Effective support for those who are 'hard to engage': a qualitative user-led study*.
Background: Up to 30% of people with mental health problems drop out of contact with mental health services with negative implications for continuity of care. Services with an assertive outreach approach aim to sustain engagement. Aims: This study explored the perceptions and needs of people often d...
| Publicado en: | Journal of Mental Health Vol. 23; no. 2; pp. 62 - 67 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Apr2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104059143&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104059143 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638237 JHM jtl: Journal of Mental Health issn: 09638237 maglogo: N pubinfo: dt: Apr2014 vid: 23 iid: 2 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 104059143 95320336 10.3109/09638237.2013.841868 NLM24328891 104059143 ppf: 62 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Effective support for those who are 'hard to engage': a qualitative user-led study*. aug: au: Davies, Rosemary Laura Heslop, Pauline Onyett, Steve Soteriou, Tony affil: Faculty of Health and Life Sciences, University of the West of England Bristol UK sug: subj: Mental Health Services Continuity of Patient Care Patient Attitudes Mental Disorders Consumer Participation Human Exploratory Research Needs Assessment Interview Guides Data Analysis Software Thematic Analysis Qualitative Studies Professional-Patient Relations Medication Compliance ab: Background: Up to 30% of people with mental health problems drop out of contact with mental health services with negative implications for continuity of care. Services with an assertive outreach approach aim to sustain engagement. Aims: This study explored the perceptions and needs of people often described as 'hard to engage' in order to understand more about how services can best support them. Methods: This was a service user led qualitative study involving participants with serious mental health problems. Interviews were held with 33 people using assertive outreach or voluntary sector services and 15 people who had disengaged from services. Data were analysed for emergent themes. Results: Relationships with staff were central to maintaining engagement with services. Almost all participants wanted help for their problems, and preferred services that responded to their priorities and offered practical support with everyday living. Negative perceptions of inpatient care were common, and a focus on medication put many participants off mental health services. Many participants were not receiving support for the full range of their complex needs. Conclusions: Difficulties in sustaining engagement with mental health services does not necessarily mean that people do not want help. Participants were intolerant of service-determined priorities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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