Browsing by Person "Harrison, Michele"

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Chapter 22: Applying the Model of Human Occupation to Individuals With Mental Health Conditions
(Wolters Kluwer, 2024) Melton, Jane C.; Harding, Becky; Cooper, John R.; Allen, Susan; Reed, Melissa; Forsyth, Kirsty; Prior, Susan; Maciver, Donald; Harrison, Michele; Raber, Christine; Quick, Laura
Defining the environment to support occupational therapy intervention in mental health practice
(SAGE, 2015-05-01) Harrison, Michele; Angarola, Rocco; Forsyth, Kirsty; Irvine, Linda
More than 450 million people have been estimated to have mental health disorders worldwide with many more experiencing mental health challenges, according to the World Health Organization. People with mental health challenges can find their environments not supportive of their engagement in meaningful daily activities of self-care, work and leisure. While occupational therapists value having an understanding of how the environment impacts on a person's occupational participation, it has been argued that the concept has been poorly defined. The Model of Human Occupation provides a clinically useful definition of the environment. Moreover, the Model of Human Occupation provides clinical assessments and outcome measures that measure how the environment facilitates occupational participation. The Author(s) 2015.
Edinburgh Behaviour Support Service: Secondary Data Analysis
(Queen Margaret University, 2013) Constantinescu, Alexandra C.; Forsyth, Kirsty; Górska, Sylwia; Harrison, Michele; Irvine, Linda; Pentland, Jacqueline M.; Prior, Susan
Edinburgh Older People Mental Health Services: outcomes of the qualitative evaluation
(Queen Margaret University, 2015-01) Forsyth, Kirsty; Górska, Sylwia; Harrison, Michele; Irvine, Linda; Pentland, Jacqueline M.; Prior, Susan
Establishing the measurement properties of the Residential Environment Impact Scale (Version 4.0)
(Taylor & Francis, 2022-12-09) Harrison, Michele; Forsyth, Kirsty; Murray, Aja Louise; Angarola, Rocco; Henderson, Shona; Fitzpatrick, Linda Irvine; Fisher, Gail
Background Developed as an environment assessment informed by the Model of Human Occupation, the Residential Environment Impact Survey considered the physical, social and activity features of the environment, evaluating the impact of the environment on resident’s quality of life. Clinicians reported that the Residential Environment Impact Survey was a useful tool; however, it had not been structured to be a measurement tool and did not have established psychometric properties. Aims/objectives This study examines the psychometric properties of the restructured Residential Environment Impact Scale Version 4.0 (REIS), which measures the level of environment support provided to residents. Material and methods The REIS was completed across residential sites for people with complex mental health needs. A many facets Rasch analysis was conducted to establish the reliability and validity of the REIS. Results The REIS demonstrated reasonable psychometric properties, with items demonstrating internal scale validity and scale items following an expected pattern of increasingly challenging environment support. Conclusions and significance Initial evidence suggests that the REIS provides a valid and reliable measure of environment support, providing a detailed assessment of how physical, social and activity elements of the environment support or inhibit participation and can be applied across a range of living environments.
Family Group Conferencing for People with Dementia. Evaluation of the Midlothian Pilot 2012/2013
(Queen Margaret University, 2013) Forsyth, Kirsty; Górska, Sylwia; Harrison, Michele; Haughey, Peter; Irvine, Linda; Prior, Susan
The level of formal support received by people with severe mental illness living in supported accommodation and participation: A systematic review
(SAGE, 2021-01-25) Jose, Akkara Lionel; Harrison, Michele; Singh Roy, Anusua; Irvine-Fitzpatrick, Linda; Forsyth, Kirsty
Aim: The review aimed to identify and explore the association of level of support received by people with severe mental illness in supported accommodation and participation.
Outpatient Child and Adolescent Mental Health Services in Lothian Wait Times. Retrospective notes analysis
(Queen Margaret University, 2015) Constantinescu, Alexandra C.; Forsyth, Kirsty; Gibson, Amanda; Górska, Sylwia; Harrison, Michele; Irvine, Linda; Murray, Richard; Pentland, Jacqueline M.; Prior, Susan
People with serious mental illness living in supported accommodation: a meta-analytic and secondary data analysis study
(Queen Margaret University, Edinburgh, 2019) Harrison, Michele
People with serious mental illness experience significant difficulties related to social, occupational and cognitive functioning. A key form of intervention for these individuals is supported accommodation, with the aim of providing opportunities to live in the community, develop independence and increase social integration. Supported accommodation ranges from help being available 24 hours a day, to having support provided at home one to two times a week. There has been increasing interest in understanding if this type of intervention not only supports clinical outcomes – that is, symptoms and levels of risk – but also outcomes important to people’s recovery, including wellbeing, satisfaction with life, living conditions and social functioning. The aim of the research was to investigate supported accommodation for people with serious mental illness. The first objective was to consider outcomes for individuals, including quality of life issues such as wellbeing, satisfaction with living conditions and social functioning. The second objective was to understand what personal and environmental factors determined the placement of individuals in different types of supported accommodation. This study followed two stages. First, a systematic review and meta-analysis of outcomes for people with serious mental illness living in three types of supported accommodation was conducted to address the first research objective. This identified that outcomes related to wellbeing, satisfaction with living conditions and social functioning improved for people as they moved into accommodation with less support. The second stage used secondary data analysis of two national datasets: the Scottish Morbidity Record – Scottish Mental Health and Inpatient Day Case Section (SMR04); and the Scottish Government Social Care Survey (SGSCS). This phase primarily addressed the second research objective. Logistic regression modelling identified the contextual factors that predict being placed in supported housing and floating outreach accommodation from high support accommodation. For placement in supported housing compared to high support accommodation, predictors were age, a diagnosis of schizophrenia, length of stay and a formal admission to hospital. For placement in floating outreach compared to high support, formal admission to hospital was a predictor. There was limited data available which would address outcomes associated with different placement types. However, predictors of people’s needs were identified. A diagnosis of schizophrenia predicted having a healthcare need; length of stay predicted having a social, educational and recreational need; and individuals were more likely to have needs identified if support was provided by the local authority. The results suggested that people with serious mental illness achieved greater wellbeing, satisfaction with living conditions and social functioning in less restrictive accommodation. Predictors of accommodation placement were prolonged involvement with mental health services, a diagnosis of schizophrenia and extended lengths of stay in high support. Irrespective of placement type, social, educational, recreational and healthcare needs are important for this client group. The study highlights that service user perspectives on outcomes in mental health services are not routinely identified in national datasets. For future research, it is recommended that personal and environmental factors are explored within supported accommodation environments to understand how these affect the recovery of people with serious mental illness, and to assess outcomes associated with different supported accommodation types.
Predictors of discharge from hospital to supported accommodation and support needs once in supported accommodation for people with serious mental illness in Scotland: a linked national dataset study.
(Wiley, 2024-09-20) Harrison, Michele; Irvine Fitzpatrick, Linda; Maciver, Donald
Background: Many individuals with serious mental illness live in supported accommodation. Decisions regarding type of supported accommodation required and level of support to meet individual’s needs are crucial for continuing rehabilitation and recovery following admission to hospital. This study aimed to identify personal and contextual predictive factors for (1) discharge from hospital to different levels of supported accommodation and (2) self-directed support needs of individuals with serious mental illness once they are in supported accommodation in Scotland. Method: Linked data from the Scottish Morbidity Record – Scottish Mental Health and Inpatient Day Case Section and the Scottish Government Social Care Survey were analysed using multinomial regression and multivariable logistic regression to identify personal and contextual factors associated with accommodation destination at the time of discharge and four self-directed support needs: personal care; domestic care; healthcare; social, educational and recreational. Results: Personal factors (age and having a diagnosis of schizophrenia, schizotypal or delusional disorder) were associated with individuals moving to supported accommodation with higher levels of support. One contextual factor, compulsory detention when admitted to hospital, decreased the likelihood of moving to any type of supported accommodation. The personal and contextual factors associated with identified self-directed support needs varied by need. Support provided by the local authority was associated with all self-directed support needs, with having a diagnosis of schizophrenia, schizotypal or delusional disorder associated with identifying domestic care, healthcare and social, educational and recreational needs, while living in the most deprived areas was associated with identifying healthcare needs. Advancing age and being compulsorily detained decreased the likelihood of identifying a social, educational and recreational needs. Conclusion: The study highlights that older men with a diagnosis of schizophrenia, schizotypal or delusional disorder require higher levels of support upon discharge from hospital. When living in supported accommodation having this diagnosis increases the likelihood of identifying support with looking after the home, looking after their health and social and recreational activities, however being older decreases the likelihood of identifying support with social and recreational activities.
Quality of life outcomes for people with serious mental illness living in supported accommodation: Systematic review and meta-analysis
(Springer, 2020-05-24) Harrison, Michele; Singh Roy, Anusua; Hultqvist, Jenny; Pan, Ay-Woan; McCartney, Deborah; McGuire, Nicola; Irvine-Fitzpatrick, Linda; Forsyth, Kirsty
Purpose: To conduct a systematic review and meta-analysis of Quality of Life (QoL) outcomes for people with serious mental illness living in three types of supported accommodation.
What inpatients want: a qualitative study of what's important to mental health service users in their recovery (Wayfinder Partnership)
(Emerald Group Publishing, 2015-03) Bredski, Joanna; Forsyth, Kirsty; Mountain, Debbie; Harrison, Michele; Irvine, Linda; Maciver, Donald
Purpose - The purpose of this paper is to present a qualitative analysis of the facilitators of recovery in inpatient psychiatric rehabilitation from the service users' perspective. Design/methodology/approach - Interviews with 31 in-patients were coded and analysed thematically at an interpretive level using an inductive approach. Findings - The dominant themes identified were hope, agency, relationships and opportunity. Totally, 20 subthemes were identified. Agency was more important to men than women and agency, hope and relationships were all more important to detained patients. Research limitations/implications - Interview data were collected in writing rather than taped. The results may not be transferrable to patient populations with significantly different demographic or service factors. Practical implications - Services need to target interventions at the areas identified by service users as important in their recovery. The findings suggest both environmental and relational aspects of care that may optimise recovery. Services also need to be able tomeasure the quality of the care they provide. A brief, culturally valid and psychometrically assessed instrument for measuring the recovery orientation of services is required. Originality/value - As far as the authors are aware no qualitative work to date has examined the recovery experiences of psychiatric rehabilitation in-patient service users in order to understand what services require to do to enable recovery from their perspective. The conceptual framework identified in this paper can be used to develop a service user self-report measure of the recovery orientation of services.