Author
Steven Gillard
Other affiliations: City University London
Bio: Steven Gillard is an academic researcher from St George's, University of London. The author has contributed to research in topics: Mental health & Qualitative research. The author has an hindex of 8, co-authored 15 publications receiving 217 citations. Previous affiliations of Steven Gillard include City University London.
Papers
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TL;DR: This work states that service user involvement in mental health research is well‐established, yet empirical studies into the impact of involvement are lacking.
Abstract: BACKGROUND: Interest in the involvement of members of the public in health services research is increasingly focussed on evaluation of the impact of involvement on the research process and the production of knowledge about health. Service user involvement in mental health research is well-established, yet empirical studies into the impact of involvement are lacking. OBJECTIVE: To investigate the potential to provide empirical evidence of the impact of service user researchers (SURs) on the research process. DESIGN: The study uses a range of secondary analyses of interview transcripts from a qualitative study of the experiences of psychiatric patients detained under the Mental Health Act (1983) to compare the way in which SURs and conventional university researchers (URs) conduct and analyse qualitative interviews. RESULTS: Analyses indicated some differences in the ways in which service user- and conventional URs conducted qualitative interviews. SURs were much more likely to code (analyse) interview transcripts in terms of interviewees' experiences and feelings, while conventional URs coded the same transcripts largely in terms of processes and procedures related to detention. The limitations of a secondary analysis based on small numbers of researchers are identified and discussed. CONCLUSIONS: The study demonstrates the potential to develop a methodologically robust approach to evaluate empirically the impact of SURs on research process and findings, and is indicative of the potential benefits of collaborative research for informing evidence-based practice in mental health services.
96 citations
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TL;DR: There is a need for evidence-based solutions to achieve accessible and effective mental health care in response to the pandemic, especially remote approaches to care, and particular attention should be paid to understanding inequalities of impact on mental health.
Abstract: Purpose Research is beginning to quantify the impact of COVID-19 on people with pre-existing mental health conditions. Our paper addresses a lack of in-depth qualitative research exploring their experiences and perceptions of how life has changed at this time. Methods We used qualitative interviews (N=49) to explore experiences of the pandemic for people with pre-existing mental health conditions. In a participatory, coproduced approach, researchers with lived experiences of mental health conditions conducted interviews and analysed data as part of a multi-disciplinary research team. Results Existing mental health difficulties were exacerbated for many people. People experienced specific psychological impacts of the pandemic, struggles with social connectedness, and inadequate access to mental health services, while some found new ways to cope and connect to community. New remote ways to access mental health care, including digital solutions, provided continuity of care for some but presented substantial barriers for others. People from black and ethnic minority (BAME) communities experienced heightened anxiety, stigma and racism associated with the pandemic, further impacting their mental health. Conclusion There is a need for evidence-based solutions to achieve accessible and effective mental health care in response to the pandemic, especially remote approaches to care. Further research should explore the long-term impacts of COVID-19 on people with pre-existing mental health conditions. Particular attention should be paid to understanding inequalities of impact on mental health, especially for people from BAME communities.
52 citations
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TL;DR: This research examines how different forms of knowledge and expertise are increasingly important in caring for people experiencing mental illness and points to how the situated nature of subjective knowing is uniquely embedded in time and space and allows for the alignment of embodied knowledge with trajectories of care.
Abstract: Our research examines how different forms of knowledge and expertise are increasingly important in caring for people experiencing mental illness. We build on theoretical developments regarding multiple ontologies of knowing about illness. We examine how experiential knowledge of mental health problems, learned by being subject to illness rather than through objective study, is enacted in mental healthcare teams. We focus on Peer Workers (PW), individuals who have lived experience of mental health problems, and who contribute knowledge and expertise to mental health care within multidisciplinary healthcare teams. Our longitudinal study was undertaken over 2 years by a multidisciplinary team who conducted 91 interviews with PW and other stakeholders to peer support within a comparative case study design. We show how workers with tacit, experiential knowledge of mental ill health engaged in care practice. First, we show how subjective knowing is underpinned by unique socialisation that enables the development of shared interactional spaces. Second, we point to how the situated nature of subjective knowing is uniquely embedded in time and space and allows for the alignment of embodied knowledge with trajectories of care. Third, we provide insight into how subjective forms of expertise might be incorporated into multidisciplinary care.
31 citations
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TL;DR: A lack of strategic guidance at policy level and lack of support and guidance at practice level may result in resistance to implementing ROC in the context of RMP.
Abstract: Background: Recovery-oriented care has become guiding principle for mental health policies and practice in the UK and elsewhere. However, a pre-existing culture of risk management practice may impact upon the provision of recovery-oriented mental health services.Aims: To explore how risk management practice impacts upon the implementation of recovery-oriented care within community mental health services.Method: Semi-structured interviews using vignettes were conducted with eight mental health worker and service user dyads. Grounded theory techniques were used to develop explanatory themes.Results: Four themes arose: (1) recovery and positive risk taking; (2) competing frameworks of practice; (3) a hybrid of risk and recovery; (4) real-life recovery in the context of risk.Discussion: In abstract responses to the vignettes, mental health workers described how they would use a positive-risk taking approach in support of recovery. In practice, this was restricted by a risk-averse culture embedded with...
24 citations
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TL;DR: A grounded analysis revealed protective practice in minimising risk to peer worker well-being that restricted the sharing of lived experience, and a lack of insight into how peer workers might be involved in formal risk management.
Abstract: New peer worker roles are being introduced into mental health services internationally. This paper addresses a lack of research exploring issues of risk in relation to the role. In-depth interviews were carried out with 91 peer workers, service users, staff and managers. A grounded analysis revealed protective practice in minimising risk to peer worker well-being that restricted the sharing of lived experience, and a lack of insight into how peer workers might be involved in formal risk management. Alternatively, analysis revealed potential new understandings of risk management based on the distinctive, experiential knowledge that peer workers brought to the role.
24 citations
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TL;DR: In this paper, the authors argue that societal hierarchies, verticalities, and conflicts need to be part of the communication basis of transformation of labeled sets into classes, types into categories, and concepts into forms.
Abstract: Second, communication within the audience segments is repeatedly acknowledged as the basis of transformation of labeled sets into classes, types into categories, and concepts into forms. One needs to clarify this communication process, describe it, and understand it. Prior ecological works presumed that the classification task was incumbent to the observer, raising questions about the validity, existence, and durability of the categories and forms (e.g., Durand 2006). Undoubtedly, the formalization of diverse audiences’ comparative categorization proposed in the book represents a major reconceptualization, but the societal hierarchies, verticalities, and conflicts need to be part of the communication basis. Third, although the fourth part of the book deals with organizational change, loyal to the core assumptions of ecology theory, the organizations and their spokespersons do not seem able to influence the evolution of the fields, industries, or populations. Organizations hardly possess intentions, governance characteristics, or market and non-market resources to do better than adapt a multimeaning multi-audience reality, to wit to shape, carve, and influence the very selection criteria that rule the fields where they operate. Finally, more than the possibility of categorization, the ontological nature of forms and population is a question looming around the entire population ecology story, old and new style. Yesterday imposed by the ecologist as erudite observer, today forms and populations are “decentralized” to audiences. This displacement fills a caveat of the former version of population ecology. The next question worth investigation nevertheless lies in the epistemological nature and ontological status of concepts, categories, forms, and populations. Does the linguistic turn of organizational ecology open the Pandora’s box for a neo-constructivism, a post-realism about forms and populations? Organizational ecologists have long avoided the too-human considerations of politics and ideologies. However, the decentralization of categorization processes, the evanescence of group membership, and the importance given to (social and cultural) codes imply that beliefs, causal associations, and discursive elaboration are to integrate the newly refounded ecological corpus. Overall, I applaud the conceptual details, thorough definitions, and meticulous demonstrations of this book. Readers of the book will appreciate differently this new theorization of known themes, from full acceptance to some resistance. One may regret certain minimal or backhanded references to extant literature (in particular on social categorization, status construction, and organizational identity). One may reject premises (having a more political theory of legitimacy, a more controversial social positioning of audiences, and a more classificatory argument of audiences’ habitus). But everyone can make up their mind by reading and appreciating the conceptual qualities of this book.
397 citations
01 Jan 2016
TL;DR: In this paper, the authors present a psychological study of groupthink in foreign policy decisions and fiascoes, which they call "Victims of Groupthink" and "Fiascoes".
Abstract: Thank you for reading victims of groupthink a psychological study of foreign policy decisions and fiascoes. As you may know, people have look hundreds times for their chosen readings like this victims of groupthink a psychological study of foreign policy decisions and fiascoes, but end up in malicious downloads. Rather than reading a good book with a cup of tea in the afternoon, instead they are facing with some malicious bugs inside their computer.
389 citations
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University of Ibadan1, University of Washington2, George Washington University3, College of Health Sciences, Bahrain4, King's College London5, Harvard University6, University of Liverpool7, Health Services Academy8, University of Sussex9, Michigan State University10, Kathmandu11, Oswaldo Cruz Foundation12, Pravara Institute of Medical Sciences13, University of KwaZulu-Natal14, University of the Free State15, Centre for Mental Health16
TL;DR: In this article, the authors examined the mental health implications of the COVID-19 pandemic in low-income and middle-income countries (LMICs) in four parts: the emerging literature on the impact of the pandemic on mental health, which shows high rates of psychological distress and early warning signs of an increase in mental health disorders.
359 citations
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World Psychiatric Association1, South London and Maudsley NHS Foundation Trust2, University of Louisville3, Centre for Mental Health4, Queen Mary University of London5, Beth Israel Deaconess Medical Center6, Columbia University Medical Center7, University of Oxford8, Mayo Clinic9, Cayetano Heredia University10, The Chinese University of Hong Kong11, Wright State University12, Cardiff University13, Prince of Songkla University14, Pan American Health Organization15, Kowloon Hospital16, University of Antwerp17, University of Toronto18, Wellesley Institute19, University of Nottingham20, University of Western Australia21, University of New South Wales22, University of Western Sydney23, Beijing Forestry University24, Harvard University25, Ain Shams University26, Monash University27, Mental Health Services28, Royal College of Psychiatrists29, University of Pittsburgh30, University of Foggia31
TL;DR: The therapeutic relationship remains paramount, and psychiatrists will need to acquire the necessary communication skills and cultural awareness to work optimally as patient demographics change, and psychiatry faces major challenges.
268 citations