Geoff Shepherd's research while affiliated with King's College London and other places
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Publications (44)
Background
Across England, around 60,000 people live in mental health supported accommodation: residential care, supported housing and floating outreach. Residential care and supported housing provide on-site support (residential care provides the highest level), whereas floating outreach staff visit people living in their own tenancies. Despite th...
Background:
Around 60 000 people in England live in mental health supported accommodation. There are three main types: residential care, supported housing and floating outreach. Supported housing and floating outreach aim to support service users in moving on to more independent accommodation within 2 years, but there has been little research inve...
Recovery praktisch Die von der Selbsthilfe geprägten Ideen von Recovery und Empowerment haben inzwischen Eingang in die S3-Leitlinie »Psychosoziale Therapien bei schweren psychischen Erkrankungen« gefunden, was sich in vielen Projekten in Behandlung und Ausbildung niederschlägt. Das fängt mit der gemeinsamen Entscheidungsfindung von Fachleuten, Psy...
This paper makes the Business Case for supporting recovery. We believe that this should be informed by three types of data: evaluative research (such as randomised controlled trials); the perceived benefits for service users – what might be termed ‘customer satisfaction’; and best evidence about value for money.
Some of the ImROC 10 key challenges...
This paper makes the Business Case for supporting recovery. We believe that this should be informed by three types of data: evaluative research (such as randomised controlled trials); the perceived benefits for service users – what might be termed ‘customer satisfaction’; and best evidence about value for money. Some of the ImROC 10 key challenges...
Background: Recovery in mental health services is defined as living a satisfying, hopeful, and contributing life even with any limitations caused by illness. An evidence base for understanding and supporting recovery is needed. Objectives: To carry out a programme of linked research studies to understand how mental health services can promote recov...
Background
Deinstitutionalisation in Europe has led to the development of community-based accommodation for people with mental health problems. The type, setting, and intensity of support provided vary and the costs are substantial. Yet, despite the large investment in these services, there is little clarity on their aims and outcomes or how they a...
The value of peer support for people with mental health problems has long been recognised. However, it is only relatively recently evidence has begun to accumulate that adding appropriately trained and managed peer workers to the mental health workforce can have significant beneficial effects in terms of outcomes for those receiving this service an...
Background:
Little research has been done into the effectiveness of mental health supported accommodation services. We did a national survey to investigate provision and costs of services and assess service user quality of life and outcomes across England.
Methods:
We randomly sampled three types of services from 14 nationally representative reg...
Mental health services in most countries are facing fundamental challenges in terms of their capacity to meet ever-increasing demands with limited resources and limited powers to increase the availability of funding. Mental health conditions represent the single, largest source of disability (World Health Organization 2008), and the mismatch betwee...
Background
No standardised tools for assessing the quality of specialist mental health supported accommodation services exist. To address this, we adapted the Quality Indicator for Rehabilitative care-QuIRC-that was originally developed to assess the quality of longer term inpatient and community based mental health facilities. The QuIRC, which is...
Background
Patient-Reported Outcome Measures (PROMs) are important for evaluating mental health services. Yet, no specific PROM exists for the large and diverse mental health supported accommodation sector. We aimed to produce and validate a PROM specifically for supported accommodation services, by adapting the Client’s Assessment of Treatment Sca...
For the past 3 decades, mental health practitioners have increasingly adopted aspects and tools of strength-based approaches. Providing strength-based intervention and amplifying strengths relies heavily on effective interpersonal processes.
Aim: This article is a critical review of research regarding the use of strength-based approaches in mental...
Recovery has come to mean living a life beyond mental illness, and recovery orientation is policy in many countries. The aims of this study were to investigate what staff say they do to support recovery and to identify what they perceive as barriers and facilitators associated with providing recovery-oriented support. Data collection included ten f...
Background:
Individual placement and support (IPS) is effective in helping patients return to work but is poorly implemented because of clinical ambivalence and fears of relapse.
Aims:
To assess whether a motivational intervention (motivational interviewing) directed at clinical staff to address ambivalence about employment improved patients' oc...
The development of mental health services which will support the recovery of those using them, their families, friends and carers is now a central theme in national and international policy (DH/HMG, 2011; Slade, 2009). In order to support these developments we need clear, empiricallyinformed statements of what constitutes high-quality services and...
An understanding of recovery as a personal and subjective experience has emerged within mental health systems. This meaning of recovery now underpins mental health policy in many countries. Developing a focus on this type of recovery will involve transformation within mental health systems. Human systems do not easily transform. In this paper, we i...
The ideas of 'recovery' arise from the experiences of people with mental health problems. The recovery approach emerged in the North American civil rights and consumer and survivor movements from the 1970s onwards. It is concerned with social justice, individual rights, citizenship, equality, freedom from prejudice and discrimination. In this paper...
This paper describes the problems associated with establishing an evidence-based approach to vocational rehabilitation in clinical teams. The data used were derived from 16 reviews of the 'Individual Placement and Support' (IPS) approach to helping people with major mental illness gain and retain paid employment. These were undertaken as part of a...
Purpose
The purpose of this paper is to review representative literature on social inclusion and evaluate the usefulness of the concept in current mental health policy.
Design/methodology/approach
The paper employs a selective review of the cost‐effectiveness of interventions aimed at improving social inclusion in children, young adults with first...
The Oxford Textbook of Community Mental Health is the most comprehensive and authoritative review published in this field.
Background/Objectives: Whilst there are many examples of good practice in the area of recovery-orientated services, many mental health service providers have made little progress in this area and there is no clear guidance or consensus or strategy as to how we might develop comprehensive services which are based on recovery principles. We aim to ou...
Purpose
– The purpose of this paper is to present the outline of a methodological approach to help address ten key challenges for the implementation of Recovery‐orientated services.
Design/methodology/approach
– At the onset of the project the authors produced a policy paper, Making Recovery a Reality. This formed the basis of a series of workshop...
Aim: Unemployment is the major
disability faced by people with psychotic
illness. Unemployment rates of
75–95% are found among those
with schizophrenia.Unemployment is
associated with poorer social and
economic inclusion, greater symptomatology,
decreased autonomy and
generally poorer life functioning.
Unemployment also makes up over half of the to...
Background:
Key questions regarding residential alternatives to standard acute psychiatric care, such as crisis houses and short-stay in-patient units, concern the role that they fulfil within local acute care systems, and whether they manage people with needs and illnesses of comparable severity to those admitted to standard acute wards.
Aims:...
Background:
Differences in the content of care provided by acute in-patient mental health wards and residential crisis services such as crisis houses have not been researched.
Aims:
To compare planned and actual care provided at alternative and standard acute wards and to investigate the relationship between care received and patient satisfactio...
Despite considerable growth in treatments, interventions, services and research of young people with a first episode of psychosis, little attention has been given to the priorities of these young people, in particular, gaining employment. A literature review was undertaken with the aim of investigating: 1) whether young people with a first episode...
Acute psychiatric wards have been the focus of widespread dissatisfaction. Residential alternatives have attracted much interest, but little research, over the past 50 years.
Our aims were to identify all in-patient and residential alternatives to standard acute psychiatric wards in England, to develop a typology of such services and to describe th...
People who experience severe and enduring mental health problems have one of the lowest employment rates in the UK. Yet the vast majority want to work, and with the right support many people can. We know from international experience and research how to offer effective support to enable people with mental health problems to work. Large numbers of p...
William Faulkner observed that work ‘is just about the only thing that you can do for eight hours a day’. Work is something that many of us take for granted, but many people with mental illness are excluded from work and are unlikely to gain or sustain open employment. This is despite the fact
Citations
... [27,28] Therefore, the structure of self-efficacy can be used as a theoretical basis in many health education programs by health professionals to create and promote health behaviors. [29] Numerous studies conducted in different places show the effect of self-efficacy along with increasing appropriate actions in students, [11,30,31] the aim of this study was to compare the two methods of motivational interviews and peers in female high school students in relation to puberty health in Shahroud in 2019. ...
... The delivery of supported accommodation which enables individual's recovery is influenced by a combination of service, contextual and relational factors [7]. There has been an increased focus on the effectiveness of supported accommodation [8] for people with serious mental illness and how it improves their quality of life (QoL). While contextual and service factors directly inform how supported accommodation is provided internationally, there are common features that are seen across all types of supported accommodation which relate to living arrangement (group or individual), level of staffing provided and type of support received [3,4,9]. ...
... Although recovery from SMI is an individual journey, professional care and guidance can support recovery outcomes [18,19]. A recovery-oriented approach focuses on the person, addresses stigmatisation, and facilitates social inclusion, and improves quality of life, citizenship, and participation in society [3,20]. It is a collaborative process between mental healthcare providers and service user which facilitates shared decision making and puts the service users' individual perspectives on recovery in the centre of the treatment [21,22]. ...
... Daniel Hayes 1,2 · Elizabeth M. Camacho 3 · Amy Ronaldson 1 · Katy Stepanian 1 · Merly McPhilbin 4 · Rachel A. Elliott 3 · Julie Repper 5 · Simon Bishop 6 · Vicky Stergiopoulos 7 · Lisa Brophy 8 · Kirsty Giles 9 · Sarah Trickett 10 · Stella Lawrence 10 · Gary Winship 11 · Sara Meddings 5 · Ioannis Bakolis 1 · Claire Henderson 1 · Mike Slade 4,12 1 Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London SE5 8AF, UK ...
... According to the Mental Health Declaration of Europe [5] and the NICE [6], the care of people with a psychiatric disability should be implemented mostly in community settings, should be recovery-oriented, flexible and involve all stakeholders. The provision of recovery-based practice and the promotion of people's human rights have been found to be positively associated with successful rehabilitation for people with severe and complex mental health problems in England [7,8]. Every person, despite their psychiatric and social impairments, deserves the opportunity to live the most satisfying life as possible, being integrated into the community, and should have the possibility to carry out significant activities [9,10], covering all adulthood roles at home, work, school or in other social areas [11]. ...
... There is evidence to justify recovery as an organising principle for mental health services worldwide, with reports of increased service user satisfaction, promising outcomes associated with emerging approaches such as Open Dialogue, Recovery Colleges and peer support, and cost-effectiveness (Slade, McDaid, Shepherd, Williams, & Repper, 2017). In light of these encouraging outcomes, Slade et al. (2017) argue that; 'The challenge for mental health services in each country is therefore not "whether to support recovery?", but "how?"' (p. ...
... The term recovery and the elements that contribute to its meaning are subject to a wide variety of definitions and interpretations. The two main connotations of recovery (Slade et al., 2017) refer, on the one hand, to clinical recovery, the traditional use in medicine, which considers mental illness biological and attempts to eliminate its symptoms to achieve recovery. On the other hand, personal recovery is a much more complex term (Woods et al., 2019) that has developed over recent decades and become one of the most important movements in mental health services today. ...
... Consistent with national [3][4][5]and international [6] mental health policy, recovery is defined as a personal process of living with or without the mental health concerns [7], which includes elements of connectedness, hope, identity, meaning and empowerment [8]. Mental health systems, internationally, have increasingly adopted a recovery-oriented approach to servicing [9][10][11]. ...
... From the perspective of the support workers interviewed in the present study, knowing who to contact is an important prerequisite to improved collaboration. Similarly, there is a risk that a decrease or termination of housing support as young adults gradually become more independent can lead to social isolation (Brolin et al., 2015;Sandhu et al., 2017), and reduced quality of life (Brolin, 2016). To counteract this, there is a need for complementary support tailored for specific contexts, like peer mentoring in education and work (Lindsay et al., 2016;Nguyen et al., 2020;Thompson et al., 2020). ...
... The care pathway is thus organised so that people move on from RFs providing higher support (Table 1 types SRP1 and SRP2) to those providing intermediate support (SRP3.1) and then to those with minimal support (SRP3.3). Of note, SRP3.2 is designed for residents with severe but stable mental health problems who are less likely to be able to progress to a more independent setting [2,30,31]. ...