Occupational Therapy and Arts Therapies
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/25
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Item 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, SusanItem 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, SusanItem 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, SusanItem 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, SusanItem Perspectives of Those with Lived Experience of Dementia and their Care Givers within the Cultural Context of Midlothian. A Narrative Study.(Queen Margaret University, 2012) Fairnie, Jane; Flockhart, Janice; Forsyth, Kirsty; Górska, Sylwia; Irvine, Linda; Maciver, Donald; Prior, Susan; Reid, Jenny; Whtehead, JacquelineItem Services for children with developmental co-ordination disorder: an evaluation against best practice principles(Taylor & Francis, 2016-01) Pentland, Jacqueline; Maciver, Donald; Owen, Christine; Forsyth, Kirsty; Irvine, Linda; Walsh, Mike; Crowe, MiriamPurpose: The National Health Service in Scotland published a best practice framework to support occupational therapists and physiotherapists to deliver effective services for children with developmental co-ordination disorder (DCD); however, adherence is variable. To highlight areas for development, this study compared the care pathway within a paediatric DCD service against the NHS Scotland framework. Methods: A partnership of researchers and clinicians based in the United Kingdom conducted a qualitative study with 37 participants (N = 13 interview participants, N = 24 workshop participants). In-depth interviews and/or workshops were used to map the DCD service against the NHS framework. Identified gaps were aligned with four key stages of the care pathway. Qualitative analysis software was used to analyse the data. Results: Core principles to guide future development were identified for each phase of the pathway. These core principles related to the NHS framework and focused on issues such as involving the family, defining clear pathways and enhancing children's participation. Participants identified potential strategies for service improvement such as developing community-based interventions and information provision. Conclusion: Challenges when providing services for children with DCD include confusing service pathways and poor partnership working. It is, therefore, important that clinicians utilise collaborative working strategies that support children's participation.Implications for RehabilitationThere are numerous challenges related to the implementation of best practice principles into the provision of therapy services for children with developmental coordination disorder (DCD).It is important that AHPs seek ways of engaging parents and educational professionals at all stages of the care pathway in order to ensure optimum service provision for the child.Addressing participation is an important aspect and community-based strategies may be particularly beneficial, both as a preventative activity and as an intervention approach. 2015 Informa UK Ltd.Item Vocational rehabilitation: facilitating evidence based practice through participatory action research(Informa Healthcare, 2013-04-15) Maciver, Donald; Prior, Susan; Forsyth, Kirsty; Meiklejohn, Alison; Irvine, Linda; Walsh, Mike; Pentland, DuncanBackground: Improving vocational rehabilitation in line with the current evidence base is an area of considerable interest. Aims: To describe the strategies used by a multidisciplinary team in the initial stages of a participatory action research (PAR) approach to improving a vocational rehabilitation service. Method: A literature review and PAR process were completed. One hundred and fifteen participants engaged in multifaceted data collection and analysis, building consensus around key principles for a new vocational rehabilitation service. Results: A synthesis of our literature review and PAR process was developed into a set of principles for practice which we plan to implement across the service. Conclusions: We have developed methodologies in interdisciplinary collaborations spanning statutory and non-statutory services. We have developed a set of principles for practice and detailed plans for implementation are being drawn up to inform provision in the future.Item Factors influencing waiting times for diagnosis of Autism Spectrum Disorder in children and adults(Elsevier, 2015-08-26) McKenzie, Karen; Forsyth, Kirsty; O'Hare, Anne; McClure, Iain; Rutherford, Marion; Murray, Aja; Irvine, LindaAims: To identify the main factors predicting delays in diagnosis for Autism Spectrum Disorder (ASD) at three stages in the diagnostic process: wait for first appointment; assessment duration, and total wait for diagnosis. Method: Data were gathered from 150 case notes (80 child and 70 adult cases) from 16 diagnosing services across Scotland. Results: Having more information pre-assessment was associated with a reduced duration of the diagnostic process for children. This relationship was partially mediated by a reduction in the number of contacts required for diagnosis. In adults, having more factors associated with ASD (increased risk) reduced the wait time from referral to first appointment, but increased the overall duration of the diagnostic process. The latter relationship was partially mediated by an increase in the number of contacts required for diagnosis. Conclusion: Within children's services, increasing the amount of relevant information available pre-assessment is likely to reduce total duration of the assessment process by reducing number of contacts required. Having a high risk of ASD as an adult appears to result in being seen more quickly following referral, but also to increase the number of contacts needed and assessment duration. As a result, it increases and total duration overall. 2015 Elsevier Ltd.Item Readiness for Employment: Perceptions of Mental Health Service Users(Springer, 2013-12-19) Prior, Susan; Maciver, Donald; Forsyth, Kirsty; Walsh, Mike; Meiklejohn, Alison; Irvine, LindaWork is good for both physical and mental health, and access to work is a basic human right. People with mental health conditions want to work and with the right support can work but are often excluded from the workplace. We explored factors influencing individual's perceptions of their readiness for employment. Participants' narratives focused particularly on personal causation and it's interreactions with other aspects of volition, habituation and the environment and highlight a number of key areas, which are discussed in relation to service provision. Sheltered workshops offer support and some structure and routine but may limit an individual's readiness for employment. Services should be evidence based and focused on real work opportunities which fit with individual's interests and values. Occupational therapy theory offers a unique and valuable perspective in understanding perceptions of readiness for employment and occupational therapists offer valid and useful assessments and interventions for vocational rehabilitation.Item Enabling integrated knowledge acquisition and management in health care teams(2014-11) Pentland, Duncan; Forsyth, Kirsty; Maciver, Donald; Walsh, Mike; Murray, Richard; Irvine, LindaBasing treatment, policy and planning decisions on the best available research knowledge remains a central principle in modern health care around the world, yet many health professionals find acquiring and managing published research knowledge challenging. In this paper, we report on a Soft Systems Methodology-based collaborative action research initiative with a specialist mental health service from the United Kingdom's National Health Service. Our objective was to design and implement improvements to their knowledge acquisition and management activities in order to facilitate sustained and effective evidence-based practices. We report on both the factors found to impede effective research knowledge acquisition and management and the development of more integrated knowledge management processes designed to improve the situation.