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Folly Beach Library
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Edgar Allan Poe/Sullivan's Island Library
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Staff perspectives on barriers to and facilitators of quality of life, health, wellbeing, recovery and reduced risk for older forensic mental-health patients: A qualitative interview study.
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- Author(s): Walker, Kate; Yates, Jen; Dening, Tom; Völlm, Birgit; Tomlin, Jack; Griffiths, Chris
- Source:
Journal of Health Services Research & Policy; Oct2022, Vol. 27 Issue 4, p287-300, 14p- Subject Terms:
WELL-being; COMPUTER software; HEALTH services accessibility; HEALTH facilities; SOCIAL support; CONVALESCENCE; ATTITUDES of medical personnel; RESEARCH methodology; MENTAL health; PATIENTS; INTERVIEWING; PATIENT-centered care; EXPERIENCE; COMPARATIVE studies; QUALITATIVE research; SOCIAL context; QUALITY of life; RESEARCH funding; SOUND recordings; DESCRIPTIVE statistics; INTERPERSONAL relations; THEMATIC analysis; PUBLIC welfare; FAMILY relations; VIDEO recording; MENTAL health services - Source:
- Additional Information
- Subject Terms:
- Abstract: Objectives: There is a lack of research informing service delivery for older forensic mental health patients. This study explored service provision in forensic mental health inpatient and community services in England, investigating what is required for progress in terms of quality of life, health, wellbeing, recovery and reduced risk, and the barriers and facilitators associated with this. Methods: Semi-structured interviews were undertaken with 48 members of staff working with older forensic mental health patients in secure inpatient units or the community in England. Data were analysed using thematic analysis. Results: Two global themes 'What works' and 'What doesn't work' were identified comprising themes representing environmental, interpersonal and individual factors. 'What works' included: positive social support and relationships; individualised holistic patient-centred care; hub and spoke approach to patient care; and suitable environments. 'What doesn't work' included: absence of/or maladaptive relationships with family and friends; gaps in service provision; and unsuitable environments. Conclusions: For older patients to progress to improved quality of life, health, wellbeing and reduced risk, multilevel and comprehensive support is required, comprising a range of services, interventions, and multidisciplinary input, and individualised to each patient's needs. The physical environment needs to be adapted for older patients and provide a social environment that seeks to include supportive families, friends and expert professional input. A clear patient progression pathway is required; this must be reflected in policy and provision. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Health Services Research & Policy is the property of Sage Publications, Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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