A5047251600- Schizophrenia research and treatment
- Psychiatric care and mental health services
- Psychotherapy Techniques and Applications
- Mental Health Treatment and Access
- Health Systems, Economic Evaluations, Quality of Life
- Family Caregiving in Mental Illness
- Primary Care and Health Outcomes
- Geriatric Care and Nursing Homes
- Healthcare Policy and Management
- Mental Health and Patient Involvement
- Counseling, Therapy, and Family Dynamics
- Employment and Welfare Studies
- Literature: history, themes, analysis
- Child and Adolescent Psychosocial and Emotional Development
- Healthcare Decision-Making and Restraints
- Historical Gender and Feminism Studies
- Mental Health and Psychiatry
- Child Therapy and Development
- Historical Studies on Reproduction, Gender, Health, and Societal Changes
- Child and Adolescent Health
- Educational and Psychological Assessments
- Emergency and Acute Care Studies
- Adolescent and Pediatric Healthcare
- Transactional Analysis in Psychotherapy
- Attachment and Relationship Dynamics
The Tavistock and Portman NHS Foundation Trust
2014-2023
University of Oxford
2016
Transnational Press London
2016
St George's, University of London
2004-2013
University College London
2012-2013
The Royal Free Hospital
2012-2013
St George's Hospital
2001-2007
London School of Economics and Political Science
2002
Background. No instrument has been developed specifically for assessing the clinician–patient therapeutic relationship (TR) in community psychiatry. This study aimed to develop a measure of TR with clinician and patient versions using psychometric principles test construction. Method. A four-stage prospective was undertaken, comprising qualitative semi-structured interviews about TRs clinicians patients their assessment nine established scales applicability care, administering an amalgamated...
Background: Concerns are frequently expressed that working might worsen the mental health of people with severe illness (SMI). Several studies Individual Placement and Support (IPS), however, have found associations between better nonvocational outcomes. IPS has been to double return work SMI in 6 European countries. Aims: To explore separately IPS, returning work, clinical social Methods: Patients (n = 312) a randomized controlled trial centers were followed up for 18 months. Results: There...
An international six-centre randomised controlled trial comparing individual placement and support (IPS) with usual vocational rehabilitation for people serious mental illness found IPS to be more effective all outcomes.To determine which patients severe do well in services process service factors are associated better outcomes.Patient characteristics early variables were tested as predictors of employment outcomes. Service explored the effectiveness IPS.Patients previous work history, fewer...
A high proportion of people with severe mental health problems are unemployed but would like to work. Individual Placement and Support (IPS) offers a promising approach establishing in paid employment. In randomized controlled trial across six European countries, we investigated the economic case for IPS compared standard vocational rehabilitation. Individuals (n=312) were receive either or services followed 18 months. Service use outcome data collected. Cost-effectiveness analysis was...
The integration of mental health and social services for people diagnosed with severe illness (SMI) has been a key aspect attempts to reform in the UK aims minimise user carer distress confusion arising from service discontinuities. Community teams (CMHTs) are component policy integrated delivery, but implementing this raised considerable organisational challenges. aim study was identify explore facilitators barriers perceived influence continuity care by professionals working closely...
Background Continuity of care is considered by patients and clinicians an essential feature good quality in long-term disorders, yet there general agreement that it a complex concept. Most policies emphasize encourage systems to promote it. Despite this, no accepted definition or measure against which test interventions designed improve continuity. We aimed operationalize multi-axial model continuity use factor analysis determine its validity for severe mental illness. Method A comprising...
This paper describes a measure of continuity care, establishes its reliability and tests it in field trial sample for evidence validity. In contrast to others, this has been generated from the perspectives service users. As care is concern particularly those with severe mental illness, we have confined our work population group.Service users focus groups expert panels measure. The researchers were themselves Test-retest was assessed an independent sample. administered final determine their...
Objective: Home‐based care for severe mental illness has been the focus of intense research over last 30 years and produced mixed results. Replications Assertive Community Treatment (ACT) in Europe have consistently failed to find these differences various explanations advanced this. Method: Studies were compared context health care, then identifying rating components differing teams rather than simply their designation. Cluster analysis was used identification common service characteristics...
IPS has been demonstrated to increase return open employment significantly in individuals with mental health problems the US. Previous experience (e.g. ACT) sensitivity of complex community interventions local social and healthcare cultures. Europe conditions generally greater security than US varying (generally higher) unemployment rates welfare benefits. Evidence effectiveness these conditions, its potential variation across them, would guide policy provide possible insights into...
Despite the importance of continuity care [COC] in contemporary mental health service provision, COC lacks a clearly agreed definition. Furthermore, whilst there is broad agreement that definitions should include users' experiences, little known about this. This paper aims to explore new construct user-defined and its relationship range social outcomes. In cross sectional study design, 167 people who experience psychosis participated structured interviews, including user-generated measure...
Continuity of care (COC) is central to the organization and delivery mental health services. Traditional definitions have excluded service users, this lack involvement has been linked poor conceptual clarity surrounding term. Consequently, very little known about differences similarities in conceptualization COC by users professionals.To explore compare users' professionals' COC.Using an exploratory, qualitative design, five focus groups with 32 each met twice. Data were analysed...