A5058012909- Psychiatric care and mental health services
- Healthcare Decision-Making and Restraints
- Emergency and Acute Care Studies
- Schizophrenia research and treatment
- Mental Health and Patient Involvement
- Mental Health and Psychiatry
- Digital Mental Health Interventions
- Child and Adolescent Psychosocial and Emotional Development
- Telemedicine and Telehealth Implementation
- Adolescent and Pediatric Healthcare
- Mental Health Treatment and Access
- Elder Abuse and Neglect
- Healthcare innovation and challenges
- Family Caregiving in Mental Illness
- Homelessness and Social Issues
Mental Health Research UK
2019-2025
University College London
2019-2025
Media Working Group
2024
King's College London
2023
Brighton and Sussex Medical School
2023
Background Carers are key providers of care and support to mental health patients policies consistently mandate carer involvement. Understanding carers' experiences views about assessment for involuntary admission subsequent detention is crucial efforts improve policy practice. Aims We aimed synthesise qualitative evidence the their family friends under legislation. Method searched five bibliographic databases, reference lists citations. Studies were included if they collected data using...
Abstract Background Peer support roles within mental health services are rapidly increasing in number and scope the UK internationally. This paper explores facilitators barriers to delivering peer effectively, as experienced by Support Workers (PSWs) a range of settings. Methods We conducted semi-structured qualitative interviews with paid PSWs working across settings England. took collaborative, participatory approach. Interviews were carried out researchers experience living and/or...
Inpatient psychiatric care is unpopular and expensive, development evaluation of alternatives a long-standing policy research priority around the world. In England, three main models documented over past fifty years (teams offering crisis assessment treatment at home; acute day units; residential services in community) have recently been augmented by several new service models. These are intended to enhance choice flexibility within catchment area systems, but remain largely undocumented...
There is some evidence of differences in psychosis care provision by ethnicity. We investigated variations the receipt Cognitive Behavioural Therapy for (CBTp) and family intervention across ethnic groups Early Intervention Psychosis (EIP) teams throughout England, where national policy mandates offering these interventions to all. included data on 29,610 service users from National Clinical Audit (NCAP), collected between 2018 2021. conducted mixed effects logistic regression analyses...
Background: Telemental health (delivering mental care via video calls, telephone calls or text messages) is increasingly widespread. appears to be useful and effective in providing some service users settings, especially during an emergency restricting face-to-face contact such as the COVID-19 pandemic. However, important limitations have been reported, telemental implementation risks reinforcing pre-existing inequalities provision. If it widely incorporated routine care, a clear...
Abstract Background In England, a range of mental health crisis care models and approaches to organising systems have been implemented, but characteristics associated with their effectiveness are poorly understood. Aims To i) develop typology catchment area ii) investigate how service system relate psychiatric hospital admissions detentions. Methods Data about were obtained from 2019 English national survey. Latent class analyses conducted identify discernible typologies, mixed effects...
Background Psychological interventions delivered in inpatient settings have rarely been coproduced with those who receive them. The aim of this study is to outline the coproduction process which led development an adapted intervention underpinned by a Cognitive Behaviour Therapy for psychosis model.Method Our group was comprised experts experience, family and carers, multi-disciplinary clinicians, researchers. met monthly develop focused on eight key areas intervention, including therapist...
Background In England, a range of mental health crisis care models and approaches to organising systems have been implemented, but characteristics associated with their effectiveness are poorly understood. Aims To (a) develop typology catchment area (b) investigate how service system relate psychiatric hospital admissions detentions. Method Crisis data were obtained from 2019 English national survey. Latent class analyses conducted identify discernible typologies, mixed-effects negative...
Abstract Background Compulsory admissions occur in psychiatric hospitals around the world. They result coercive and sometimes traumatic experiences for service users carers. Legal reforms various countries are intended to reduce rates of detention improve user experience. We aimed inform policy delivery by providing an up-to-date synthesis qualitative evidence on users’ carers’ assessment under mental health legislation, updating previous reviews which we searched literature published up...
ABSTRACT Cognitive behaviour therapy for psychosis (CBTp) should be offered to patients receiving psychiatric inpatient care, yet very little is known about patients' perspectives on this. The aim of this study was examine experiences a CBTp‐informed intervention delivered in settings. We recruited 10 participants from the arm randomised controlled trial examining feasibility and acceptability undertook semistructured interviews their analysed them using thematic analysis. conducted...
Abstract Background Mental health acute and crisis care consumes a large share of mental budgets internationally but is often experienced as unsatisfactory difficult to access. As result, there an increasing move towards developing innovative community services, improve patient experience relieve pressure on inpatient emergency services. This study aims understand what helps hinders the implementation projects in England. Methods Using qualitative approach, 18 interviews were conducted with...
Abstract Background There is some evidence of inequitable psychosis care provision by ethnicity. We investigated variations in the receipt CBTp and family intervention across ethnic groups Early Intervention Psychosis (EIP) teams throughout England, where national policy mandates offering these interventions to all. Methods included data on 29,610 service users from National Clinical Audit (NCAP), collected between 2018 2021. conducted mixed effects logistic regression examine odds ratios...
Mental health acute and crisis care consumes a large share of mental budgets internationally but is often experienced as unsatisfactory difficult to access. As result, there an increasing move towards developing innovative community services, improve patient experience relieve pressure on inpatient emergency services. This study aims understand what helps hinders the implementation projects in England.Using qualitative approach, 18 interviews were conducted with service managers exploring...
Abstract Background Inpatient psychiatric care is unpopular and expensive, development evaluation of alternatives a long-standing policy research priority around the world. In England, three main models documented over past fifty years (teams offering crisis assessment treatment at home; acute day services; residential services in community) have recently been augmented by several new service models. These are intended to enhance choice flexibility within catchment area systems, but remain...
Abstract Background Inpatient mental health care is a challenging component of the services system, with frequent reports negative and coercive experiences doubts about its therapeutic value. As such, alternative approaches for individuals experiencing crisis are highly desirable. This research aimed to identify models which offer an standard inpatient across all age groups, both nationally internationally, develop typology these models. Methods A dual literature search expert consultation...