jed Boardman
Affiliation:
King's College London
Helen Killaspy
Affiliation:
University College London
Gillian Mezey
Affiliation:
St George's Hospital Medical School, University of London
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Summary

This chapter provides an overview of the methodological challenges in researching social inclusion amongst people with mental health conditions and gives examples of interventions that have been shown to be effective in addressing social exclusion including pre-school parenting programmes, early intervention, peer support, recovery colleges, self-care, self-management, and self-directed care. As with all clinical practice, the starting point is the establishment of a therapeutic relationship that encompasses empathy, understanding, hope, and a willingness to help, along with a recovery orientation encompassing collaborative and strengths-based approaches. Much of this does not require a major reorganisation of services, but rather a refocusing and reprioritisation of existing tools and clinical skills, alongside commitment by mental health organisations to ensure their structures facilitate service-user involvement in the planning and delivery of services

Type
Chapter
Information
Social Inclusion and Mental Health
Understanding Poverty, Inequality and Social Exclusion
, pp. 359 - 373
Publisher: Cambridge University Press
Print publication year: 2022

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References

Addington, J. (2007) The promise of early intervention. Early Intervention in Psychiatry, 1, 294307.Google Scholar
Ahmad, N., Ellins, J., Krelle, H., & Lawrie, M. (2014) Person-Centred Care, From Ideas to Action: Bringing Together the Evidence on Shared Decision Making and Self-Management Support. Health Foundation.Google Scholar
Anthony, W. A. (1993) Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16, 1123.Google Scholar
Appleby, L. (2003) So, are things getting better? Psychiatric Bulletin, 27, 441–2.Google Scholar
Armstrong, N. & Steffen, J. J. (2009) The recovery promotion fidelity scale: Assessing the organizational promotion of recovery. Community Mental Health Journal, 45, 3, 163–70.Google Scholar
Berwick, D. (2009) What ‘patient-centered’ should mean: Confessions of an extremist. Health Affairs, 28, w555–65.Google Scholar
Bradby, H., Varyani, M., Oglethorpe, R., et al. (2007) British Asian families and the use of child and adolescent mental health services: A qualitative study of a hard to reach group. Social Science and Medicine, 65, 2413–24.Google Scholar
Bryant, W., Craik, C., & McKay, E. A. (2004) Living in a glasshouse: Exploring occupational alienation. Canadian Journal of Occupational Therapy 71, 5, 282–9.Google Scholar
Chamberlayne, P. (2004) Emotional retreat and social exclusion: Towards biographical methods in professional training. Journal of Social Work Practice, 18, 337–50.Google Scholar
Connor, S. L. & Wilson, R. (2006) It’s important that they learn from us for mental health to progress. Journal of Mental Health, 15, 461–74.Google Scholar
Cook, K. & Nunkoosing, K. (2008) Maintaining dignity and managing stigma in the interview encounter: The challenge of paid-for participation. Qualitative Health Research, 18, 418–27.Google Scholar
Davidson, L., Chinman, M., Sells, D., et al. (2006). Peer support among adults with serious mental illness: A report from the field. Schizophrenia Bulletin 32, 3, 443–50.Google Scholar
Deegan, P. (1996) Recovery as a journey of the heart. Psychiatric Rehabilitation Journal 19, 3, 91–7.Google Scholar
Dinos, S., Stevens, S., Serfaty, M., et al. (2004) Stigma: The feelings and experiences of 46 people with mental illness: Qualitative study. British Journal of Psychiatry, 184, 176–81.Google Scholar
Dretzke, J., Frew, E., Davenport, C., et al. (2005) The effectiveness and cost-effectiveness of parent training/education programmes for the treatment of conduct disorder, including oppositional defiant disorder, in children. Health Technology Assessment, 9, 1250.Google Scholar
Entwistle, V. A. & Watt, I. S. (2013) Treating patients as persons: A capabilities approach to support delivery of person-centered care. American Journal of Bioethics, 13, 2939.Google Scholar
Friedli, L. & Parsonage, M. (2007) Building an economic case for mental health promotion. Journal of Public Mental Health, 6, 1423.Google Scholar
Glover, J. (2003) Towards Humanism in Psychiatry. The Tanner Lectures on Human Values. Delivered at Princeton University, February 12–14 2003. https://tannerlectures.utah.edu/_resources/documents/a-to-z/g/glover_2003.pdf.Google Scholar
Green, H., McGinnity, A., Meltzer, H., et al. (2005) Mental Health of Children and Young People in Great Britain, 2004. Office for National Statistics.Google Scholar
Harrison, G., Hopper, K., Craig, T., et al. (2001) Recovery from psychotic illness: A 15- and 25-year international follow-up study. British Journal of Psychiatry, 178, 506–17.Google Scholar
Hickman, M., Vickerman, P., Macleod, J., et al. (2007) Cannabis and schizophrenia: Model projections of the impact of the rise in cannabis use on historical and future trends in schizophrenia in England and Wales. Addiction, 102, 597606.Google Scholar
Horwitz, A. V. & Scheid, T. L. (eds.) (1999) A Handbook for the Study of Mental Health: Social Contexts, Theories and Systems. Cambridge University Press.Google Scholar
Independent Commission on Acute Adult Psychiatric Care (2016) Old Problems, New Solutions: Improving Acute Psychiatric Care for Adults in England. http://media.wix.com/ugd/0e662e_6f7ebeffbf5e45dbbefacd0f0dcffb71.pdf.Google Scholar
Killaspy, H., Harvey, C., Brasier, C., et al. (2022) Community-based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence. World Psychiatry, 21, 1, 96123. https://doi.org/10.1002/wps.20940.Google Scholar
Killaspy, H., Marston, L., Green, N., et al. (2016) Clinical outcomes and costs for people with complex psychosis: A naturalistic prospective cohort study of mental health rehabilitation service users in England. BMC Psychiatry, 16, 95Google Scholar
Killaspy, H., Priebe, S., McPherson, P., et al. (2020) Predictors of move-on from mental health supported accommodation in England: A national cohort study. British Journal of Psychiatry, 216, 6, 331–7.Google Scholar
Knapp, M., McDaid, D., & Parsonage, M. (eds.). (2011) Mental Health Promotion and Mental Illness Prevention: The Economic Case. Department of Health.Google Scholar
Lester, H. & Tritter, J. Q. (2005) ‘Listen to my madness’: understanding the experiences of people with serious mental illness. Sociology of Health and Illness, 27, 649–69.Google Scholar
Lewis, A., King, T., Herbert, L., & Repper, J. (2014) Co-Production: Sharing Our Experiences, Reflecting On Our Learning. ImROC Report 13. ImROC/Centre for Mental Health.Google Scholar
Lloyd-Evans, B., Mayo-Wilson, E., Stewart, B., et al. (2014) A systematic review and meta-analysis of randomised controlled trials of peer support for people with severe mental illness. BMC Psychiatry, 14, 39. https://doi.org/10.1186/1471-244X-14–39.Google Scholar
Marshall, M., Lewis, S., Lockwood, A., et al. (2005) Association between duration of untreated psychosis and outcome in cohorts of first-episode patients: A systematic review. Archives of General Psychiatry, 62, 975–83.Google Scholar
Mental Health Commission of Canada (2012). Changing Directions, Changing Lives: The Mental Health Strategy for Canada. Mental Health Commission of Canada, Calgary, Alberta.Google Scholar
Mezey, G., White, S., Harrison, I., et al. (2020) Validity, reliability, acceptability, and utility of the Social Inclusion Questionnaire User Experience (SInQUE): A clinical tool to facilitate social inclusion amongst people with severe mental health problems. Social Psychiatry and Psychiatric Epidemiology, 55, 953–64.Google Scholar
Mezey, G., White, S., Thachil, A., et al. (2013) Development and preliminary validation of a measure of social inclusion for use in people with mental health problems: The SInQUE. International Journal of Social Psychiatry, 59, 501–7.Google Scholar
Mezzich, J., Snaedal, J., van Weel, C., & Heath, I. (2009) The international network for person-centered medicine: Background and first steps. World Medical Journal, 55, 104–7.Google Scholar
New Economics Foundation (2008) Co-production. A Manifesto for Growing the Core Economy. New Economics Foundation.Google Scholar
National Institute for Health and Care Excellence (2014) NICE Guideline 178; Schizophrenia: Core Interventions in the Treatment and Management of Schizophrenia in Primary and Secondary Care. NICE.Google Scholar
National Institute for Health and Care Excellence (2020) NICE Guideline 181; Rehabilitation for Adults with Complex Psychosis and Related Severe Mental Health Conditions. NICE.Google Scholar
NHS Health Education England (2020) Report from the Peer Support Workers Task & Finish Group. NHS Health Education England, London, May 2019, updated March 2020.Google Scholar
Perkins, R., Meddings, S., Williams, S., & Repper, J. (2018) Recovery Colleges 10 Years On. Nottingham, ImROC. https://imroc.org/3d-flip-book/15-recovery-colleges-10-years-on/.Google Scholar
Perkins, R., Rinaldi, M. & Hardisty, L. (2008) Harnessing the Expertise of Experience: Increasing Access to Employment Within Mental Health Services for People who have Themselves Experienced Mental Health Problems. Evaluation Report. South West London & St George’s Mental Health NHS Trust.Google Scholar
Pilgrim, R. (2002) The biopsychosocial model in Anglo-American psychiatry: Past, present and future. Journal of Mental Health, 11, 585–94.Google Scholar
Quirk, A. & Lelliott, P. (2001) What do we know about life on acute psychiatric wards in the UK? A review of the research evidence. Social Science & Medicine, 53, 1565–74.Google Scholar
Restall, G. & Strutt, C. (2008) Participation in planning and evaluating mental health services: Building capacity. Psychiatric Rehabilitation Journal, 31, 234238.Google Scholar
Rinaldi, M. & Hill, R. (2000) Insufficient Concern: The Experiences, Attitudes and Perceptions of Disabled People and Employers towards Open Employment in one London Borough. Merton Mind.Google Scholar
Roberts, G. & Boardman, J. (2014) Becoming a ‘recovery-oriented’ practitioner: putting principles into practice. Advances in Psychiatric Treatment 20, 3747.Google Scholar
Roberts, G. & Wolfson, P. (2004) The rediscovery of recovery: Open to all. Advances in Psychiatric Treatment, 10, 3749.Google Scholar
Royal College of Psychiatrists (2007) Social Care Institute for Excellence & Care Services Improvement Partnership. A Common Purpose: Recovery in Future Mental Health Services. Royal College of Psychiatrists.Google Scholar
Royal College of Psychiatrists (2018) Person-centred care: Implications for training in psychiatry. College Report CR215. Royal College of Psychiatrists.Google Scholar
Royal College of Psychiatrists Social Inclusion Scoping Group (2009) Mental Health and Social Inclusion: Making Psychiatry and Mental Health Services Fit for the 21st Century. Royal College of Psychiatrists.Google Scholar
Salzer, M. & Shear, S. (2002) Identifying consumer-provider benefits in evaluations of consumer-delivered services. Psychiatric Rehabilitation Journal, 25, 3, 281–8.Google Scholar
Scharf, T. (2005) Recruiting older research participants: Lessons from deprived neighbourhoods. In Recruitment and Sampling: Qualitative Research with Older People (ed. Holland, C.), pp. 2943. Centre for Policy on Ageing.Google Scholar
Scott, S., Knapp, M., Henderson, J., et al. (2001) Financial cost of social exclusion: Follow-up study of antisocial children into adulthood. BMJ, 323, 194.Google Scholar
Scottish Recovery Network (2005) The Role and Potential Development of Peer Support Services. Scottish Recovery Network.Google Scholar
Seebohm, P. & Grove, B. (2006) Leading by Example: Making the NHS an exemplar employer of people with mental health problems. Sainsbury Centre for Mental Health.Google Scholar
Shepherd, G., Boardman, J. & Slade, M. (2008) Making Recovery a Reality. Sainsbury Centre for Mental Health.Google Scholar
Slade, M. (2009) 100 Ways to Support Recovery: A Guide for Mental Health Professionals. Rethink.Google Scholar
Stewart-Brown, S. (2004) Mental health promotion: childhood holds the key? Public Health Medicine, 5, 817.Google Scholar
Thompson, N. C., Hunter, E. E., Murray, L., et al. (2008) The experience of living with chronic mental illness: a photovoice study. Perspectives in Psychiatric Care, 44, 1424.Google Scholar
Triese, C. & Shepherd, G. (2006) Developing mental health services for gypsy travellers: An exploratory study. Clinical Psychology Forum, 163, 1619.Google Scholar
Wahlbeck, K., Cresswell-Smith, J., Haaramo, P., et al. (2017) Interventions to mitigate the effects of poverty and inequality on mental health. Social Psychiatry and Psychiatric Epidemiology, 52, 5, 505–14.Google Scholar

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  • Theory into Practice
  • Jed Boardman, King's College London, Helen Killaspy, University College London, Gillian Mezey, St George's Hospital Medical School, University of London
  • Book: Social Inclusion and Mental Health
  • Online publication: 24 November 2022
  • Chapter DOI: https://doi.org/10.1017/9781911623601.021
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To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Theory into Practice
  • Jed Boardman, King's College London, Helen Killaspy, University College London, Gillian Mezey, St George's Hospital Medical School, University of London
  • Book: Social Inclusion and Mental Health
  • Online publication: 24 November 2022
  • Chapter DOI: https://doi.org/10.1017/9781911623601.021
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Theory into Practice
  • Jed Boardman, King's College London, Helen Killaspy, University College London, Gillian Mezey, St George's Hospital Medical School, University of London
  • Book: Social Inclusion and Mental Health
  • Online publication: 24 November 2022
  • Chapter DOI: https://doi.org/10.1017/9781911623601.021
Available formats
×