Post-traumatic growth in mental health recovery: qualitative study of narratives

BMJ Open, Journal Year: 2019, Volume and Issue: 9(6), P. e029342 - e029342

Published: June 1, 2019

Objectives Post-traumatic growth, defined as positive psychological change experienced a result of the struggle with challenging life circumstances, is under-researched in people mental health problems. The aim this study was to develop conceptual framework for post-traumatic growth context recovery psychosis and other severe Design Qualitative thematic analysis cross-sectional semi-structured interviews about personal experiences recovery. Setting England. Participants were adults aged over 18 and: (1) living not using services (n=21); (2) from black minority ethnic communities (3) underserved, operationalised lesbian, gay, bisexual transgender community or complex needs rural (n=19); (4) employed peer roles their lived experience others (n=16). 77 participants comprised 42 (55%) female 44 (57%) white British. Results Components present 64 (83%) narratives. Six superordinate categories identified, consistent view that involves learning oneself (self-discovery) leading new sense who one (sense self) appreciation (life perspective). Observable positively valued changes comprise greater focus on self-management (well-being) more importance being attached relationships (relationships) spiritual religious engagement (spirituality). Categories are non-ordered individuals may start any point process. Conclusions often part Changes compatible research following trauma, but emphasis self-discovery, integration illness-related active well-being. Trauma-related be preferable term identify having trauma. Trauma-informed healthcare could use six identified basis approaches supporting Trial registration number ISRCTN11152837

Language: Английский

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Stumbling Into Adulthood: Learning From Depression While Growing Up

Qualitative Health Research, Journal Year: 2020, Volume and Issue: 30(9), P. 1392 - 1408

Published: May 4, 2020

Depression manifests in distinct ways across the life course. Recent research emphasizes how depression impedes development during emerging adulthood. However, our study—based on 40 interviews with adults from multiple regions United States, analyzed following grounded theory—suggests a more complex narrative. Increasing experience cycles of can also catalyze (a) mature perspectives and coping mechanisms that protect against depression’s lowest lows; (b) deeper self-knowledge direction, which turn promoted coherent personal identity; (c) emergence purpose, fostered attainment adult roles, skill development, greater satisfaction, enriched identity. Our synthesis reveals adulthood function at once as toxin, potential antidote, nutritional supplement fostering healthy development. central finding young adapt to rather than recover enrich resilience theory, inform both social discourse clinical practice.

Language: Английский

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Posttraumatic growth and recovery among a sample of Egyptian mental health service users: a phenomenological study

BMC Psychiatry, Journal Year: 2022, Volume and Issue: 22(1)

Published: April 11, 2022

Delivery of recovery-oriented mental health practice is fundamental to personal recovery. Yet, there lack service users' accounts on what constitutes recovery in Egypt.The aim this study was explore meaning informed by people with experience recovery.A phenomenological research design used. Semi-structured qualitative interviews were conducted 17 adult community-dwelling individuals who identified as recovered/recovering from issues. An inductive thematic analysis approach used analyses participants' responses.Participants predominately reported and functional definitions Posttraumatic growth the strongest theme comprising: relation others, spirituality, new possibilities, identity & strengths, appreciation life. Themes acceptance forgiveness, clinical recovery, finding hope also identified.This first among a sample lived issues Egypt. Findings suggest that developing implementing psychosocial interventions support posttraumatic priority.

Language: Английский

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Recovery Assessment Scale‐Domains and Stages: Measurement capacity, relevance, acceptability and feasibility of use with young people

Early Intervention in Psychiatry, Journal Year: 2019, Volume and Issue: 14(2), P. 179 - 187

Published: July 5, 2019

Abstract Aim The Recovery Assessment Scale‐Domains and Stages (RAS‐DS) is a self‐rated measure of mental health recovery. While this instrument has demonstrated good measurement properties acceptability to clinicians consumers in adult services, it not been evaluated the context youth‐focused services. This study was established evaluate properties, feasibility RAS‐DS youth service context. Methods Young people accessing were invited complete both young provided feedback about its usefulness. Analyses completed using Rasch analysis. Usability analysed descriptive statistics constant comparative Results Fifty‐eight consumer‐clinician dyads participated. revealed that items on generally fit with expectations model clinician consumer positive. Ninety‐one percent less than 15 minutes. Thirty‐four had scores above level “hardest” item RAS‐DS, suggesting precision lower for individuals at more advanced stages Conclusions demonstrates acceptable clinicians. Future research should explore use by other contexts as well whether additional could be added capture later recovery people.

Language: Английский

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The lived experience of adolescent users of mental health services in Vienna, Austria: A qualitative study of personal recovery

Journal of Child and Adolescent Psychiatric Nursing, Journal Year: 2019, Volume and Issue: 32(3), P. 112 - 121

Published: July 16, 2019

Abstract Problem In Austria, one in four adolescents suffers from a mental health problem, yet there is lack of adequate care structures. Therefore, the personal recovery these particular interest. The aim study was to explore, Child and Adolescent Psychiatric Mental Health Nursing (CAPMHN) perspective, how adolescent users services Vienna, Austria experienced after stay hospital, discover what had influenced Vienna. Methods Ten episodic interviews with were conducted. Nine them analyzed following content analysis Mayring (2015). Findings findings survey indicate that participants by external factors. Personal factors subjective experience illness recovery, optimism, resources, ambivalence. External family, peers, treatment. suggest problem affected youth‐specific aspects. Conclusions CAPMHNs can support services, so providing recovery‐oriented care, structures, specific nursing skills crucial.

Language: Английский

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Mental health recovery for survivors of modern slavery: grounded theory study protocol

BMJ Open, Journal Year: 2020, Volume and Issue: 10(11), P. e038583 - e038583

Published: Nov. 1, 2020

Introduction Slavery and human trafficking are crimes involving the violation of rights refer to exploitative situations where an individual cannot refuse or leave due threats, coercion abuse power. Activities slavery include forced labour exploitation, sexual marriage servitude. Epidemiological studies show high levels mental health need poor provision appropriate support for survivors. What recovery means victims/survivors how it could be promoted is under-researched. Methods analysis A grounded theory study based on interviews will undertaken. Survivors across UK identified recruited from non-governmental organisations via social media. As per methodology, data collection undertaken concurrently recruitment continue until theoretical saturation reached. It anticipated that approximately 30 participants recruited. Interviews audio recorded, transcribed verbatim uploaded NVivo V.11. The constant comparative method used analyse data, in order produce a framework experiences Ethics dissemination Ethical approval has been obtained Faculty Medicine Health Sciences Committee at University Nottingham. findings disseminated academic, professional survivor-based audiences inform future policy developments this population.

Language: Английский

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Empowerment or Holding the Child Responsible? An Australian Recovery-Oriented Mental Health Policy Analysis

The British Journal of Social Work, Journal Year: 2023, Volume and Issue: 53(5), P. 2860 - 2877

Published: Feb. 21, 2023

Abstract Recovery, as a concept is internationally recognised means to empower children manage their own mental health. Recovery-oriented health policy production and service delivery in many Western countries, however, occurs discursive field influenced by biomedical neo-liberal discourses. This article uses Critical Discourse Analysis investigate an Australian policy—'A National Framework for Recovery-Oriented Mental Health Services: Guide Practitioners Providers', critically analyse the competing versions of recovery. The findings reveal ideological slippages at work show operation biomedical, developmental, collaborative, empowerment responsibilisation discourses that compete this policy. shows how social workers require critical analysis discern consequences different understandings recovery child youth field. Despite collaborative strengths-based language recovery, demonstrates need recognise fine line between imperative self-manage concerns.

Language: Английский

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Adopting the Concept of ‘Ba' and the ‘SECI' Model in Developing Person-Centered Practices in Child and Adolescent Mental Health Services

Frontiers in Rehabilitation Sciences, Journal Year: 2022, Volume and Issue: 2

Published: Jan. 5, 2022

The concept of knowledge is divided into explicit and tacit knowledge; refers to the that can be articulated, written stored, while personal experiences, values, beliefs emotions an individual. By Nonaka's theory, do not lie separately but interact together by interactions relationships between human beings. Thus, SECI model based on assumption created through social interaction known as conversion. upon four modes conversion; socialization, externalization, combination internalization. 'Ba' considered a shared platform for creation. space, it physical, mental or both serves foundation Ba involves sharing i.e. emotions, feelings, experiences images. It also formation collective relationship which open practices, processes culture. This focuses mainly individual person who holds rather than just itself. aims create common space bring people where they dialogue share knowledge. As in formed person-centered are objective beliefs, emotions. reflects environment basis research healthful with participants formed. Furthermore, will aid creating sense connectiveness dialogue, thus focusing idea development new practices done others others. In this article we discuss how these Eastern concepts adapted used develop within child adolescent health services, specifically related rehabilitation recovery. personhood discussed, followed reflection current adopted when working children adolescents.

Language: Английский

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The Translation of Recovery-Oriented Social Work Practice in Child and Youth Mental Health: A Scoping Review

The British Journal of Social Work, Journal Year: 2024, Volume and Issue: 54(6), P. 2506 - 2525

Published: May 9, 2024

Abstract Recovery-oriented practice has become taken for granted and seen as the most ideal way of working social workers alongside other allied health practitioners in mental field. is defined a person-centred strengths-based approach, providing interventions, well facilitating environmental multidisciplinary resources to support individual’s independence. The applicability recovery child youth (CYMH) context, however, continues be questioned. Although some research explored what means young people, there scant literature that examines how recovery-oriented enacted when with children their families. This scoping review, guided by Arksey O’Malley’s framework explores conceptualised translated into aged two twelve years who have identified ‘mental concerns’ Qualitative grey from last twenty was thematically analysed. findings highlight primacy placed on global principles expose superficial articulation application children. Findings underscore need critically investigate enact approaches clinical CYMH setting, dominated medical model which prioritises evidence-based intervention marginalises children’s knowledge.

Language: Английский

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Defining Organizational Humanness and Contributing Behavioral Attributes of Leadership: Qualitative Research Using a Grounded Theory Approach

Business Ethics and Leadership, Journal Year: 2024, Volume and Issue: 8(2), P. 1 - 19

Published: July 3, 2024

This study examined how employees experience humanness in organizations related to leadership behavior. More specifically, it was aimed define what experienced is from the perspective of employees, and which behaviors perceive contribute these experiences organizational humanness. To fulfill this aim, an exploratory grounded theory conducted, 13 were interviewed until saturation attained, investigating their that relate examples behavior influence it. Three overarching categories identified i.e., bounded space, attentive care, human connection. Furthermore, eight specific sets appear The findings compared scientific literature led conclusion yield unique elements, (e.g., fostering connection within a team) have not been covered previous conceptualizations.

Language: Английский

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