Abstract
BackgroundThe history of mental health care has been marked by various struggles for the dignity of service users. Some reform movements have started to use strategies aimed at professionals’ beliefs and attitudes change. This conference paper intends to systematically review and synthesize all information related to awareness-raising and training of professionals in aspects related to empowerment, recovery and in general in rights-based care to achieve full citizenship of mental health services users.MethodsWe searched academic databases as well as web search engines, aiming at finding grey literature on the subject. Quantitative studies were included if they included mental health professionals, defined as all staff involved in the management of mental health service users, as well as mental health students. All participants included should have assisted to a recovery or psychosocial rehabilitation educational or awareness-raising program. Effect size of change in knowledge, attitudes and intention to implement recovery-based practice were meta-analyzed using a fixed effects model.ResultsAfter a preliminary search, a total of 800 articles were added to a global database, of which 50 include explicit information on concrete trainings. Of these, 25 reported information about evaluation of the effectiveness of these training activities. Finally, 13 studies were included in the analysis, with a total sample size of 1123. Six studies adopted a repeated measures design and seven an independent group design (including RCTs and quasi-experimental studies). Recovery and rehabilitation based interventions had, on average, a small-to-medium-sized effect on knowledge of recovery principles (d+ = 0.33, 95% CI: 0.13 to 0.49); a small-to-medium-sized effect on attitudes to recovery principles (d+ = 0.36, 95% CI: 0.25 to 0.46), and a small-to-medium-sized effect on intention to implement recovery practice (d+ = 0.37, 95% CI: 0.02 to 0.71).DiscussionThe results show positive effects of educational and awareness activities for mental health professionals. Elements such as duration and intensity of activities must be considered when analysing the persistence and applicability of the effects. More quality studies are needed to establish the active ingredients of these activities.
Highlights
According to Hong Kong Hospital Authority (2011), nearly 20,000 outpatients with schizophrenia in Hong Kong demand substantial family support
It is important to investigate their conceptualization of schizophrenia and the caregiving process to inform schizophrenia mental health family recovery work
A questionnaire about the metaphors for schizophrenia and the caregiving process were administrated to 194 caregivers whose family members were diagnosed with schizophrenia according to the 2016 version of ICD-10-CM Diagnosis Code
Summary
The high rate of concomitant substance use at intake must be considered for developing specific pharmacological and psychoeducational treatment. One in five patients needed admission to the inpatient unit in the first six months after onset, showing high levels of symptomatic distress. Referrals from hospital units show possible barriers to access outpatient mental health facilities when users present with acute and urgent clinical conditions. This report establishes the feasibility of a regional network of EIS in Northern Italy with shared data elements that will lead to useful comparisons across EIS sites within the region, and collaborative efforts to address specific gaps in access or outcomes. Zhou De-Hui Ruth*,1, Chiu Yu-Lung Marcus, Lo Tak-Lam William, Lo Wai Fan Alison, Wong Siu Sing1 1Hong Kong Shue Yan University; 2City University of Hong Kong; 3Kwai Chung Hospital
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