A5102852395- Mental Health and Patient Involvement
- Adolescent and Pediatric Healthcare
- Family Caregiving in Mental Illness
- Healthcare innovation and challenges
- Schizophrenia research and treatment
- Healthcare Decision-Making and Restraints
- Homelessness and Social Issues
- Cardiac, Anesthesia and Surgical Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Frailty in Older Adults
- HIV/AIDS Research and Interventions
- Pharmacological Effects and Toxicity Studies
- Primary Care and Health Outcomes
- Radiology practices and education
- Healthcare cost, quality, practices
- Health Policy Implementation Science
- Mental Health Treatment and Access
- Mental Health and Psychiatry
- Epilepsy research and treatment
- Social Work Education and Practice
- HIV Research and Treatment
- Geriatric Care and Nursing Homes
- Radiation Dose and Imaging
St George's, University of London
2016-2025
City, University of London
2022-2025
Population Health Research Institute
2020
Maudsley Hospital
2003-2005
Purpose Peer support is increasingly being introduced into mainstream mental health services internationally. The distinctiveness of peer support, compared to other has been linked values underpinning support. Evidence suggests that there are challenges maintaining those in the context highly standardised organisational environments. purpose this paper describe a “principles-based” approach developing and evaluating new worker role services. Design/methodology/approach A set was generated...
High numbers of patients discharged from psychiatric hospital care are readmitted within a year. Peer support for discharge has been suggested as an approach to reducing readmission post-discharge. Implementation called in policy, however, evidence effectiveness large rigorous trials is missing. We aimed establish whether peer reduces readmissions the year post-discharge.We report parallel, two-group, individually randomised, controlled superiority trial, with trial personnel masked...
Abstract Background Peer workers are increasingly employed in mental health services to use their own experiences of distress supporting others with similar experiences. While evidence is emerging the benefits peer support for people using services, impact on less clear. There a lack research that takes longitudinal approach exploring both employment outcomes workers, and working worker role. Methods In mixed methods study, 32 providing discharge from inpatient community care - as part...
Abstract Introduction: In the period shortly after discharge from inpatient to community mental health care, people are at increased risk of self-harm, suicide, and readmission hospital. Discharge interventions including peer support have shown potential, there is some evidence that community-based reduces readmissions. However, systematic reviews in services indicate poor trial quality a lack reporting how distinctive other support. This study designed establish clinical cost effectiveness...
Purpose – A range of one-to-one, group and online approaches to peer support are increasingly complementing formal mental health service delivery. Evidence is emerging the potential benefits challenges for individuals, communities organisations. There more limited evidence describing peer-led networks. The paper aims discuss these issues. Design/methodology/approach In an evaluation Prosper, a peer-led, network social movement, members played participatory role in design, conduct...
Evidence suggests that the distinctive relational qualities of peer support-compared to clinical-patient relationships-can be eroded in regulated healthcare environments. Measurement fidelity trials support is lacking. This paper reports development and testing a index for one-to-one mental health services, designed assess principles characterise distinctiveness support.A draft was developed using expert panels service user researchers people doing support, informed by an evidence-based,...
Abstract Objectives Peer support is rapidly being introduced into mental health services internationally, yet peer interventions are often poorly described, limiting the usefulness of research in informing policy and practice. This paper reports development a intervention that aims to improve outcomes discharge from inpatient community care. People with experiential knowledge using services—peer workers service user researchers—were involved all stages developing intervention: generating...
We describe a case of clozapine-induced seizures in patient with treatment-resistant schizophrenia. She had previously been treated unsuccessfully number atypical antipsychotic medications, before she was eventually started on clozapine. experienced two separate episodes observed fits whilst an initial daily dose 125 mg and, subsequently, 237.5 mg. Following discontinuation clozapine, rechallenged and again to have seizures. Appropriate investigations ruled out any organic cause the...
Purpose – The purpose of this paper is to describe the conceptual basis and development Prosper: an emerging evolving self-directed network movement for people with lived experience mental health problems in South West London. Design/methodology/approach principles from which Prosper emerged co-production, recovery social approaches are outlined. ways these ideas were translated into action, guiding operation then described. Findings An has been developed that comprises around 150 “members”...
Purpose Patient and public involvement (PPI) is increasingly central to the delivery of health services research. However, it has proved challenging evaluate impact PPI on implementation research into clinical practice service delivery. The purpose this paper develop test a conceptual model explaining how in process might implementation. Design/methodology/approach A scoping review knowledge translation science literature was performed retrospective case study project used illustrate model....
Background: A range of evidence for the effectiveness one-to-one peer support in mental health services is emerging. Levels engagement with vary limited studies showing few individual participant characteristics predicting engagement. Implementation factors that might predict have not been considered. Methods: Data were analysed from intervention arm ENRICH trial discharge acute psychiatric inpatient care. Two outcomes considered: (1) a measure ‘engaged worker’; (2) number face-to-face...
Background Rates of readmission are high following discharge from psychiatric inpatient care. Evidence suggests that transitional interventions incorporating peer support might improve outcomes. Peer is rapidly being introduced into mental health services, typically delivered by workers (people with experiences problems trained to others similar problems). for the effectiveness remains equivocal, and quality randomised controlled trials date often poor. There an absence formal...
Objective There is growing evidence for the benefits of peer support in mental health services. Less known about specific mechanisms whereby brings change. The aim this study was to explore experiences adults using services and workers investigate whether contents an intentionally provided one-to-one intervention can be adequately described a standard taxonomy behaviour change techniques (BCTs).Method This qualitative comparative case involved semi-structured interviews with 11 10 people...