Nick Maguire

University of Southampton · Department of Psychology

Background Dialectical behaviour therapy (DBT) is a popular treatment that targets emotional dysregulation, a key feature associated with borderline personality disorder (BPD). The majority of available literature exploring the effectiveness of DBT is based on research concerning female samples. Therefore, the application and efficacy of DBT as a t...

The intersecting impacts of mental ill-health and money problems on the financial wellbeing of people from ethnic minority communities.

Background We investigated the feasibility of recruiting patients unemployed for more than 3 months with chronic pain using a range of methods in primary care in order to conduct a pilot trial of Individual Placement and Support (IPS) to improve quality of life outcomes for people with chronic pain. Methods This research was informed by people wit...

Executive summary There is strong existing evidence that financial difficulties and mental health problems can be interrelated. However, less is understood about how money and mental health can impact on people from minoritised ethnic communities in the UK. To build an understanding of this, The Money and Pensions Service commissioned The Universi...

Background: Research has shown that of the myriad services available to veterans in the UK, very few have been independently evaluated. This report presents the results of a randomized controlled trial assessing the impact of Time Line Therapy™ delivered by the Warrior Programme (a third-sector organization). Aims: This study was aimed to determ...

Debt is highly prevalent within the homeless population. This narrative review makes use of a varied literature to explore the relationship between debt and homelessness, focussing particularly on organisational (systemic) and individual factors and formulating the relationship between the two. A number of forms of debt and the causes of that debt...

In the US, many people are excluded from healthcare structures and systems, due to multiple macro and micro factors. Poverty, health ecosystems, mental health, and community amenities are some of the issues confronting those who are not able to access appropriate support. This population is often referred to as ‘high needs, high cost’ (HNHC), a ter...

https://science.sciencemag.org/content/370/6522/eaay0214/tab-e-letters

Background Chronic pain is a common cause of health-related incapacity for work among people in the UK. Individualised placement and support is a systematic approach to rehabilitation, with emphasis on early supported work placement. It is effective in helping people with severe mental illness to gain employment, but has not been tested for chronic...

Psychological therapies have been significantly developing in terms of theory and evidence over the past 30 years. They can be categorized into four broad families, defined by distinct theories of the person, psychopathology and change. These are cognitive behavioural, psychodynamic, person-centred and family/couples therapies. The underpinning the...

p>In the original article, a section was missed from the Funding information. This has now been added. In addition some changes have been made to the supplementary material. </p

Background Individualised Placement and Support (IPS) is a tailored, client-centred employment intervention for people with chronic health conditions. It involves the integration of vocational advisers within health teams to optimise return-to-work strategies. The intervention aims to get clients into employment by complementing traditional job sea...

Background: Individual Placement and Support (IPS) is a model of vocational rehabilitation originally developed to help people with severe mental illness obtain and maintain employment. Work disability is common amongst people with chronic pain conditions, yet few effective interventions exist. As part of mixed-methods feasibility research and as...

In a longitudinal study of 104 participants, the psychological factors of economic locus of control, self-esteem, hope and shame were explored for their impact on the relationship between financial hardship and mental health. Participants completed measures of financial hardship, the psychological factors and measures of mental health three times a...

A review of the literature investigating the role of psychological factors in the relationship between financial hardship and mental health was completed. The review sought to identify which factors have been most consistently and reliably indicated, and the mechanisms by which these factors are proposed to contribute to the association between har...

Background: Studies of adults show that adverse childhood experiences (ACEs) are associated with health and social problems and are more common among people living in deprived areas. However, there is limited information about the geographical pattern of contemporary ACEs. Methods: We used data from the police, social services, schools and vital...

Objectives: To evaluate a novel intervention which integrates a psychological, values-based approach with coordinated care management. This paper describes an integrated comprehensive health record system to enhance engagement with a subset of those with complex needs; those who are High-Needs, High-Cost (HNHC). Setting: Patients are selected aft...

Outlines a longitudinal mediation study of psychological factors links objective and subjective financial hardship with poor mental health.

Peer supporters are individuals with lived experience and are an integral part of health care systems, providing support to those affected by various phenomena such as homelessness and addictions. However, little is known about the critical elements that underpin peer support interventions. This qualitative study sought to understand the critical e...

Peers have shared experiences of phenomena such as mental illness, addiction, and homelessness. Homelessness services are increasingly utilising peers in their models to support people experiencing homelessness. While there is extensive literature on peer support in general, few studies focus on the potential change mechanisms that might underpin t...

Inclusion health is a service, research, and policy agenda that aims to prevent and redress health and social inequities among the most vulnerable and excluded populations. We did an evidence synthesis of health and social interventions for inclusion health target populations, including people with experiences of homelessness, drug use, imprisonmen...

Objectives. Current research has implicated a role for cognitive and emotional processes in the pathways to becoming homeless. Evidence implicates three risk factors, which are often associated with an increased incidence of homelessness: paranoid thinking, emotion regulation, and engaging in maladaptive behaviours. Maladaptive behaviours include d...

This chapter considers some of the main psychological factors theorised to cause and maintain homelessness, with an eye towards developing an integrative theory of homelessness and rough sleeping. It first describes what a good theory or model may do in terms of identifying the psychological factors and concomitant interventions that may be useful...

This book examines the social determinants of health from an interdisciplinary perspective, focusing on social inequalities and well-being. It analyses the key factors which can lead to poor quality of life, homelessness and reduced mortality. The book begins by looking at early life experiences, which in combination with social networks, exert a s...

The person-centred typological approach to personality makes the distinction between overcontrolled and undercontrolled personality types. This review systematically searched for research on the utility of these personality types in adult mental health. A total of 43 papers were included, which were divided broadly into cross-sectional studies, lon...

Psychiatric patients encounter many difficulties post-discharge reflected by quantitative data such as high suicide rates within the first 3 months. However, little is known about why discharge is so difficult. This article aimed to understand the lived experience of being discharged from a psychiatric unit. Eight participants were interviewed to e...

The homeless population has complex needs. Peers with experience of homelessness offer unique perspectives in supporting those experiencing homelessness. Peer support fostered and developed by professional organisations, termed intentional peer support (IPS), formalises this process. This review aims to assess the effectiveness of IPS as an interve...

Objectives We held a public engagement workshop to involve people with lived experiences of homelessness and social exclusion, experts by experience (EBE), in our research. The purpose of the workshop was to provide context to the findings of a review series on Inclusion Health and to inform future research using electronic health records (EHRs) of...

Psychological therapies can be categorized into four broad families, defined by distinct theories of the person, psychopathology and change. These are cognitive behavioural, psychodynamic, person-centred and family/couples therapies. The underpinning theory and therapeutic approach of each form of therapy are briefly described, together with curren...

This paper considers the contribution that clinical psychology can make to homeless service provision and commissioning processes by bringing an empirical approach to development of interventions and enabling services to robustly evaluate outcomes.

The relationship between mental health, self-esteem and unemployment is well established. Emerging research suggests that interventions such as Cognitive Behavioural Therapy (CBT) can counter the negative effects of unemployment and may improve re-employment. This study evaluated the effectiveness of a manual-based programme, which combines CBT wit...

Three major families of psychological therapies are briefly described; cognitive behavioural, psychodynamic, and person-centred perspectives. The underpinning theory and therapeutic approach of each form of therapy are briefly described. Key references describing the theories and evidence of effectiveness are also given.

Purpose – This paper seeks to discuss the need and scope for application of psychological therapeutic techniques in work with problems of chaotic or dysfunctional behaviour, as found among users of homelessness resettlement services. Design/methodology/approach – The paper summarises recent research and UK policy guidance on the mental health nee...

Childhood bullying is associated with a wide variety of adverse consequences, including psychological distress and psychopathology. In this paper, the literature investigating the association between being bullied by peers in childhood and negative outcomes in adulthood will be reviewed and evaluated. Previous research largely utilising retrospecti...

The purpose of this paper is to help providers and commissioners develop or remodel services in order to address identified emotional and psychological issues amongst rough sleepers and young homeless people.

The discussions from a patient-led session at a national home haemodialysis conference are described. A number of discussion themes are described, together with patients’ views on technical and social aspects of home dialysis. Issues highlighted included the preparation for home systems and the role of intrinsic motivation to change regimens and pr...

The discussions from a patient-led session at a national home haemodialysis conference are described. A number of discussion themes are described, together with patients’ views on technical and social aspects of home dialysis. Issues highlighted included the preparation for home systems and the role of intrinsic motivation to change regimens and pr...

We thank Dein et al [1][1] for opening up the debate about religion and its impact on mental well-being. This debate does not come a moment too soon. We feel compelled to refute the suggestions that research unequivocally shows an association between religiosity and well-being.[2][2] The research

Non-statutory guidance on dealing with complex psychological and emotional needs from the National Mental Health Development Unit and the Department for Communities and Local Government

This paper outlines how psychological factors related to traumatic experience and personality disorder are associated with chronic homelessness. It reports a systematic review of the literature which supports the conclusion that psychological disorders strongly predict homelessness and provides indicative evidence that psychological interventions...

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This paper describes a project set up to treat four homeless men using cognitive behavioural therapy (CBT). The referral criteria were that individuals had alcohol and/or substance misuse problems, were roofless (i.e. sleeping rough) immediately before the intervention began and found it difficult or impossible to access hostel places in Southampto...

Two types of paranoia have been identified, namely persecution (or 'Poor Me') paranoia, and punishment (or 'Bad Me') paranoia. This research tests predicted differences in phenomenology--specifically, in person evaluative beliefs, self-esteem, depression, anxiety, and anger. Fifty-three people with current paranoid beliefs were classified as Poor M...

Intensive interaction (II) recognises the pre-verbal nature of adults with profound learning disabilities and mimics the early attachment process to develop the very beginnings of communication and sociability. This paper Reports on the use of II with a remote and withdrawn adult with severe learning disabilities and visual impairments, who engaged...

Thesis (doctoral)--University of Southampton, 1999. Includes bibliographical references. Photocopy.