The Meaningful Elements in Recovering From Major Depression as a Basis of Developing Social Work in Mental Health Services

Romakkaniemi, Marjo; Kilpeläinen, Arja

doi:10.1080/15332985.2014.932317

Cited by 2 publications

(3 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This wasn’t unique to the SDS arm, and similar qualities were experienced by people in the TAU arm too. This finding highlights the benefits of developing positive working relationships between service users and mental health professionals, as has been identified in other studies [ 22 , 29 ].…”

Section: Discussionsupporting

confidence: 82%

“…Similarly, having a sufficient number of CBT sessions was repeatedly stressed as being important to allow service users to fully engage with the therapy, develop trusting relationship with the clinician and establish the techniques to support their prolonged recovery. The importance to service users of the appropriate timing of treatment which coincides with their own readiness has been found in other studies [ 22 , 30 ].…”

Section: Discussionmentioning

confidence: 56%

“…Qualitative methods have been shown to provide a useful approach to understanding participants’ perceptions and experiences of an intervention and to identify the active ingredients of complex and multi-faceted mental health services [ 18 – 21 ]. Romakkaniemi and Kilpelainen [ 22 ] analysed the experiences of two service users with depression through their written blogs and found four themes: a confident working relationship, time and hiatus for finding one’s own authenticity, successful timing of interventions and a holistic view of life. However, this study did not examine the experience of a single service, rather their experience of multiple services over time.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

How is a specialist depression service effective for persistent moderate to severe depressive disorder?: a qualitative study of service user experience

et al. 2018

View full text Add to dashboard Cite

BackgroundA specialist depression service (SDS) offering collaborative pharmacological and cognitive behaviour therapy treatment for persistent depressive disorder showed effectiveness against depression symptoms versus usual community based multidisciplinary care in a randomised controlled trial (RCT) in specialist mental health services in England. However, there is uncertainty concerning how specialist depression services effect such change. The current study aimed to evaluate the factors which may explain the greater effectiveness of SDS compared to Treatment as Usual (TAU) by exploring the experience of the RCT participants.MethodsQualitative audiotaped and transcribed semi-structured interviews were conducted 12–18 months after baseline with 21 service users (12 SDS, 9 TAU arms) drawn from all three sites. Inductive thematic analysis using a grounded approach contrasted the experiences of SDS with TAU participants.ResultsFour themes emerged in relation to service user experience: 1. Specific treatment components of the SDS: which included sub-themes of the management of medication change, explaining and developing treatment strategies, setting realistic expectations, and person-centred and holistic approach; 2. Individual qualities of SDS clinicians; 3. Collaborative team context in SDS: which included sub-themes of communication between healthcare professionals, and continuity of team members; 4. Accessibility to SDS: which included sub-themes of flexibility of locations, frequent consultation as reinforcement, gradual pace of treatment, and challenges of returning to usual care.ConclusionsThe study uncovered important mechanisms and contextual factors in the SDS that service users experience as different from TAU, and which may explain the greater effectiveness of the SDS: the technical expertise of the healthcare professionals, personal qualities of clinicians, teamwork, gradual pace of care, accessibility and managing service transitions. Usual care in other specialist mental health services may share many of the features from the SDS.Trial registration“Trial of the Clinical and Cost Effectiveness of a Specialist Expert Mood Disorder Team for Refractory Unipolar Depressive Disorder” was registered in www.ClinicalTrials.gov (NCT01047124) on 12–01-2010 and the ISRCTN registry was registered in www.isrctn.com (ISRCTN10963342) on 25–11-2015 (retrospectively registered).

show abstract

Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 56%