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  • 1. Andersson, Gerhard
    et al.
    Hesser, Hugo
    Hummerdal, Daniel
    Bergman-Nordgren, Lise
    Carlbring, Per
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    A 3.5-year follow-up of Internet-delivered cognitive behavior therapy for major depression2013In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 22, no 2, p. 155-164Article in journal (Refereed)
    Abstract [en]

    Background: Internet-delivered cognitive behavior therapy (ICBT) for major depression has been tested in several trials, but only with follow-ups up to 1.5 years. Aim: The aim of this study was to evaluate the outcome of ICBT 3.5 years after treatment completion. Methods: A total of 88 people with major depression were randomized to either guided self-help or e-mail therapy in the original trial. One-third was initially on a waiting-list. Treatment was provided for eight weeks and in this report long-term follow-up data were collected. Also included were data from post-treatment and six-month follow-up. A total of 58% (51/88) completed the 3.5-year follow-up. Analyses were performed using a random effects repeated measures piecewise growth model to estimate trajectory shape over time and account for missing data. Results: Results showed continued lowered scores on the Beck Depression Inventory (BDI). No differences were found between the treatment conditions. A large proportion of participants (55%) had sought and received additional treatments in the follow-up period. A majority (56.9%) of participants had a BDI score lower than 10 at the 3.5-year follow-up. Conclusions: People with mild to moderate major depression may benefit from ICBT 3.5-years after treatment completion.

  • 2.
    Brännlund, Annica
    et al.
    Umeå University, Faculty of Social Sciences, Department of Sociology.
    Strandh, Mattias
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Nilsson, Karina
    Umeå University, Faculty of Social Sciences, Department of Sociology.
    Mental-health and educational achievement: the link between poor mental-health and upper secondary school completion and grades2017In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 26, no 4, p. 318-325Article in journal (Refereed)
    Abstract [en]

    Background: Education profoundly affects adult socioeconomic status, so it is important to ensure that all children have the capability and opportunity to achieve educational goals.Aims: The study aimed to examine the relationship between mental-health during adolescence and upper secondary school completion and grades, which has received comparatively little research attention to date.Method: Longitudinal administrative and registered data were used to analyse the relationship between school achievement and prescriptions of psycholeptic and psycho-analeptic drugs. The sample consisted of all children born in Sweden in 1990 (n=109223), who were followed from birth to age 20. Logistic and OLS regressions were performed separately for boys and girls, controlling for birth health and family characteristics.Results: A negative relationship between mental-health problems and educational outcomes was found; this result was almost independent of the controls. Only minor differences between the sexes were detected.Conclusions: Poor mental-health during childhood correlated negatively with educational attainment. Given the strong link between educational success and adult life, more resources are needed to support children with mental-health problems.

  • 3.
    Markström, Urban
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Svensson, Bengt
    Department of Health Sciences, Lund University, Lund, Sweden.
    Bergmark, Magnus
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Hansson, Lars
    Department of Health Sciences, Lund University, Lund, Sweden.
    Bejerholm, Ulrika
    Department of Health Sciences, Lund University, Lund, Sweden.
    What influences a sustainable implementation of evidence-based interventions in community mental health services?: development and pilot testing of a tool for mapping core components2018In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, p. 395-401Article in journal (Refereed)
    Abstract [en]

    Background: An important aspect of research regarding the implementation of evidence-based practice is the sustainability and long-term stability of a programme. There is a need to measure these critical components for establishing successful programmes.

    Aim: The aim was to develop and pilot test the sustainable implementation scale (SIS) for measuring the critical components in the sustainable implementation of community mental health services.

    Method: The scale was based on implementation research and consisted of three subscales regarding (1) the organisational level, (2) the team level and (3) continuous support. Data from interviews and documents were collected from 14 programmes implementing the Individual Placement and Support model of supported employment.

    Results: Internal consistency was acceptable for all subscales and for the scale as a whole. Regarding the scale, an analysis of the differences between fully established programmes and the programmes that were not established or were or only partially established after three years showed statistically significant differences, indicating that a greater number of implementation components were present in the fully established programmes.

    Conclusions: SIS showed both good reliability and acceptable internal consistency as well as the ability to predict programme survival.

  • 4.
    Rosenberg, David
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Schön, Ulla-Karin
    Nyholm, Maria
    Grimm, Katarina
    Svedberg, Petra
    Shared decision making in Swedish community mental health services: an evaluation of three self-reporting instruments2017In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 26, no 2, p. 142-149Article in journal (Refereed)
    Abstract [en]

    Background: Despite the potential impact of shared decision making on users satisfaction with care and quality in health care decisions, there is a lack of knowledge and skills regarding how to work with shared decision making among health care providers. Aim: The aim of this study was to evaluate the psychometric properties of three instruments that measure varied dimensions of shared decision making, based on self-reports by clients, in a Swedish community mental health context. Method: The study sample consisted of 121 clients with experience of community mental health care, and involved in a wide range of decisions regarding both social support and treatment. The questionnaires were examined for face and content validity, internal consistency, test-retest reliability and construct validity. Results: The instruments displayed good face and content validity, satisfactory internal consistency and a moderate to good level of stability in test-retest reliability with fair to moderate construct correlations, in a sample of clients with serious mental illness and experience of community mental health services in Sweden. Conclusions: The questionnaires are considered to be relevant to the decision making process, user-friendly and appropriate in a Swedish community mental health care context. They functioned well in settings where non-medical decisions, regarding social and support services, are the primary focus. The use of instruments that measure various dimensions of the self-reported experience of clients, can be a key factor in developing knowledge of how best to implement shared decision making in mental health services.

  • 5.
    Schön, Ulla-Karin
    et al.
    Dalarna Högskola.
    Rosenberg, David
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Transplanting recovery: research and practice in the Nordic countries2013In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 22, no 6, p. 563-569Article in journal (Refereed)
    Abstract [en]

    Background: The conceptual framework which describes recovery from mental illness is based primarily on studies conducted in English-speaking countries. Knowledge and development of recovery orientation within other cultures and mental health systems is still limited. 

    Aim: The aim of this study was to compile, describe and discuss the research on personal recovery and recovery-oriented practice within the psychiatric and social fields in the Nordic countries. 

    Method: A systematic literature review of Nordic research on recovery from mental illness. 

    Results: The research literature is limited, and primarily replicates designs and confirms findings first presented in studies conducted in the USA and Great Britain. The majority of the studies are qualitative, and point to the importance of social relations, environmental factors and peer support. 

    Conclusions: There is a need to identify and describe factors in Nordic mental health systems that may influence the recovery process. A corresponding challenge will be to translate and further develop outcome indicators that can promote a recovery-oriented health system.

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