Lucy Pollyanna Goldsmith

Lucy Pollyanna Goldsmith
St George's, University of London | SGUL

PhD

About

51
Publications
7,119
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469
Citations
Introduction
I am an experienced researcher in both critical/social psychiatry and statistical methods. My research includes crisis care trauma informed approaches, peer support and coproduction. Recent projects include the DECISION project evaluating mental health decision units in acute care pathways, the ENRICH peer support project, research about vaccination uptake, migrant health and COVID-19 and my work as a statistical adviser to Cochrane. Scopus author ID=57194534283
Additional affiliations
July 2016 - July 2016
St George's, University of London
Position
  • Researcher
September 2010 - September 2014
The University of Manchester
Position
  • PhD

Publications

Publications (51)
Article
Full-text available
Importance: Adequate sleep duration is necessary for many aspects of child health, development, and well-being, yet sleep durations for children are declining, and effective strategies to increase sleep in healthy children remain to be elucidated. Objective: To determine whether nonpharmaceutical interventions to improve sleep duration in health...
Article
Background To understand the impact of the COVID-19 pandemic on mortality, this study investigates overall, sex- and age-specific excess all-cause mortality in 20 countries, during 2020. Methods Total, sex- and age-specific weekly all-cause mortality for 2015–2020 was collected from national vital statistics databases. Excess mortality for 2020 wa...
Article
Full-text available
Objective To explore COVID-19 vaccination uptake, facilitators and barriers in ethnically-diverse pregnant women. Design and setting An anonymous quality improvement questionnaire survey exploring COVID-19 vaccination uptake, causes of vaccine hesitancy and trusted sources of information among pregnant women in two acute district general hospitals...
Preprint
Introduction Adult migrants are at risk of under-immunisation and are likely to need catch-up vaccination to bring them in line with the UK schedule. The COVID-19 pandemic has highlighted and exacerbated inequities in vaccine uptake, with migrants facing additional barriers to information, low vaccine confidence, and access to vaccine services. The...
Article
Full-text available
Background Internationally, an increasing proportion of emergency department visits are mental health related. Concurrently, psychiatric wards are often occupied above capacity. Healthcare providers have introduced short-stay, hospital-based crisis units offering a therapeutic space for stabilisation, assessment and appropriate referral. Research l...
Article
Full-text available
Background Peer workers are increasingly employed in mental health services to use their own experiences of mental distress in supporting others with similar experiences. While evidence is emerging of the benefits of peer support for people using services, the impact on peer workers is less clear. There is a lack of research that takes a longitudin...
Article
Background WHO's new Immunization Agenda 2030 places a focus on ensuring migrants and other marginalised groups are offered catch-up vaccinations across the life-course. Yet, it is not known to what extent specific groups, such as refugees, are immunised according to host country schedules, and the implications for policy and practice. We aimed to...
Article
Understanding why some migrants in Europe are at risk of underimmunisation and show lower vaccination uptake for routine and COVID-19 vaccines is critical if we are to address vaccination inequities and meet the goals of WHO's new Immunisation Agenda 2030. We did a systematic review (PROSPERO: CRD42020219214) exploring barriers and facilitators of...
Preprint
Full-text available
Background The COVID-19 pandemic has highlighted shortfalls in the delivery of vaccine programmes to some adult migrant groups; however, little is known around care pathways and engagement of these older cohorts in routine vaccinations in primary care, including catch-up programmes. Guidelines exist, but the extent to which they are put into practi...
Preprint
Full-text available
The use of social media platforms by migrant and ethnic minority populations during the COVID-19 pandemic: a systematic review
Article
Full-text available
Background 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 has been called for in policy, however, evidence of effectiveness from large rigorous trials is missing. We aimed to establish...
Article
Full-text available
Background: Understanding the impact of the burden of COVID-19 is key to successfully navigating the COVID-19 pandemic. As part of a larger investigation on COVID-19 mortality impact, this study aims to estimate the Potential Years of Life Lost (PYLL) in 17 countries and territories across the world (Australia, Brazil, Cape Verde, Colombia, Cyprus...
Article
Full-text available
Objectives Peer support is rapidly being introduced into mental health services internationally, yet peer support interventions are often poorly described, limiting the usefulness of research in informing policy and practice. This paper reports the development of a peer support intervention that aims to improve outcomes of discharge from inpatient...
Poster
Full-text available
This is a graphical abstract for Undela K, Goldsmith L, Kew KM, Ferrara G. Macrolides versus placebo for chronic asthma. Cochrane Database of Systematic Reviews 2021, Issue 11. Art. No.: CD002997. doi.org/10.1002/14651858.CD002997.pub5
Article
Full-text available
Background: Asthma is a chronic disease in which inflammation of the airways causes symptomatic wheezing, coughing and difficult breathing. Macrolides are antibiotics with antimicrobial and anti-inflammatory activities that have been explored for the long-term control of asthma symptoms. Objectives: To assess the effects of macrolides compared w...
Preprint
Full-text available
Diverse migrant populations in Europe are at risk of under–immunisation and have recently shown lower levels of COVID–19 vaccination intent and uptake. Understanding the determinants of vaccine uptake in migrants is critical to address immediate COVID–19 vaccination inequities, and longer–term will help improve coverage for routine vaccinations, al...
Article
Full-text available
Purpose Evidence suggests that the distinctive relational qualities of peer support—compared to clinical-patient relationships—can be eroded in regulated healthcare environments. Measurement of fidelity in trials of peer support is lacking. This paper reports the development and testing of a fidelity index for one-to-one peer support in mental heal...
Article
Full-text available
Objective Analysis of participatory approaches to developing health interventions for migrants and how approaches embody core participatory principles of inclusivity and democracy. Design A systematic review of original articles. Electronic searches within the databases MEDLINE, Embase, Global Health and PsychINFO (from inception—November 2020)....
Conference Paper
Background Adequate sleep duration in childhood has important implications for social, mental, and physical well-being. Recent evidence has demonstrated declining sleep durations in children; therefore effective interventions to improve sleep measures are needed. Despite some trials suggesting that multi-behavioural interventions promoting bed-time...
Preprint
Full-text available
Background Understanding the impact of the burden of COVID-19 is key to successfully navigating the COVID-19 pandemic. As part of a larger investigation on COVID-19 mortality impact, this study aims to estimate the Potential Years of Live Lost (PYLL) in 17 countries and territories across the world (Australia, Brazil, Cape Verde, Colombia, Cyprus,...
Article
Full-text available
Background: This study aimed to investigate overall and sex-specific excess all-cause mortality since the inception of the COVID-19 pandemic until August 2020 among 22 countries. Methods: Countries reported weekly or monthly all-cause mortality from January 2015 until the end of June or August 2020. Weekly or monthly COVID-19 deaths were reporte...
Preprint
Full-text available
Objective To analyse the use of participatory approaches in research of health interventions for migrants, and how utilised approaches embody core participatory principles of democracy and power distribution. Design A systematic review of original articles. Electronic searchers were carried out in the databases MEDLINE, Embase, Global Health and Ps...
Article
Full-text available
Background: There is evidence that peer support can be helpful for people suffering from psychosis, but there is a lack of research describing peer support in the context of Early Intervention in Psychosis (EIP). Aims: We aim to investigate the key elements of peer support in EIP and how peer support workers might best be recruited and supported i...
Article
Full-text available
Introduction: Early evidence confirms lower COVID-19 vaccine uptake in established ethnic minority populations, yet there has been little focus on understanding vaccine hesitancy and barriers to vaccination in migrants. Growing populations of precarious migrants (including undocumented migrants, asylum seekers and refugees) in the UK and Europe ar...
Preprint
Full-text available
Introduction Early evidence confirms lower COVID-19 vaccine uptake in established ethnic minority populations, yet there has been little focus on understanding vaccine hesitancy and barriers to vaccination in migrants. Growing populations of precarious migrants (including undocumented migrants, asylum seekers and refugees) in the UK and Europe are...
Article
Full-text available
Psychiatric decision units have been developed in many countries internationally to address the pressure on inpatient services and dissatisfactory, long waits people in mental health crisis can experience in emergency departments. Research into these units lags behind their development, as they are implemented by healthcare providers to address the...
Article
Full-text available
Background: Peer support is being introduced into mental health services internationally, often in response to workforce policy. Earlier systematic reviews incorporate different modalities of peer support (i.e. group and one-to-one), offer inconsistent evidence of effectiveness, and also indicate substantial heterogeneity and issues of quality in t...
Presentation
'Coproducing a randomised controlled trial' - Lucy Goldsmith presenting at the Health Services Research UK Conference 2020. Use link: https://hsruk.org/conference-2020/presentations/coproduction
Presentation
Demand on mental health services has increased at a time when both inpatient and community mental health services are facing financial constraints, with many people accessing care at a time when they are experiencing an acute mental health crisis. The 2014 Crisis Care Concordat tasked service providers to improve access to appropriate care before a...
Article
Full-text available
Background: The UK mental health system is stretched to breaking point. Individuals presenting with mental health problems wait longer at the ED than those presenting with physical concerns and finding a bed when needed is difficult – 91% of psychiatric wards are operating at above the recommended occupancy rate. To address the pressure, a new type...
Article
Full-text available
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 to hospital. Discharge interventions including peer support have shown potential, and there is some evidence that community-based peer support reduces readmissions. However, systema...
Poster
Full-text available
Poster accepted for the 19th World Psychiatric Association World Congress of Psychiatry. Objectives: To explore the significant challenges and solutions adopted to design and deliver a coproduced randomised controlled trial in mental health, the ENRICH trial of peer support for psychiatric discharge. Background: ENRICH is the world’s first coprod...
Poster
Full-text available
Objectives: Rigorous, comprehensive assessment of MDHUs using non-trial methods to provide an evidence base for their effectiveness, value for money and optimum configuration. Background: Acute crisis care is a difficult area in which to run a randomised controlled trial. There is interest in alternative research methods. The setting of this resea...
Poster
Full-text available
Background: Research suggests that the distinctiveness of peer support compared to other forms of mental health support can be compromised in large healthcare organisations for a number of reasons, including the difficulty of establishing whether the support given was truly peer support. There is good evidence that the distinctiveness of peer suppo...
Article
Full-text available
In the light of the declaration “Nothing about us without us” (Charlton, 2000), interest in co-production, and coproduced research is expanding. Good work has been done establishing principles for co-production (Hickey et al., 2018) and for good quality involvement (Involve, 2013; 4Pi, 2015) and describing how this works in practice in mental healt...
Article
Full-text available
Aims and method We evaluated routine use, acceptability and response rates for the Patient Health Questionnaire (PHQ-9), Generalised Anxiety Disorder Scale (GAD-7) and Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS) within adult community mental health teams. Measures were repeated 3 months later. Professionals recorded the setting, refus...
Article
Full-text available
Inter-personal trauma has at its core the abuse of power. This paper focuses on power abuses that manifest as sexual violence in all its subtleties and complexities, whilst understanding that many survivors have experienced multiple forms of abuse over long periods meaning that their experiences often do not map neatly onto the distinct categories...
Article
Full-text available
Purpose Peer support is increasingly being introduced into mainstream mental health services internationally. The distinctiveness of peer support, compared to other mental health support, has been linked to values underpinning peer support. Evidence suggests that there are challenges to maintaining those values in the context of highly standardised...
Article
Full-text available
Few studies have examined therapist effects and therapeutic alliance (TA) in treatments for chronic fatigue syndrome (CFS). Therapist effects are the differences in outcomes achieved by different therapists. TA is the quality of the bond and level of agreement regarding the goals and tasks of therapy. Prior research suffers the methodological probl...
Data
Univariate correlations between therapeutic alliance and changes in fatigue and physical functioning by therapy and therapist. (DOCX)
Article
Full-text available
The quality of the therapeutic alliance (TA) has been invoked to explain the equal effectiveness of different psychotherapies, but prior research is correlational, and does not address the possibility that individuals who form good alliances may have good outcomes without therapy. We evaluated the causal effect of TA using instrumental variable (st...
Article
Full-text available
Although antidepressants are known to produce some adverse mental effects, their full range of psychoactive effects has not been systematically described. It has been suggested that some antidepressants are associated with increased suicidal thoughts and actions, but the issue remains controversial, and the mechanism of association, if any, is uncl...
Article
Full-text available
Substantive objective: To research the range of discursive constructions ‘recovered’ voice hearers employ to describe hearing voices and the implications for positioning and subjectivity (what can be thought and felt) using each construction. Methodological objective and method: To explore a ‘sympathetic’ application of Foucauldian discourse analys...

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Projects

Projects (6)
Project
Learn more about the project at our website: https://decisionstudy.org/ And on twitter: https://twitter.com/DecisionProject This project is about rigorous, comprehensive assessment of MDHUs using non-trial methods to provide an evidence base for their effectiveness, value for money and optimum configuration. This will be the first formal evaluation of MHDU services in England and the only project to date that includes comparison of different MHDUs, enabling us to identify and model optimum configuration and scale up of MDHUs.
Project
• To establish the effectiveness and cost-effectiveness of a peer worker intervention to enhance discharge from psychiatric inpatient care. • To measure the impact of the Peer Worker intervention on a range of secondary (intra-personal, behavioural and service use outcomes) • To identify predictors of readmission • To estimate the extent to which variability in fidelity of intervention mediates effectiveness • To explore how the processes of intervention delivery relate to outcome • To explore the impact of working as a Peer Worker on Peer Worker’s wellbeing and employment outcomes.