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The journey of service users with complex mental health needs: a qualitative study

Sambrook, L, Balmer, A, Roks, H, Tait, J, Ashley-Mudie, P, McIntyre, JC, Shetty, A, Bu, C, Nathan, R and Saini, P (2024) The journey of service users with complex mental health needs: a qualitative study. Health psychology and behavioral medicine, 12 (1).

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Background: This study aimed to provide a robust picture of the journey of service users with complex mental health needs by evaluating the perspectives of service users and carers with lived experience of services and gaining clinician views about decision making in relation to this cohort. Methods: A qualitative design was used. Service users (n = 11), carers (n = 10) and clinicians (n = 18) took part in semi-structured interviews, which were transcribed verbatim and analysed using thematic analysis. Results: The following themes were identified by participants: ‘relationships with staff,’ ‘treatment options, pathways and availability,’ ‘the role of autonomy in recovery,’ ‘impact of out-of-area placements,’ and ‘specialist training for staff.’ The findings demonstrated that the journey of serviceusers can be impacted by a wide range of factors, including relationships with staff, the nature of support offered, community response, financial constraints, and organisational goals around bed pressures. Conclusions: Recommendations include the need for staff to work in partnership with service users and carers, foster autonomy, access specialised suicide prevention training, and agree discharge and contingency plans with service users. Further work is needed to deliver the best possible experience for individuals with complex mental health needs and those who care for them.

Item Type: Article
Uncontrolled Keywords: Mental health; complex needs; health service research; qualitative research; 1115 Pharmacology and Pharmaceutical Sciences; 1701 Psychology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: Psychology (from Sep 2019)
Publisher: Taylor and Francis Group
SWORD Depositor: A Symplectic
Date Deposited: 20 Jun 2024 14:25
Last Modified: 20 Jun 2024 14:30
DOI or ID number: 10.1080/21642850.2024.2365226
URI: https://researchonline.ljmu.ac.uk/id/eprint/23612
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