Emerald | Journal of Public Mental Health | Table of Contents http://www.emeraldinsight.com/1746-5729.htm Table of contents from the most recently published issue of Journal of Public Mental Health Journal en-gb Tue, 10 Jun 2014 00:00:00 +0100 2014 Emerald Group Publishing Limited editorial@emeraldinsight.com support@emeraldinsight.com 60 Emerald | Journal of Public Mental Health | Table of Contents http://www.emeraldinsight.com/common_assets/img/covers_journal/jpmhcover.gif http://www.emeraldinsight.com/1746-5729.htm 120 157 Body dissatisfaction: an overlooked public health concern http://www.emeraldinsight.com/journals.htm?issn=1746-5729&volume=13&issue=2&articleid=17112956&show=abstract http://www.emeraldinsight.com/10.1108/JPMH-11-2013-0071 <strong>Abstract</strong><br /><br /><B>Purpose</B> – In contrast to the attention it has received in related fields of research, body image has remained understudied within the field of public health. This is highly problematic, given a growing body of evidence implicating body dissatisfaction in a range of other public health concerns. The paper aims to discuss these issues. <B>Design/methodology/approach</B> – This commentary is based on a review of the public health, body image, eating disorder, and mental health literatures. <B>Findings</B> – Body dissatisfaction is implicated in a range of public health concerns, including impaired psychological health (e.g. depression) and eating- and weight-related problems (e.g. eating disorders, obesity). <B>Originality/value</B> – Given these associations, as well as the high levels of body dissatisfaction in the population, the authors argue for a critical need to address the prevalence of body image concerns as a public health issue worthy of greater consideration within programs and policies; dedicated funding for research on antecedents, consequences, and intervention strategies; and allocated resources for training. Article literatinetwork@emeraldinsight.com (Michaela M. Bucchianeri, Dianne Neumark-Sztainer) Tue, 10 Jun 2014 00:00:00 +0100 Diagnosing vulnerability and “dangerousness”: police use of Section 136 in England and Wales http://www.emeraldinsight.com/journals.htm?issn=1746-5729&volume=13&issue=2&articleid=17112957&show=abstract http://www.emeraldinsight.com/10.1108/JPMH-09-2012-0001 <strong>Abstract</strong><br /><br /><B>Purpose</B> – Police in England and Wales are empowered, under Section 136 of the Mental Health Act 1983 (s136), to detain individuals thought to be a danger to themselves or to others. Use of this authority is widespread, but varies across districts and attracts controversy because of inconsistent application and the fact that it requires police to make judgements about mental health. The purpose of this paper is to examine police attitudes to and criteria for using s136. <B>Design/methodology/approach</B> – The authors conducted focus groups with 30 officers in urban and rural areas of three different regions across England and Wales. Group interviews were audio-recorded, transcribed, and analysed using open and axial coding. <B>Findings</B> – Use of s136 authority has major implications for police work; liaison with mental health services is seen as desirable but often ineffective due to resource constraints and the latter's lack of availability. The decision to invoke s136 depends on social context and other particulars of individual cases. <B>Research limitations/implications</B> – Although the findings have limitations with respect to generalisability across the whole of the UK, there are patterns of responses which have major implications for policy recommendations. <B>Practical implications</B> – Police decisions to apply s136 reflect an implicit values-based classification of and response to emotionally disturbed behaviour, in light of available institutional and social supports. <B>Social implications</B> – Tasked primarily with protecting the public and keeping the peace, police “diagnoses” of risk often contrast with that of mental health professionals. <B>Originality/value</B> – A highly original piece of research which has attracted further funding from BA/Leverhulme. Article literatinetwork@emeraldinsight.com (David B. Menkes, Gillian A. Bendelow) Tue, 10 Jun 2014 00:00:00 +0100 From end user to provider: making sense of becoming a peer support worker using interpretative phenomenological analysis http://www.emeraldinsight.com/journals.htm?issn=1746-5729&volume=13&issue=2&articleid=17112958&show=abstract http://www.emeraldinsight.com/10.1108/JPMH-03-2013-0016 <strong>Abstract</strong><br /><br /><B>Purpose</B> – There has been extensive growth in the employment of mental health peer support workers (PSWs) over the last decade. However, limited research exists when exploring how PSWs make sense of the transition of entering and enacting the role. The purpose of this paper is to explore the lived experience of NHS employed PSWs’ transition from their own experiences of mental health problems to provide a service to support individuals with their mental health problems. <B>Design/methodology/approach</B> – The study used purposive sampling to recruit seven participants who were individually interviewed using a semi-structured interview schedule. Interviews were transcribed verbatim and analysed using interpretative phenomenological analysis (IPA). <B>Findings</B> – Three superordinate themes were identified: fluctuating identities, PSW role and organisational culture. These were interpreted as interdependent with interrelating subordinate themes. <B>Research limitations/implications</B> – Participants considered the complex, idiosyncratic and changeable nature of the transitions and the impact on their individual, interpersonal and collective identities. Emotional and practical support appeared to assist the transition whilst competing roles and blurred boundaries constrained the enactment of the new role. Implications for practice and research are provided. <B>Originality/value</B> – Reports on original research and adds to the sparse UK literature in this area. Article literatinetwork@emeraldinsight.com (Gemma Dyble, Anna Tickle, Christine Collinson) Tue, 10 Jun 2014 00:00:00 +0100 Three year follow-up study of families referred to a family intervention team – what are the outcomes that make a difference? http://www.emeraldinsight.com/journals.htm?issn=1746-5729&volume=13&issue=2&articleid=17112959&show=abstract http://www.emeraldinsight.com/10.1108/JPMH-09-2013-0058 <strong>Abstract</strong><br /><br /><B>Purpose</B> – The purpose of this paper is to examine the long-term outcomes for 15 young people on a range of indicators including school success, involvement with other agencies and the perceived effectiveness by the family. <B>Design/methodology/approach</B> – Semi-structured telephone interviews were used to gather a range of both quantitative and qualitative data. Interviews were with a parent of the referred child (<IT>n</IT>=15). <B>Findings</B> – In all, 87 per cent of care-givers interviewed rated the service they had received as helpful 85 per cent reported these changes to be maintained at the three year follow-up. Rate of school exclusion was only 7 per cent and 0 per cent of families went on to have involvement with statutory social services or the youth justice system. <B>Research limitations/implications</B> – This is a small-scale study offering a small sample (<IT>n</IT>=15) of families previously referred to this Family Intervention Team, at a three-year post-intervention period. More routine longitudinal information needs to be gathered for a more robust indication on long-term outcomes. <B>Practical implications</B> – The impact this study will have on the team involved will be in its recommendations for further long-term outcome studies; but also in feeding back to the service the significant key messages from those interviewed. <B>Social implications</B> – Contributing to a wider understanding of the long-term benefits of early intervention. <B>Originality/value</B> – This paper offers some new though small statistical data in the growing pool of statistics that are indicating positive outcomes for early intervention and family intervention projects. Article literatinetwork@emeraldinsight.com (Leah Salter, Jessica Williams) Tue, 10 Jun 2014 00:00:00 +0100 Promoting well-being and reducing stigma about mental health in the fire service http://www.emeraldinsight.com/journals.htm?issn=1746-5729&volume=13&issue=2&articleid=17112960&show=abstract http://www.emeraldinsight.com/10.1108/JPMH-02-2013-0004 <strong>Abstract</strong><br /><br /><B>Purpose</B> – Workplace stress is a particular issue in the fire service. Research suggests this is related to excessive demands, relationships with senior managers, changing roles and exposure to traumatic events. The purpose of this paper is to evaluate the impact on managers of three mental health promotion interventions. First, a locally developed course entitled “Looking after Wellbeing at Work” (LWW), second, an internationally developed training course: Mental Health First Aid (MHFA). Third, an hour-long leaflet session (LS). <B>Design/methodology/approach</B> – This study used a random allocation design. In total, 176 fire service line managers were randomly allocated to one of the three training conditions: LWW, MHFA, or a control condition (LS). Participants completed The Attitudes to Mental Illness Scale (Luty <IT>et al.</IT>, 2006) and a locally developed “Mental Health Stigma Questionnaire” pre- and post-intervention. Results were analysed using a MANOVA. Participants were also asked to complete a general evaluation, rating all aspects of the courses from poor to excellent. In total, 30 participants were also chosen at random to conduct telephone interviews about their experience of the course. Results were analysed using thematic analysis. <B>Findings</B> – The LWW and MHFA courses were associated with statistically significant improvements in attitudes to mental illness and knowledge/self-efficacy around mental health, comparing pre- and post-scores, and comparing post-scores of the two training courses with a LS. The general evaluations of the LWW and MHFA courses indicated the mean rating for all aspects of both training conditions was good to excellent. Two themes were identified across the qualitative interviews: participants described they were more able to recognise and respond to mental health problems; and participants described changing attitudes towards mental health. <B>Research limitations/implications</B> – The strengths of this study are the number of participants, random allocation, and multiple facets of evaluation. The quantitative evaluation is limited, as one of the questionnaires has untested psychometric properties. The control condition was limited as it was only offered for one hour, making comparison with two-day training problematic. The qualitative evaluation was useful in gaining descriptive data, however, it may have been possible to conduct a more in-depth analysis with a smaller number of participants. <B>Originality/value</B> – The results from this study indicate that providing training in mental health awareness and promotion was considered helpful, by managers in the Fire Service and had positive outcomes for attitudes and understanding about mental health. While there are limitations, initial results of training in mental health promotion are promising. Such training has the potential to promote the public's mental health and wellbeing, and improve the quality of life for people with mental health problems. Article literatinetwork@emeraldinsight.com (Jenna Moffitt, Janet Bostock, Ashley Cave) Tue, 10 Jun 2014 00:00:00 +0100 Why does relative deprivation affect mental health? The role of justice, trust and social rank in psychological wellbeing and paranoid ideation http://www.emeraldinsight.com/journals.htm?issn=1746-5729&volume=13&issue=2&articleid=17112961&show=abstract http://www.emeraldinsight.com/10.1108/JPMH-06-2013-0049 <strong>Abstract</strong><br /><br /><B>Purpose</B> – Relative deprivation is associated with poor mental health but the mechanisms responsible have rarely been studied. The purpose of this paper is to hypothesize that childhood perceived relative deprivation (PRD) would be linked to sub-syndromal psychotic symptoms and poor wellbeing via beliefs about justice, trust and social rank. <B>Design/methodology/approach</B> – In total, 683 undergraduate students were administered measures of childhood PRD, hallucination-proneness, paranoia and wellbeing and measures of trust, social rank and beliefs about justice. A subsample supplied childhood address data. Multiple mediation analysis was used to assess pathways from childhood experiences to outcomes. <B>Findings</B> – Childhood PRD was associated with all three outcomes. The relationship between PRD and paranoia was fully mediated by perceptions that the world is unjust for the self and low social rank. The same variables mediated the relationship between PRD and poor wellbeing. There were no significant mediators of the relationship between PRD and hallucination-proneness. <B>Research limitations/implications</B> – Although our outcome measures have been validated with student samples, it may not be representative. The study is cross-sectional with a retrospective measure of PRD, although similar results were found using childhood addresses to infer objective deprivation. Further studies are required using prospective measures and patient samples. <B>Social implications</B> – Social circumstances that promote feelings of low social worth and injustice may confer risk of poor psychological outcome. Ameliorating these circumstances may improve population mental health. <B>Originality/value</B> – Improvements in public mental health will require an understanding of the mechanisms linking adversity to poor outcomes. This paper explores some probable mechanisms which have hitherto been neglected. Article literatinetwork@emeraldinsight.com (Sophie Wickham, Nick Shryane, Minna Lyons, Thomas Dickins, Richard Bentall) Tue, 10 Jun 2014 00:00:00 +0100 Editorial http://www.emeraldinsight.com/journals.htm?issn=1746-5729&volume=13&issue=2&articleid=17112962&show=abstract Editorial literatinetwork@emeraldinsight.com (Woody Caan) Tue, 10 Jun 2014 00:00:00 +0100