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Intersecting gender and other social inequalities are pertinent to women's mental health across the life course. Gendered violence and other forms of gender inequality in particular play a key role in the higher burden of psychological distress carried by young women. However, the context of gendered violence is often minimised or overlooked entirely when young women seek help or advice around mental health concerns. This is especially the case for young women under the age of 30 years. This paper reports on a research study exploring how young women in Australia understand their mental health, and the scope for new approaches to support that better address their needs. A qualitative survey undertaken with 52 Australian young women was used to explore the nature of their mental health experiences, sought to learn about the strategies they used when experiencing poor mental health and the scope for mental health peer support as an alternative approach to intervention. Responses from a diverse group of young women demonstrated that they understood the role that gendered violence and gender inequality played in their mental health. Findings point to the risk of slippage between young women's understandings of their lived experience and those of traditional service providers, demonstrating the risks associated with minimising or ignoring of the gendered nature of young women's mental health problems. [ABSTRACT FROM AUTHOR]

The way social workers discursively construct 'service user' identities in everyday interactions (interviews, conversations and text) can affect quality of relationships and practice outcomes. Even though research has focused on the construction of 'service user' identities by professionals and service users, little has been done to explore such discursive formulations by pre-qualifying social work students. This is especially relevant, given the strengthening of the 'expert by experience' identity in social work education. This paper seeks to make visible mechanisms of student identity constructions as to 'who a service user is', and implications for practice through the examination of student written work pre- and post- a module focussing on lived experience. A critical discursive psychology approach was followed, recognising the interplay between localised professional encounters and wider contexts of power relations. The findings show a shift in the 'service user' identities employed by the students mainly based on individualistic discourses and deserving/undeserving themes (substance misuse the result of vulnerability, rather than selfishness, domestic abuse narratives denoting resilience rather than victimhood). The effect to practice showed shifts between the reflective, expert, person-centred and critical/radical practitioner, mainly stressing the need for professional growth at an individual level, with less emphasis on addressing social inequality. The paper argues that predominantly individualistic discourses can perpetuate de-politicised or oppressive categorisations of 'service users' and calls for further critical engagement with the discursive micro-practises enacted and developed in the social work classroom, if we are to unveil and challenge narrow, or stigmatising categorisations early on. [ABSTRACT FROM AUTHOR]

There is a well-established literature examining how perpetrators of child sexual abuse (CSA) neutralise the norms and beliefs that ordinarily prohibit such behaviours. However, there has been substantially less focus on how such techniques of neutralisation might also be applied by people and groups who were not directly involved in the abuse, who we might expect to be more supportive. Drawing on a thematic analysis of an open-ended survey (n=140) and semi-structured interviews (n=21) with adults who experienced childhood sexual abuse this paper examines societal responses to disclosure. Identifying three key techniques of neutralisation, it explores how families, professionals and institutions use wider discourses that deny the victim/survivor, deny or minimise harm and silence by appealing to loyalty. The results demonstrate how significant others can constrain, rather than support, the process of disclosure and recovering from CSA. [ABSTRACT FROM AUTHOR]

This paper presents findings from a photovoice project that was aimed at engaging with a diverse range of black men in a London Borough. The key objectives were to find a different way to get men to talk about their concerns and to raise awareness about mental health. Photovoice is a participatory research action technique that was developed to enable communities to document their concerns and experiences of community life that is meaningful to them. Nineteen men participated in the project. It has been suggested that men, in particular, black men do not find it easy to talk about mental health issues. This study found that through the use of photovoice methods, black men were able to talk about a range of emotions when they were offered the right medium and safe spaces to share their experiences. It found that they can and want to take control of their lives, but at times may require life skills training. Another finding was that black men have to balance expectations about being strong whilst 'containing' vulnerabilities in racialised contexts – being hard on the outside and human on the inside, and that their experiences are characterised by journeys of significant struggle and resilience in the face of adversity. The paper concludes that mental health services should find ways of engaging with black men differently, i.e. reaching out rather than the traditional mantra of 'outreach'. [ABSTRACT FROM AUTHOR]

Exploring children and young people’s own understanding of experiences with abuse and maltreatment is an important part of taking their right to participation seriously. By applying a narrative theoretical framework, this paper explores and analyzes young people’s and young adults’ stories of being the target of violence and abuse as children, and their meaning making and definition of such experiences, then and now. The overall findings show the participants’ varied and nuanced perceptions of what constitutes violence were much dependent on contextual, relational, and temporal aspects. Furthermore, many participants reported psychological and emotional abuse and neglect to be the most hurtful of their experiences of maltreatment. Finally, the analysis sheds light on how responses to abuse and maltreatment change and depend on the children and young people’s definition of their situation through time and context. The paper contributes with qualitative knowledge to the social work research and practice field, on how abuse and maltreatment unfold in and affect children and young people’s lives seen from their own points of view. [ABSTRACT FROM AUTHOR]

COVID-19 has significantly impacted a substantial number of Black Americans. Black women, in particular, are facing challenges financially, physically, and mentally during this unprecedented time. Between serving as frontline workers, being concerned about contracting the virus, contributing to their families financially, and worrying about their loved ones' health, Black women are experiencing great strain on their mental health and well-being. These stressors illustrate the need for social work researchers and practitioners to address Black women's mental health. This paper presents our reflections, experiences, and response to COVID-19 as Black women and scholars. Guided by our reflections and personal experiences, we put forth suggestions and reflexive thoughts for social work researchers and practitioners to prioritize Black women's mental health during and after these unprecedented times. [ABSTRACT FROM AUTHOR]

This paper describes the reflections of two social work PhD students based on their personal and professional experiences with the COVID-19 pandemic. The students describe their positionality and use that to expound on the impact of the pandemic on their lives. They reflect on the disruptions to their social work education and research priorities including transitioning to online learning and modifications to research agendas. They then discuss ongoing distractions such as worries about getting sick, mental health concerns, and financial constraints. They share their discoveries about glaring disparities in coronavirus infection and death rates, the need to adjust research agendas in response to current events, and the urgency for qualitative research strategies to add meaning to the numbers being reported. In addition, the authors describe shared experiences and intersections they discovered while writing this essay. Finally, recommendations for practice include recommitting to social work values to help surmount the ongoing waves of this pandemic; reimagining social work education so that disparities and injustice intersect with every subject taught and graduates become experts at leading social change; and harnessing the untapped potential of qualitative research to drive real, systemic change. [ABSTRACT FROM AUTHOR]

This paper uses Carol Bacchi’s ‘What’s the problem represented to be?’ (WPR) framework to explore representations of women’s mental health in federal and South Australian mental health policies. It argues that mental health policies govern women through neoliberal discourses that individualise mental health and illness while neglecting the social structural factors which significantly influence mental health outcomes and health equity. In a ‘self-monitoring’ neoliberal society, people are increasingly required to seek medical and pharmaceutical intervention to promote ideal personhoods, with women overrepresented in this group. The disciplinary power of the medicalisation discourse categorises women as either ideal or failed neoliberal subjects. This is concerning for social workers because neoliberal and medicalisation discourses shape how women’s mental health is represented in policy and responded to in practice. This paper challenges biomedical and neoliberal discourses underpinning policy representations and identifies the implications for social work and social policy. [ABSTRACT FROM AUTHOR]

This paper explores the notion of time when undertaking interpreter-mediated Mental Health Act Assessments (MHAAs) from the perspective of Approved Mental Health Professionals (AMHPs). It is based on one theme that emerged from a reflexive thematic analysis of 17 semi-structured interviews with AMHPs undertaken as part of a larger corpus (Young et al., 2023). We found when carrying out interpreter-mediated MHAAs, AMHPs perceive time as luxury; something that they do not have in abundance, and which is made more problematic through the additional exigences when an interpreter is required. The luxury of time to which participants refer is determined ostensibly by resource availability underpinned by risk. Systemic and structural barriers also pertain. Driven by time’s omnipresence, these findings demonstrate fluctuations in how AMHPs use spoken/signed language interpreters and give rise to contradiction and sometimes passivity in practice. These findings are important considerations when undertaking any social work service that might require interpreter-meditation and are especially significant during a MHAA when a person’s liberty is at issue. [ABSTRACT FROM AUTHOR]

This mixed-methods, exploratory study investigates the gambling activities of street youth in Mumbai, India. Data from surveys and brief interviews of 70 youth aged 12–24, two focus groups, and ethnographic observations offer descriptive snapshots of the gambling behavior of participants. The article includes details about games played, popular venues, initiation patterns, time spent gambling, and interactions with the police. Street youth gamble for social benefits, such as group membership and fun; it is also a leisure activity enabling time to go by quickly. Individual benefits include intermittent rewards and a high after winning or being referred to as a gambler. The inability to save, the lack of recreation options, living in groups, and the environment of the streets structure and sustain gambling. This study discusses the group and social dimension of gambling among street youth, and how this dimension makes their participation different from adolescent gambling in general and General Addictions Theory. It contributes to the literature by emphasizing that for street youth the social/group aspects of gambling predominate the psychological. The paper concludes with a discussion of the implications for practice, highlighting the need to develop recreational, income-saving, and educational awareness programs. [ABSTRACT FROM AUTHOR]

Although there have been a few articles discussing laughter in social work, social work is not normally associated with humour and laughter. The paper explores the use of non-seriousness in interview interactions with Approved Mental Health Professionals (AMHPs) using analytical insights gained from ethnomethodology, conversation analysis and socio-linguistics. Excerpts from empirical data from individual narrative interviews will be used to show how social work identity can be accomplished through humour and laughter. The significance of the key ethnomethodological concepts of unique adequacy, vulgar competency and indexicality will be used to inform the analysis of gallows or bleak humour, ironic banter about the ‘other’ and the telling of troubles. In the interviews, non-seriousness was successfully accomplished by two ‘strangers’. It is argued that as group members of a specialised group, we share a deep competence in the haecceity or the ‘just thisness’ of the social work trade. Thus, this can be seen as a powerful demonstration of the competencies involved in being a bona fide member of a collectivity. [ABSTRACT FROM PUBLISHER]

Critical approaches in psychology and social work criticizing the current mainstream psychotherapy discourse have been gaining more ground in recent decades. Yet, little empirical research has, to date, explored therapy in regular practice to identify the discursive resources employed during the clinical encounter and the way such discourses create and maintain power differences and the boundaries of the therapeutic interaction. This paper is rooted within a post-structural perspective based on Foucauldian analysis which sees power as dispersed throughout the social field and emphasizes the multiple ways in which power differences are created and maintained through accepted forms of discourse and knowledge. Data were drawn from a large study of mental health intakes in clinics in Israel working with culturally diverse populations. We conducted critical discourse analysis on a single dyad including transcription of a recorded intake session and post-intake interviews with the client and the therapist. Based on existing critique of psychotherapeutic discourse for its individualistic and apolitical view, we explored how the hegemonic psychotherapy discourse is negotiated in real practice, the ideology it carries, and the power differences it perpetuates. We shed light on the way this discourse conceals social injustice and contributes to the disempowerment of the client and ultimately to a poorer quality of services. [ABSTRACT FROM AUTHOR]

There is a need for qualitative studies on motherhood and mental distress. Many mothers have a diagnosis of mental illness, and their motherhood exists in constant tension with their distress. This paper focuses on 10 mothers’ stories about motherhood in relation to being admitted as mental health service users in three different Norwegian community mental health centers. The study has a narrative approach, and through a thematic analysis of personal stories, we emphasize how the 10 women make sense of their experiences of admittance to mental health services in relation to dominant Discourses of good motherhood. Themes identified were: (1) being able to put oneself in the child’s shoes; (2) the emotional impact of being admitted; (3) being open with the children about the admission; and (4) being an emotionally available and present mother. Based on the results of our analysis, we suggest the mothers experienced their distress as a natural reaction to life strains over time, and that they relate to the admissions as interruptions. This underlines the necessity of a more holistic approach, with a support system that focuses on both personal and social aspects of motherhood and mental distress. [ABSTRACT FROM AUTHOR]

There's a particular 'common sense' required of the contemporary neoliberal subject to 'self-regulate, self-fashion, and self-produce' (Houghton, 2019 : 618). Crucially, this work on the self happens within a political context of a dominant discourse which valorises the resilient, self-regulating and enterprising individual. It is somewhat unsurprising then, that children who struggle to contain intense emotions are referred to therapy. Their experience of therapy, however, ought to then be examined within this broader socio-political context. This article examines the power dynamics of a therapeutic encounter with a child ostensibly in need of greater emotional self-regulation. To investigate how children are positioned in therapy, therapy transcripts are investigated, drawing on Derrida's concepts of hospitality and deconstruction. Utilising a critical discourse analysis of therapy transcripts, we explored the tensions in hosting children in therapy interactions from a counselling session with a 9-year-old girl, Emily, along with her female caregiver, Kate, and her social worker, in the role of therapist. Our Foucauldian inspired power analysis revealed these tensions at work in the therapeutic encounter. We show how Emily enacted her own deconstruction of the story 'The boy who cried wolf', opening the door to a relational understanding of emotional regulation. The findings highlight the need for social workers to engage in reflexive practice; to be able to listen to children without transforming their insights into opportunities to reinforce dominant narratives. [ABSTRACT FROM AUTHOR]

This exploratory study examined the intersections of Middle Eastern and North African (MENA) American cultural identity and attitudes towards mental health and mental health services. Fifteen in-depth narrative interviews with participants of MENA descent in the United States were analyzed using qualitative thematic content analysis, revealing five primary themes within these data: denial, lack of awareness, stigma/shame, collective identity, and resistance. These results indicate cultural identity plays a unique and significant role in how this population understands and responds to mental health and substance use challenges, in a way that often creates barriers to social service provision and success. Implications and suggestions for how these findings might be used to develop more culturally competent and effective social work interventions for MENA communities are discussed. [ABSTRACT FROM AUTHOR]

While the issue of microaggressions has been studied for marginalized groups, research on microaggressions directed at Caribbean and Central American immigrants, a population whose identities are merged in the more visible Latinx, African American or Asian-American identities, is rare. Semi-structured interviews were conducted with 20 participants – fourteen immigrants and six American-born adult children of immigrants. This research explores how ethnic and racial identification of black and brown immigrants and their American born children connect to experiences of daily microaggressions in the workplace. The results revealed that due to their intersecting identities they pay a heavy emotional price to assimilate into the workplace. This research has implications for organizations, human resources and organizational development. [ABSTRACT FROM AUTHOR]

This article sheds light on autoethnographic accounts of mental illness, to address author and reader concerns and questions and to consider what practitioners can learn from these narrative accounts. Drawing from my own and others' trajectories, I discuss the drawbacks and dangers of exposing a 'flawed' identity, the stigma of serious mental illness, intertextuality issues, the tangled nature of revelation and redemption, framing the 'Other' in mental illness autoethnography and depictions of 'life in the asylum.' I explain how in telling my own 'psychiatric' tale, I looked to the symbolic concept of 'communitas' as a means of examining inter-relational processes and collective experience in a psychiatric facility. I argue that, while the act of writing about one's illness experience can be rightly perceived as a way of reclaiming personal 'power' and facilitating healing, attempts to 'evidence' recovery can run counter to the writer's reality of life with or beyond mental illness as personally and socially messy. In answer to the question, 'at what point does a 'life in the asylum' narrative become autoethnographic?' I argue for the potential of autoethnography to contribute to broader sociological, ethnographic and medical debates and thus impact on policy. Speaking up about mental health through autoethnography can help to promote awareness of the unpredictability and socially constructed nature of mental illness and can inform strategies toward reducing public stigma, tackle the cyclical impact of labels, highlight the need to change social and medical attitudes, and revisualize treatment and support. [ABSTRACT FROM AUTHOR]

A common task in encounters with professionals is to identify a matter warranting professional assistance. Co-producing a 'social workable' matter in social work encounters as an interactional achievement is yet to be explored. Specifying this as an institutional and interactional project creates the opportunity to analyse how topics are collaboratively used in social work encounters to achieve a joint understanding of the work for the session. Such projects offer insights into the social actions involved in identifying matters that are relevant to the service, setting and professional encounter. Conversation analysis (CA) of real-world social work sessions offers a way to understand how social workers and clients produce, elaborate and pursue topics as a collaborative achievement. This detailed analytic approach illuminates how social workable matters are co-produced in interaction and creates an opportunity to examine and improve collaboration in interpersonal practice contexts. [ABSTRACT FROM AUTHOR]

The article stresses the importance of providing mental health care to mothers who are experiencing losing their children from their care through family court proceedings. Topics mentioned include the rates of deprivation and infants in care proceedings, the mental health impact on a mother of having a child removed from her care, and the effect of the lack of mental health knowledge and skills of social workers on the initiatives to provide social care services to women.

This article describes a pilot qualitative research study, exploring the impact of bereavement experiences, on pre-qualifying social work students in two UK Universities with diverse demographics. The research study took place in the context of general concern about the mental health of UK University students and suggests that social work students may be at particular risk of developing emotional wellbeing issues linked to bereavement. Interviews followed a free association narrative technique, with analysis of the data highlighting four main themes. Firstly, bereavement is associated with practical problems which may trigger wellbeing issues. Secondly, there is an increased need for specific bereavement training and support to be embedded within social work programmes, alongside skills and knowledge of cultural diversity and the part this plays in the bereavement process. Lastly, the study demonstrated that bereavement experiences are not isolated but linked to other losses and therefore students may need effective support to process these before they can effectively support others. The study appears to be distinctive in its focus on the impacts of bereavement on social work students and has significant implications for the ways in which students are supported by social work education programmes, as well as paving the way for further research in this area. [ABSTRACT FROM AUTHOR]

Therapists are faced with the challenge of developing effective ways to advance cross-cultural engagement with a rapidly growing diverse client population. In this qualitative study, we characterized the way clients and therapists described the quality of working alliance during the mental health intake and examined whether these descriptions vary as a function of their social identities. We conducted in-depth interviews with Ashkenazi (socially advantaged group; n = 22) therapists and their Mizrahi (socially disadvantaged group n = 29) or Ashkenazi (n = 26) clients immediately following their intake session in four mental health clinics in Israel. We performed a thematic analysis. Overall, interrater reliability among three raters who coded the narratives was high (kappa = 0.72, therapist; 0.70, client). Across all client and therapist interviews, we identified eight central themes detailing different qualities of the working alliance: (1) feeling understood, (2) feeling comfortable, (3) openness and cooperation, (4) trust, (5) empathy and identification, (6) frustration and disappointment, (7) anger and hostility, and (8) emotional disengagement. On average, clients reported 2.56 (standard deviation = 1.17) and therapists described 2.65 (standard deviation = 1.45) themes in each session. Overall, concordant and discordant dyads described similar themes with few exceptions. In particular, being part of a discordant dyad may affect the client's interpretation of non-verbal communication as well as the therapist's evaluation of the client's openness and trustworthiness. Although less frequent, when anger and hostility were described by therapists, these characterized the interaction with Mizrahi clients. We discuss implications to care including the need to promote a culturally humble approach to providing care for minorities. [ABSTRACT FROM AUTHOR]

There is a growing recognition of the importance of the social work contribution within community mental health services. However, although many texts describe what the mental health social work contribution should be, little empirical evidence exists about their role in practice and the difference it might make to service users. This qualitative study sought to articulate this contribution through the voices of social workers and their multidisciplinary colleagues via focus group discussions across four English Mental Health Trusts. These considered the impact of the social worker on the service user. Thematic analysis resulted in the identification of three over-arching themes: social workers own perceptions of their contribution situated within the social model; the high value their colleagues placed on social work support and leadership in a range of situations and the concerns for service users if social workers were withdrawn from teams. Key findings were that social workers are the only professional group to lead on the social model; that this model enhances the whole teams' practice and is required if service users are to be offered support that promotes long-term recovery and that without social workers, the community mental health team offer would be more transactional, less timely, with the potential for the loss of the service users' voice. If social work is to make a full contribution to community mental health team practice, it must be clearly understood and provided with the support to enable social workers to operate to their full potential. [ABSTRACT FROM AUTHOR]

This essay is a reflexive account of my experience of teaching a social justice course during the pandemic. Specifically, I reflect on how centering a pedagogy of care within the course provided a framework for me to be responsive to student needs while also disrupting dominant culture and neoliberal forces in academia. In particular, I highlight sharing power and co-creating meaning, community care, and use of creativity and mindfulness as disruptions to dominant paradigms that I employed in my class that were impactful in the context of the pandemic. I also reflect on how this pedagogical praxis of care has been an instructive and anchoring experience for me as an educator and will impact my teaching going forward. [ABSTRACT FROM AUTHOR]

Life during the COVID-19 pandemic is uncertain, intense, and traumatic. At the same time, there is room for hope, inspiration, and meaning for social workers through mindfully connecting with energy-information flow as it influences our Safety, Emotions, Loss, and Future – S.E.L.F. As adapted from the Sanctuary Model®, this S.E.L.F connection is an opportunity to discover within ourselves our unwavering core that is grounded, present, and connected and sustain an ethical and compassionate approach to social work practice, education, and research during this time of pandemic. The aim in this reflective essay is to provide an example of S.E.L.F. connection from the perspective of a Buddhist and social work academic at an Australian university during the COVID-19 pandemic. While beneficial, ongoing S.E.L.F. connections are necessary for social workers if we are to stay mindful of energy-information flow and steer this flow towards the creation of a story of relationship, compassion, and connection into the future. [ABSTRACT FROM AUTHOR]

Sibling abuse remains under the radar despite its devastating consequences. Without the provision of child welfare statutes to identify sibling abuse and its lack of distinction from other forms of sibling conflict, child welfare workers, mandated reporters, and practitioners face challenges to make complete assessments of family violence. The narratives of 19 self-identified survivors of traumatic childhood and adolescent sibling abuse accentuate the need to identify and validate these experiences as a necessary aspect of protection and healing. Exploratory research of sibling abuse based in a grounded theory framework and phenomenological analysis uncovered critical incidents of physical and emotional sibling abuse underscoring its harrowing impact. The accounts give clarity to defining sibling abuse which includes unpredictable and relentless acts of intimidation resulting in a state of helplessness and isolation. The findings have protective and practice implications for child welfare and clinical social work. [ABSTRACT FROM AUTHOR]

The purpose of this article is to describe emotion work within a crisis resolution home treatment team in Norway. As defined by Hochschild, “emotion work” refers to managing one’s emotions according to what is culturally acceptable within a particular situation. A crisis resolution home treatment team is of particular interest when studying emotion work, because it represents a working environment where mental health crises and suicidal threat are common and where managing emotions is necessary for the team to function well. We aimed to expand current knowledge of the particular ways in which emotion work may be done by observing and describing the daily work of such a team. Our analyses showed that team members’ emotion work had five main features: (1) emotional expression was common and there seemed to be an informal rule that “vulnerable” emotions could be expressed; (2) emotional expression was most commonly observed in post-event discussions of challenging events or service users; (3) emotional expression facilitated digesting or processing of the event with the help of a fellow team member; (4) emotional expression was met with validation and support; and (5) this support seemed to increase mentalization and understanding of the situation and could be offered only by other team members. An implication of these findings is that informal exchanges of emotion are a necessary part of the work and cannot occur outside of the work context. [ABSTRACT FROM AUTHOR]

This qualitative study presents an in-depth and idiographic analysis of the lived experience of parent-caregivers with a child diagnosed with autism spectrum disorder (ASD) who exhibits challenging behaviours. Semi-structured interviews were conducted with six parents of children with ASD and who met the Child Behaviour Checklist for Ages 6–18 (CBCL/6–18) Total Problems T score of 60 and above. The interviews were conducted at a child and adolescent psychiatry clinic in Singapore. Transcripts were analysed using interpretative phenomenological analysis. Two dominant themes emerged: sense of responsibility and renewed appreciation of self. The caregivers’ sense of responsibility not only encompassed parental duty, spousal duty but also duty to the community. Through the process of meaning making and coordinating actions with their child, spouse and social relations, over time the caregivers developed a deeper appreciation of their personal strengths and resourcefulness. The findings suggest that clinical practice and future research would benefit from a family resilience perspective in understanding caregivers’ experience. [ABSTRACT FROM AUTHOR]

This article discusses the early findings of an on-going ethnographic study which is exploring the implementation of Community Treatment Orders (CTOs) in English mental health services, a process in which social work practitioners are closely involved. CTOs are present in a number of countries, and most recently in 2008 were enacted in England and Wales with the policy purposes of reducing ‘revolving door’ admissions, increasing the ability of clinicians to manage risk and encouraging recovery. They work by imposing conditions on how mental health service users live in the community as well as providing a mechanism for them to be recalled for treatment in hospital if they fail to meet those conditions. Perhaps unsurprisingly, their introduction has brought with it debate on the ethical implications of extending compulsory treatment into the community. The majority of research on CTOs has tended to ask the question, ‘Do they work?’ In this article I argue that ethnography may help to address a more ethically engaged and pertinent question for social work practice, namely, ‘Who might CTOs work for, in what circumstances and why?’ Immersion in service settings over an extended period enabled the incorporation of contextual factors and causal mechanisms into the analysis, which in turn has led to a consideration of the nature of CTO outcomes. This approach draws upon ideas about the role of qualitative research in exploring causality, and consideration is given to how the research may fit within some form of a realist framework. [ABSTRACT FROM AUTHOR]

Being in recovery from bipolar disorder involves work-related concerns. The specific aims of this study are to: 1) understand the role of work in recovery from bipolar disorders, and 2) understand how people with such disorders deal with work-related challenges. These topics are examined from the stance of the recovery process, in which work-related activities were explored. Semi-structured, qualitative interviews were conducted with persons who had experienced recovery from bipolar disorder. Analysis was performed through thematic and phenomenological analysis, with hermeneutic phenomenology and reflexive methodology as a framework. The findings are presented through the following themes: 1) many types of work – finding meaning and a focus; 2) helpful roles and contexts – to be much more than a person with an illness; 3) making work possible – the role of supportive relationships and supportive medications, and 4) the costs of working too much – finding a meaningful and healthy balance. [ABSTRACT FROM PUBLISHER]

In a given year, approximately 26 percent of persons in the United States 18 years and older suffer from a diagnosable mental disorder. About six percent are diagnosed with a serious mental illness and 65 percent of these are mothers. Mothers with serious mental illness are at increased risk of losing custody of their children. This report represents findings from a qualitative study of the relationship between positive and negative social interactions as three such women went through the process of experiencing threats to their children’s safety, relinquishing custody, and working to regain it (or to adjust to a permanent placement). Data collection involved semi-structured interviews. A thematic analysis of data was conducted. Among three conceptual models of social interactions – additive, moderating, and domain specific, the domain-specific model was prominent. Findings are discussed as preliminary to future similar studies involving larger samples. Tentative implications for policy, practice, and research are discussed. [ABSTRACT FROM PUBLISHER]

A counterbalance to evidence-based approaches in public services and professions such as social work is the assertion that professional expertise is more about process than outcome. Postmodern frameworks have prompted practitioners to challenge any notion of objective truth that excludes contradiction, paradox and subjectivity. Rather, workers should seek to engage with service users in a process of negotiating meaning through intersubjectivity and attention to individual experience. Informed by research with women marginalized by mental ill-health, this article examines feminist perspectives of narrative and validating experience in the construction of self. Helping women to ‘re-story’ their lives requires reflexivity by workers, and sensitivity to the management of power in the relationship. Creative autobiography offers a process that enables women to negotiate conflicts between subjective experience and that which is socially constructed. We argue that the challenge for reflexive professional practice is a similar struggle for reconciliation between professional and personal identity. [ABSTRACT FROM AUTHOR]

This article examines consumer-run agency participation by adults with psychiatric disabilities. Using qualitative data from 10 intensive interviews, the purpose was to explore personal meanings attached to agency membership, and understand the lived experiences of participants. A grounded hermeneutic approach was utilized to analyse results. Findings reveal that individuals balance agency utilization and external peer network development. Organizational factors previously found related to social network enhancement (e.g. empowerment and emphasis on supportive services) were confirmed here. The emergent narratives captured in this study suggest that these agencies function as low-demand, accepting, safe, and sheltering environments while offering opportunities for human connection, shared agency ownership and community. Finally, access to otherwise unavailable peer-focused `networks of caring' was of utmost importance to participants. Implications for the organization and delivery of services are addressed. Social workers and other mental health professionals seeking to maximize community integration and develop natural supports for clients should explore consumer-run agencies. [ABSTRACT FROM AUTHOR]