465 results on '"van Weeghel, J."'
Search Results
2. Process Evaluation of Individual Placement and Support and Participatory Workplace Intervention to Increase the Sustainable Work Participation of People with Work Disabilities
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Oude Geerdink, E., Huysmans, M. A., van Kempen, H., Maarleveld, J. M., van Weeghel, J., and Anema, J. R.
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- 2024
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3. Improving Work Participation Outcomes Among Unemployed People with Mental Health Issues/Mental Illness: Feasibility of a Stigma Awareness Intervention
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Janssens, K. M. E., Joosen, M. C. W., Henderson, C., van Weeghel, J., and Brouwers, E. P. M.
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- 2024
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4. Effectiveness of a Stigma Awareness Intervention on Reemployment of People with Mental Health Issues/Mental Illness: A Cluster Randomised Controlled Trial
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Janssens, K. M. E., Joosen, M. C. W., Henderson, C., Bakker, M., den Hollander, W., van Weeghel, J., and Brouwers, E. P. M.
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- 2024
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5. Dutch workers attitudes towards having a coworker with mental health issues or illness: a latent class analysis.
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van Beukering, I, Sampogna, G, Bakker, M, Joosen, M, van Weeghel, J, Henderson, C, Brouwers, E, and Dewa, Carolyn
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coworker ,discrimination ,mental health ,stigma ,workplace - Abstract
INTRODUCTION: Workplace mental health stigma is a major problem as it can lead to adverse occupational outcomes and reduced well-being. Although workplace climate is largely determined by managers and co-workers, the role of co-workers in workplace stigma is understudied. Therefore, the aims are: (1) to examine knowledge and attitudes towards having a coworker with Mental Health Issues or Illness (MHI), especially concerning the desire for social distance, (2) to identify distinct subgroups of workers based on their potential concerns towards having a coworker with MHI, and (3) to characterize these subgroups in terms of knowledge, attitudes, and background characteristics. MATERIALS AND METHODS: A cross-sectional survey was conducted among a nationally representative internet panel of 1,224 Dutch workers who had paid jobs and did not hold management positions. Descriptive statistics and a three-step approach Latent Class Analysis (LCA) were used to address the research aims. RESULTS: Concerning the desire for social distance, 41.9% of Dutch workers indicated they did not want to have a close colleague with MHI, and 64.1% did not want to work for a higher-ranking manager who had MHI. In contrast however, most workers did not have negative experiences with interacting with coworkers with MHI (92.6%). Next, five distinct subgroups (SG) of workers were identified: two subgroups with few concerns towards having a coworker with MHI (SG1 and SG2; 51.8% of the respondents), one subgroup with average concerns (SG3; 22.7% of the respondents), and two subgroups with more concerns (SG4 and SG5; 25.6% of the respondents). Four out of five subgroups showed a high tendency towards the desire for social distance. Nevertheless, even in the subgroups with more concerns, (almost) half of the respondents were willing to learn more about how to best deal with coworkers with MHI. No significant differences were found between the subgroups on background characteristics. DISCUSSION: The high tendency to the desire for social distance seems to contrast with the low number of respondents who personally had negative experiences with workers with MHI in the workplace. This suggests that the tendency to socially exclude this group was not based on their own experience. The finding that a large group of respondents indicated to want to learn more about how to deal with a co-worker with MHI is promising. Destigmatizing interventions in the workplace are needed in order to create more inclusive workplaces to improve sustained employment of people with MHI. These interventions should focus on increasing the knowledge of workers about how to best communicate and deal with coworkers with MHI, they do not need to differentiate in background variables of workers.
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- 2023
6. Self-report versus performance based executive functioning in people with psychotic disorders
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van Aken, B.C., Rietveld, R., Wierdsma, A.I., Voskes, Y., Pijnenborg, G.H.M., van Weeghel, J., and Mulder, C.L.
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- 2023
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7. In What Ways Does Health Related Stigma Affect Sustainable Employment and Well-Being at Work? A Systematic Review
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van Beukering, I. E., Smits, S. J. C., Janssens, K. M. E., Bogaers, R. I., Joosen, M. C. W., Bakker, M., van Weeghel, J., and Brouwers, E. P. M.
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- 2022
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8. Experiencing discrimination mediates the relationship between victimization and social withdrawal in patients suffering from a severe mental illness: A cross-sectional study
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Ruijne, R.E., Zarchev, M., van Weeghel, J., Henrichs, J., Garofalo, C., Bogaerts, S., Mulder, C.L., and Kamperman, A.M.
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- 2022
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9. Persoonlijk herstel
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Boertien, D., van Weeghel, J., Kaasenbrood, Ad, editor, and Wunderink, Lex, editor
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- 2021
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10. A cross-sectional survey of stigma towards people with a mental illness in the general public. The role of employment, domestic noise disturbance and age
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Oudejans, S. C. C., Spits, M. E., and van Weeghel, J.
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- 2021
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11. Effectiveness of a stigma awareness intervention on reemployment of people with mental health issues/mental illness: A cluster randomised controlled trial
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Janssens, K., Joosen, M., Henderson, C., Bakker, M., den Hollander, W., van Weeghel, J., Brouwers, E., Janssens, K., Joosen, M., Henderson, C., Bakker, M., den Hollander, W., van Weeghel, J., and Brouwers, E.
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Purpose A barrier for reemployment of people with mental health issues/mental illness (MHI) is workplace stigma and discrimination. In this RCT the effectiveness of a stigma-awareness intervention addressing finding work, retaining work and decisional stress were evaluated. Methods A cluster RCT was conducted in 8 Dutch municipal practices. Randomisation took place at practice level. Participants were unemployed people with MHI, receiving social benefits. The intervention consisted of a decision aid for workplace disclosure for participants and a 2 × 3 h stigma-awareness training for their employment specialists. Primary outcomes were measured at baseline, 3-, 6- and 12-months. Multilevel analyses, containing random intercepts of participants nested in organizations, were conducted to analyse the effects of the intervention. Results Participants (N = 153) were randomized to an experimental (n = 76) or control group (n = 77). At six months, significantly more participants of the experimental group (51%) had found work compared to the control group (26%). At twelve months, significantly more participants of the experimental group (49%) had retained work compared to the control group (23%). Intention-to-treat analyses showed that randomization to the experimental group was associated with finding (OR(95%CI) = 7.78(1.33–45.53), p = 0.02) and retaining (OR(95%CI) = 12.15(2.81–52.63), p < 0.01) work more often at twelve months. Analyses showed that the experimental and control group did not differ in decisional stress. Conclusions Our stigma awareness intervention was effective for finding and retaining work. As the percentage of people who found and retained work almost doubled, this suggests that on a societal level, a vast number of unemployed people could be reemployed with a relatively simple intervention. Trial Registration The study was retrospectively registered at the Dutch Trial Register (TRN: NL7798, da
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- 2024
12. Barriers to and facilitators for finding and keeping competitive employment: A focus group study on autistic adults with and without paid employment
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Brouwers, E.P.M., Bergijk, M., van Weeghel, J., Detaille, S., Kerkhof, H., Dewinter, J., Brouwers, E.P.M., Bergijk, M., van Weeghel, J., Detaille, S., Kerkhof, H., and Dewinter, J.
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Purpose The aim of the study was to gain more insight into barriers to and facilitators for finding and keeping competitive employment for autistic adults. Research questions were: (1) What barriers and facilitators do autistic adults report in finding and keeping competitive employment?; and (2) What are differences and similarities between autistic adults with and without paid employment regarding barriers and facilitators for sustainable employment? Methods Eight focus groups were conducted (N = 64 autistic adults). Four groups included only participants without paid employment (N = 24), and four groups consisted exclusively of participants with current paid employment (including part-time, N = 40). All discussions were audiotaped and transcribed verbatim to enable inductive thematic content analysis. Data were analyzed using ATLAS.ti 9. Results Ten themes and thirty-four subthemes were found. Many were interconnected. Themes facilitating sustainable employment included a positive workplace atmosphere, a supportive supervisor, being able to do work that aligns with interests and talents, favorable physical working conditions, coaching, higher self-insight, higher self-esteem, and proactivity. Most themes and subthemes emerged from both groups. Differences between the groups were that those with paid employment seemed to have experienced more friendly workplaces and supervisors, had received better coaching in finding and keeping employment, had higher self-insight and higher self-esteem, were more assertive and proactive. Conclusions As many (sub-)themes were interrelated, the results suggest that to improve work participation, particularly two key areas are promising: (1) to realize more friendly, well-being oriented and inclusive workplaces, and (2) to increase autistic adults’ self-insight into personal needs for positive wellbeing and self-knowledge regarding talents, wishes and well-being boundaries.
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- 2024
13. To Disclose or Not to Disclose: A Multi-stakeholder Focus Group Study on Mental Health Issues in the Work Environment
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Brouwers, E. P. M., Joosen, M. C. W., van Zelst, C., and Van Weeghel, J.
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- 2020
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14. Identifying social participation subgroups of individuals with severe mental illnesses: a latent class analysis
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Sanches, Sarita A., Swildens, W. E., van Busschbach, J. T., and van Weeghel, J.
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- 2019
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15. Effectiveness of a Stigma Awareness Intervention on Reemployment of People with Mental Health Issues/Mental Illness: A Cluster Randomised Controlled Trial
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Janssens, K. M. E., primary, Joosen, M. C. W., additional, Henderson, C., additional, Bakker, M., additional, den Hollander, W., additional, van Weeghel, J., additional, and Brouwers, E. P. M., additional
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- 2023
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16. Evaluation of an intervention to support decisions on disclosure in the employment setting (DECIDES): study protocol of a longitudinal cluster-randomized controlled trial
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Janssens, K. M. E., van Weeghel, J., Henderson, C., Joosen, M. C. W., and Brouwers, E. P. M.
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- 2020
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17. Symptomatic and Functional Recovery: Does symptom severity affect the recovery of executive functioning in people with psychotic disorders?
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van Aken, B.C., Wierdsma, A.I., Voskes, Y., Pijnenborg, G.H.M., van Weeghel, J., Mulder, C.L., van Aken, B.C., Wierdsma, A.I., Voskes, Y., Pijnenborg, G.H.M., van Weeghel, J., and Mulder, C.L.
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- 2023
18. Determinants of victimization in patients with severe mental illness: Results from a nation-wide cross-sectional survey in the Netherlands
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Kamperman, A.M., Henrichs, J., Zarchev, M., Willemsen, S.P., Lesaffre, E.M.E.H., Swildens, W. E., Nijssen, Y., Kroon, H., van Schaik, D.J.F., van der Gaag, M., Delespaul, P.A.E.G., van Weeghel, J., van de Mheen, D., Bogaerts, Stefan, Mulder, C. L., Kamperman, A.M., Henrichs, J., Zarchev, M., Willemsen, S.P., Lesaffre, E.M.E.H., Swildens, W. E., Nijssen, Y., Kroon, H., van Schaik, D.J.F., van der Gaag, M., Delespaul, P.A.E.G., van Weeghel, J., van de Mheen, D., Bogaerts, Stefan, and Mulder, C. L.
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We aimed to examine determinants of criminal victimization (i.e. both personal and property crime victimization) in outpatients with severe mental illness. Data was collected using a multisite epidemiological survey including a random sample of 956 adult outpatients with SMI. Data on 12-month victimization prevalence and frequency were obtained using the victimization scale of the Dutch Crime and Victimization Survey. Demographic characteristics, clinical diagnosis, psychosocial functioning, drug use and alcohol abuse over the past 12 months, co-morbid PTSD diagnosis, physical abuse, physical neglect and sexual abuse in childhood, perpetration of violence over the past 12-months, and anger disposition were assessed as determinants. Univariable and multivariable hurdle regression analyses were conducted to test associations of the potential determinants with victimization prevalence and frequency. We found that different sets of demographic and clinical characteristics were associated with personal and property crime victimization. Clinical characteristics were more pronounced regarding personal crime victimization. In the multivariable model, presence of psychotic disorder, drug use, childhood physical and sexual abuse, and recent violent perpetration were associated with the 12-month prevalence or frequency rate of personal crime victimization. Native Dutch and divorced patients were more at risk as well. Next to this being employed, poor social functioning, having perpetrated a violent crime, as well as alcohol abuse and recent drug use were all significantly related to property crime prevalence or frequency rate in the multivariable model.
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- 2023
19. Improving work participation outcomes among unemployed people with mental health issues/mental illness: Feasibility of a stigma awareness intervention
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Janssens, K.M.E., Joosen, M.C.W, Henderson, C., van Weeghel, J., Brouwers, E.P.M., Janssens, K.M.E., Joosen, M.C.W, Henderson, C., van Weeghel, J., and Brouwers, E.P.M.
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Purpose As stigma is a barrier to work participation of unemployed people with mental health issues/mental illness (MHI), a stigma awareness intervention can be helpful to make informed decisions about disclosing MHI. The aim of this process evaluation was to investigate the feasibility of a stigma awareness intervention, to explore experiences of clients and their employment specialists; and to give recommendations for further implementation. Methods The intervention consisted of a stigma awareness training for employment specialists and a decision aid tool for their clients with (a history of) MHI. For the process evaluation, six process components of the Linnan & Stecklar framework were examined: recruitment, reach, dose delivered, dose received, fidelity and context. Using a mixed-methods design, quantitative and qualitative data were collected and analyzed. Results The six components showed the intervention was largely implemented as planned. Questionnaire data showed that 94% of the clients found the tool useful and 87% would recommend it to others. In addition, more than half (54%) indicated the tool had been helpful in their disclosure decision. Qualitative data showed that participants were mainly positive about the intervention. Nevertheless, only a minority of clients and employment specialists had actually discussed the tool together. According to both, the intervention had increased their awareness of workplace stigma and the disclosure dilemma. Conclusion The implementation of a stigma awareness intervention was feasible and did increase stigma awareness. Experiences with the intervention were mainly positive. When implementing the tool, it is recommended to embed it in the vocational rehabilitation system, so that discussing the disclosure dilemma becomes a routine.
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- 2023
20. Experiences and needs of welfare benefit recipients regarding their welfare-to-work services and case workers
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Geerdink, E.O., Sewdas, R., Van Kempen, H., van Weeghel, J., Anema, J.R., Huysmans, M.A., Geerdink, E.O., Sewdas, R., Van Kempen, H., van Weeghel, J., Anema, J.R., and Huysmans, M.A.
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Background This study aimed to explore the experiences and needs of (ex-)welfare benefit recipients from a large urban municipality in the Netherlands regarding their welfare-to-work services and their case workers. Methods Quantitative data from a client satisfaction survey that was filled out by 213 people (response rate 11%) who received welfare-to-work services was combined with results from four group interviews with a total of 15 people receiving welfare-to-work services. Verbatim transcripts from the interviews were analysed using inductive thematic analysis. Results The survey results showed that most clients were reasonably satisfied with the welfare-to-work services they received. Four main themes emerged from the interviews: (1) experiences and needs related to the interactions between case workers and benefit recipients; (2) the need for tailored services; (3) the complicating role of the system the case workers operate within; and (4) the existence of differences between case workers regarding how strict they followed the rules and to what extent they connected with their clients on a personal level. Conclusions Our findings show that clients were reasonably satisfied with the welfare-to-work services provided by their municipality but that there is still room for improvement. Case workers should have good social skills to build a trusting relationship with the client, welfare-to-work services should be tailored to the individual, and clear concise information should be given to welfare benefit recipients, especially with regard to what benefit recipients can expect of the municipality and the case workers, given their dual role in supporting (re-)integration to work and monitoring benefit eligibility.
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- 2023
21. Developing a framework for evaluation: A theory of change for complex workplace mental health interventions
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Tsantila, F., Coppens, E., de Witte, H., Abdulla, K., Amann, B., Arensman, E., Aust, B., Cresswell-Smith, J., D'Alessandro, L., de Winter, L., Doukani, A., Fanaj, N., Greiner, B., Griffin, E., Leduc, C., Maxwell, M., O'Connor, C., Paterson, C., Purebl, G., Reich, H., Ross, V., van Weeghel, J., van Audenhove, C., Tsantila, F., Coppens, E., de Witte, H., Abdulla, K., Amann, B., Arensman, E., Aust, B., Cresswell-Smith, J., D'Alessandro, L., de Winter, L., Doukani, A., Fanaj, N., Greiner, B., Griffin, E., Leduc, C., Maxwell, M., O'Connor, C., Paterson, C., Purebl, G., Reich, H., Ross, V., van Weeghel, J., and van Audenhove, C.
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Background There is a gap between the necessity of effective mental health interventions in the workplace and the availability of evidence-based information on how to evaluate them. The available evidence outlines that mental health interventions should follow integrated approaches combining multiple components related to different levels of change. However, there is a lack of robust studies on how to evaluate multicomponent workplace interventions which target a variety of outcomes at different levels taking into account the influence of different implementation contexts. Method We use the MENTUPP project as a research context to develop a theory-driven approach to facilitate the evaluation of complex mental health interventions in occupational settings and to provide a comprehensive rationale of how these types of interventions are expected to achieve change. We used a participatory approach to develop a ToC involving a large number of the project team representing multiple academic backgrounds exploiting in tandem the knowledge from six systematic reviews and results from a survey among practitioners and academic experts in the field of mental health in SMEs. Results The ToC revealed four long-term outcomes that we assume MENTUPP can achieve in the workplace: 1) improved mental wellbeing and reduced burnout, 2) reduced mental illness, 3) reduced mental illness-related stigma, and 4) reduced productivity losses. They are assumed to be reached through six proximate and four intermediate outcomes according to a specific chronological order. The intervention consists of 23 components that were chosen based on specific rationales to achieve change on four levels (employee, team, leader, and organization). Conclusions The ToC map provides a theory of how MENTUPP is expected to achieve its anticipated long-term outcomes through intermediate and proximate outcomes assessing alongside contextual factors which will facilitate the
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- 2023
22. Short- and long-term changes in symptom dimensions among patients with schizophrenia spectrum disorders and different durations of illness: A meta-analysis
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de Winter, L., Vermeulen, J.M., Couwenbergh, C., van Weeghel, J., Hasson-Ohayon , I., Mulder, C.L., Boonstra, N., Veling, W., de Haan, L., de Winter, L., Vermeulen, J.M., Couwenbergh, C., van Weeghel, J., Hasson-Ohayon , I., Mulder, C.L., Boonstra, N., Veling, W., and de Haan, L.
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In schizophrenia spectrum disorders, improvement in symptoms varies between patients with short and long durations of illness. In this meta-analysis we provided an overview of both short- and long-term symptomatic improvement for patients with schizophrenia spectrum disorders with distinct durations of illness. We included 82 longitudinal studies assessing the course of positive, negative, depressive and disorganization symptoms. We analyzed effect sizes of change in four subgroups based on durations of illness at baseline: <2 years, 2-5 years, 5-10 years, >10 years. Potential moderators were explored using meta-regression and sensitivity analyses. Overall, we found large improvements of positive symptoms and small improvements of negative, depressive, and disorganization symptoms. Positive and disorganization symptoms improved relatively stronger for patients earlier in the course of illness, whereas negative and depressive symptoms showed modest improvement regardless of duration of illness. Improvement of symptoms was associated with higher baseline severity of positive symptoms, a younger age, a smaller subsample with schizophrenia, and, specifically for negative symptoms, higher baseline severity of depressive symptoms. Future research should focus on exploring ways to optimize improvement in negative and depressive symptoms for patients with schizophrenia spectrum disorders.
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- 2023
23. Fidelity and clinical competence in providing illness management and recovery: An explorative study
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Roosenschoon, B-J., van Weeghel, J., Deen, M.L., Van Esveld, E.W., Kamperman, A.M., Mulder, C. L., Roosenschoon, B-J., van Weeghel, J., Deen, M.L., Van Esveld, E.W., Kamperman, A.M., and Mulder, C. L.
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Illness Management and Recovery (IMR) is a psychosocial intervention supporting people with serious mental illnesses. In this study, 15 IMR groups were assessed for fidelity and clinician competency to establish the implementation level of all IMR elements and explore complementarity of the IMR Treatment Integrity Scale (IT-IS) to the standard IMR Fidelity Scale. Use of the IT-IS was adapted, similar to the IMR Fidelity Scale. Descriptive statistics were applied. Implementation success of IMR elements varied widely on the IMR Fidelity Scale and IT-IS (M = 3.94, SD = 1.13, and M = 3.29, SD = 1.05, respectively). Twelve IMR elements (60%) were well-implemented, whereas eight (40%) were implemented insufficiently, including some critical cognitive-behavioral techniques (e.g., role-playing). The scales appeared largely complementary, though strongly correlated (r (13) = 0.74, p = 0.002). Providing all IMR elements adequately requires a variety of clinical skills. Specific additional training and supervision may be necessary.
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- 2023
24. Outcome assessment of a complex mental health intervention in the workplace. Results from the MENTUPP pilot study
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Tsantila, F., Coppens, E., de Witte, H., Arensman, E., Amann, B., Cerga-Pashoja, A., Corcoran, P., Cresswell-Smith, J., Cully, G., Ditta Toth, M., Greiner, B., Griffin, E., Hegerl, U., Holland, C., Leduc, C., Leduc, M., Ni Dhalaigh, D., O'Brien, C., Paterson, C., Purebl, G., Reich, H., Ross, V., Rugulies, R., Sanches, S., Thompson, K., van Audenhove, C., MENTUPP Consortium Members, van Weeghel, J., Tsantila, F., Coppens, E., de Witte, H., Arensman, E., Amann, B., Cerga-Pashoja, A., Corcoran, P., Cresswell-Smith, J., Cully, G., Ditta Toth, M., Greiner, B., Griffin, E., Hegerl, U., Holland, C., Leduc, C., Leduc, M., Ni Dhalaigh, D., O'Brien, C., Paterson, C., Purebl, G., Reich, H., Ross, V., Rugulies, R., Sanches, S., Thompson, K., van Audenhove, C., MENTUPP Consortium Members, and van Weeghel, J.
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Objective Multicomponent interventions are recommendable to achieve the greatest mental health benefits, but are difficult to evaluate due to their complexity. Defining long-term outcomes, arising from a Theory of Change (ToC) and testing them in a pilot phase, is a useful approach to plan a comprehensive and meaningful evaluation later on. This article reports on the pilot results of an outcome evaluation of a complex mental health intervention and examines whether appropriate evaluation measures and indicators have been selected ahead of a clustered randomised control trial (cRCT). Methods The MENTUPP pilot is an evidence-based intervention for Small and Medium Enterprises (SMEs) active in three work sectors and nine countries. Based on our ToC, we selected the MENTUPP long-term outcomes, which are reported in this article, are measured with seven validated scales assessing mental wellbeing, burnout, depression, anxiety, stigma towards depression and anxiety, absenteeism and presenteeism. The pilot MENTUPP intervention assessment took place at baseline and at 6 months follow-up. Results In total, 25 SMEs were recruited in the MENTUPP pilot and 346 participants completed the validated scales at baseline and 96 at follow-up. Three long-term outcomes significantly improved at follow-up (p < 0.05): mental wellbeing, symptoms of anxiety, and personal stigmatising attitudes towards depression and anxiety. Conclusions The results of this outcome evaluation suggest that MENTUPP has the potential to strengthen employees’ wellbeing and decrease anxiety symptoms and stigmatising attitudes. Additionally, this study demonstrates the utility of conducting pilot workplace interventions to assess whether appropriate measures and indicators have been selected. Based on the results, the intervention and the evaluation strategy have been optimised.
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- 2023
25. What are important ingredients of Intensive Home Support for people with severe mental illness according to experts?: A concept mapping approach
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van Genk, C., Roeg, D., van Vugt, M., van Weeghel, J., van Regenmortel, T., van Genk, C., Roeg, D., van Vugt, M., van Weeghel, J., and van Regenmortel, T.
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Background Deinstitutionalization in mental health care has been an ongoing process for decades. More and more people with severe mental illness (SMI), who previously lived in residential supported housing settings and were formerly homeless, are now living independently in the community but need intensive support to enable independent living. The support provided by regular outpatient teams is inadequate for this target group. This study explored the ingredients for an alternative form of outpatient support: intensive home support (IHS). Methods Concept mapping was used, following five steps: (1) brainstorming, (2) sorting, (3) rating, (4) statistical analysis & visual representation, and (5) interpretation. Purposive sampling was used to represent several perspectives, including researchers, professionals, peer workers, and policy makers. Results Experts (n=17) participated in the brainstorming step and the sorting and rating steps (n=14). The 84 generated statements were grouped into 10 clusters:. (1) housing rights; (2) informal collaboration; (3) reciprocity in the community; (4) normalization and citizenship; (5) recovery; (6) sustainable funding; (7) equivalence; (8) flexible, proactive 24/7 support; (9) public health and positive health; and (10) integrated cooperation in support at home. Conclusions Given the diversity of the ingredients contained in the clusters, it seems that IHS should be designed according to a holistic approach in collaboration with several sectors. Additionally, IHS is not only the responsibility of care organizations but also the responsibility of national and local governments. Further research about collaboration and integrated care is needed to determine how to implement all of the ingredients in practice.
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- 2023
26. Workplace mental health disclosure, sustainable employability and well-being at work: A cross-sectional study among military personnel with mental illness
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Bogaers, R.I., Geuze, E., Van Weeghel, J., Leijten, F., van de Mheen, D., Rüsch, N., Rozema, A.D., Brouwers, E.P.M., Bogaers, R.I., Geuze, E., Van Weeghel, J., Leijten, F., van de Mheen, D., Rüsch, N., Rozema, A.D., and Brouwers, E.P.M.
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Purpose: Disclosure of mental illness to a supervisor can have positive (e.g. supervisor support) and negative consequences (e.g. stigma). However, research on the association between disclosure and sustainable employability and well-being at work is scarce. The aim of this study was to investigate the association between the disclosure decision (yes/no), experiences with the decision (positive/negative) and sustainable employment and well-being at work among military personnel with mental illness (N = 323). Methods: A cross-sectional questionnaire study was conducted. Descriptive and regression (linear and ordinal) analyses were performed. Comparisons were made between those with positive and negative disclosure experiences. Results: Disclosure decision (yes/no) was not significantly associated with any of the measures of sustainable employability and well-being at work. However, positive disclosure experiences were significantly associated with higher scores on almost all measures of sustainable employability and well-being at work. Those with negative disclosure experiences reported significantly more shame (Mpos = 2.42, Mneg = 2.78, p < .05) and discrimination (Mpos = 1.70, Mneg = 2.84, p < .001). Those with a positive disclosure experience, reported significantly more supervisor support (Mpos = 3.20, Mneg = 1.94, p < .001). Conclusion: We did not find evidence that the disclosure decision itself is related to measures of sustainable employment and well-being at work. In contrast, how participants had experienced their (non-)disclosure decision was significantly related to almost all measures. This emphasizes the importance of the work environments reactions to disclosure and mental illness in the workplace. Future research and interventions should focus on increasing the likelihood of positive disclosure experiences through creating a more inclusive work environment, with more supervisor support and less stig
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- 2023
27. Victimisation of persons with severe mental illness: A qualitative study
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Siesling, M., Habraken, J.M., Bongers, Inge, van Weeghel, J., Geestelijke Gezondheidszorg, and Tranzo, Scientific center for care and wellbeing
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- 2023
28. Dutch workers’ attitudes towards having a coworker with mental health issues or illness: a latent class analysis.
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van Beukering, I. E., Sampogna, G., Bakker, M., Joosen, M. C. W., Dewa, C. S., van Weeghel, J., Henderson, C., and Brouwers, E. P. M.
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EMPLOYEE attitudes ,MENTAL health ,SOCIAL distance ,WELL-being ,KNOWLEDGE workers - Abstract
Introduction: Workplace mental health stigma is a major problem as it can lead to adverse occupational outcomes and reduced well-being. Although workplace climate is largely determined by managers and co-workers, the role of coworkers in workplace stigma is understudied. Therefore, the aims are: (1) to examine knowledge and attitudes towards having a coworker with Mental Health Issues or Illness (MHI), especially concerning the desire for social distance, (2) to identify distinct subgroups of workers based on their potential concerns towards having a coworker with MHI, and (3) to characterize these subgroups in terms of knowledge, attitudes, and background characteristics. Materials and methods: A cross-sectional survey was conducted among a nationally representative internet panel of 1,224 Dutch workers who had paid jobs and did not hold management positions. Descriptive statistics and a three-step approach Latent Class Analysis (LCA) were used to address the research aims. Results: Concerning the desire for social distance, 41.9% of Dutch workers indicated they did not want to have a close colleague with MHI, and 64.1% did not want to work for a higher-ranking manager who had MHI. In contrast however, most workers did not have negative experiences with interacting with coworkers with MHI (92.6%). Next, five distinct subgroups (SG) of workers were identified: two subgroups with few concerns towards having a coworker with MHI (SG1 and SG2; 51.8% of the respondents), one subgroup with average concerns (SG3; 22.7% of the respondents), and two subgroups with more concerns (SG4 and SG5; 25.6% of the respondents). Four out of five subgroups showed a high tendency towards the desire for social distance. Nevertheless, even in the subgroups with more concerns, (almost) half of the respondents were willing to learn more about how to best deal with coworkers with MHI. No significant differences were found between the subgroups on background characteristics. Discussion: The high tendency to the desire for social distance seems to contrast with the low number of respondents who personally had negative experiences with workers with MHI in the workplace. This suggests that the tendency to socially exclude this group was not based on their own experience. The finding that a large group of respondents indicated to want to learn more about how to deal with a co-worker with MHI is promising. Destigmatizing interventions in the workplace are needed in order to create more inclusive workplaces to improve sustained employment of people with MHI. These interventions should focus on increasing the knowledge of workers about how to best communicate and deal with coworkers with MHI, they do not need to differentiate in background variables of workers. [ABSTRACT FROM AUTHOR]
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- 2023
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29. The association between executive functioning and personal recovery in people with psychotic disorders
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Van Aken, B.C., Wierdsma, A.I., Voskes, Y, Pijnenborg, G.H.M., Van Weeghel, J, Mulder, C.L., Van Aken, B.C., Wierdsma, A.I., Voskes, Y, Pijnenborg, G.H.M., Van Weeghel, J, and Mulder, C.L.
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- 2022
30. Evaluation of an adaptive implementation program for cognitive adaptation training for people with severe mental ilness: A cluster-randomized controlled trial
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Van Der Meer, L., Van Dam, M., Van Weeghel, J., Castelein, S., Pijnenborg, G., Van Der Meer, L., Van Dam, M., Van Weeghel, J., Castelein, S., and Pijnenborg, G.
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Introduction Cognitive Adaptation Training (CAT) is a psychosocial intervention focusing on reducing the impact of cognitive disorders on daily functioning in people with severe mental illness (SMI). Similar to many evidence based practices (EBP), implementation of CAT in routine care lags behind, despite the established effectiveness of the intervention. This so called ‘science-to-service gap’ is a widespread problem in mental health care. We developed an innovative implementation program to facilitate implementation of CAT and similar interventions in routine care. Objectives The aim of this study is to evaluate the effectiveness of the implementation program and to determine factors that impede or facilitate the implementation process. Methods We conducted a multicenter cluster randomized controlled trial comparing the implementation program to a single training program in four mental health institutions (a total of 21 rehabilitation teams) in The Netherlands. Focus groups, semistructured interviews and questionnaires were used at multiple levels of service delivery (service user, professional, team, organization). Assessments took place before, during and after implementation and at follow-up, adding up to a total duration of 14 months. Data were analyzed using multilevel modeling. Results Data collection is complete and analyses on the effectiveness of the implementation program are ongoing. Preliminary analyses show that team climate (p<.008) and organizational climate (p<.043) significantly predict the attitudes of mental health providers toward EBP. Conclusions This implementation research may provide important information about the implementation of psychosocial interventions in practice and may result in a program that is useful for Cognitive Adaptation Training, and possibly for psychosocial interventions in general.
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- 2022
31. Experiencing discrimination mediates the relationship between victimization and social withdrawal in patients suffering from a severe mental illness:A cross-sectional study
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Ruijne, R. E., Zarchev, M., van Weeghel, J., Henrichs, J., Garofalo, C., Bogaerts, S., Mulder, C. L., Kamperman, A. M., Ruijne, R. E., Zarchev, M., van Weeghel, J., Henrichs, J., Garofalo, C., Bogaerts, S., Mulder, C. L., and Kamperman, A. M.
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Psychiatric patients are often victims of crime and discrimination and are often socially withdrawn. This has negative consequences for their health and recovery. We examined whether such discrimination mediates the association between victimization and social withdrawal, and whether these associations differ between men and women. We also determined the prevalence of social withdrawal and the discrimination experienced by patients suffering from a severe mental illness. This study is embedded in the Victimization in Psychiatric Patients study. Information on discrimination, social withdrawal and victimization was obtained using structured self-report questionnaires (N = 949). We reported the 12-month prevalence of these phenomena and used path analysis to estimate the direct path between personal and property victimization and social withdrawal, and the indirect path through the discrimination experienced. The impact of gender was assessed by testing interaction terms. Social withdrawal was reported by 20.6% (95%CI 18.1–23.2) of participants, and being discriminated against in the past 12 months by 75.3% (95%CI: 72.6–78.0%). While crime victimization had no direct effects on social withdrawal, personal crime victimization (B = 0.47; 95%CI 0.25-0.72; p < 0.001) and property crime victimization (B = 0.65; 95%CI 0.42-0.93; p < 0.001) had significant indirect effects on social withdrawal, which were mediated by the discrimination experienced. In men we found a direct negative effect of property crime on social withdrawal (B = -0.68; 95%CI: −1.21to −0.11, p = 0.014). We conclude that personal and property victimization, for both men and women, was associated with higher levels of social withdrawal, and this was fully mediated by the discrimination experienced.
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- 2022
32. When methods meet motives: Methodological pluralism in Social Work research
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Ganzevles, M. E., Andriessen, D., Van Regenmortel, M. R. F., van Weeghel, J., Ganzevles, M. E., Andriessen, D., Van Regenmortel, M. R. F., and van Weeghel, J.
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In Social Work research there is a strong debate on the distinctiveness and methodological quality, and how to address the dilemma of rigour and practice relevance. Given the nature of Social Work the field has developed a characteristic research culture that puts emphasis on giving voice to service users and disseminating research knowledge in practice, especially in a stream of so called practice-based research. However, there is no consensus on how to best contribute to the practice of Social Work through research and at the same time producing rigourous scientific outcomes, resulting in methodological pluralism. Studying the perceptions of Social Work researchers on their role, the aims and values of Social Work research and their research approach, provides insight into the methodological pluralism of Social Work research. Thirty-four professors specialising in practice-based Social Work research participated in a Q methodology study. Q methodology combines qualitative and quantitative methods. It helped reveal and describe divergent views as well as consensus. The analysis led to the identification of three differing viewpoints on Social Work research, which have been given the following denominators: The Substantiator, The Change Agent and The Enlightener. The viewpoints provide researchers in the field of Social Work with a framework in which they can position themselves in the methodological pluralism. Researchers state that the viewpoints are helpful in clarifying perspectives on good research, facilitate the discourse on methodological choices to further develop and strengthen Social Work research as a scientific discipline.
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- 2022
33. Evaluation of an Adaptive Implementation Program for Cognitive Adaptation Training for People With Severe Mental Illness: a cluster-randomized controlled trial
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Van Der Meer, L., primary, Van Dam, M., additional, Van Weeghel, J., additional, Castelein, S., additional, and Pijnenborg, G., additional
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- 2022
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34. The Association Between Executive Functioning and Personal Recovery in People With Psychotic Disorders
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van Aken, B C, primary, Wierdsma, A I, additional, Voskes, Y, additional, Pijnenborg, G H M, additional, van Weeghel, J, additional, and Mulder, C L, additional
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- 2022
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35. Corrigendum
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van Aken, B.C., Bakia, A., Wierdsma, A.I., Voskes, Y., Van Weeghel, J., van Bussel, E.M.M., Hagestein, C., Ruissen, A.M., Leendertse, P., Sewbalak, W.V., van der Draai, D.A., Hammink, A., Mandos, M.E., van der Gaag, M., Bonebakker, A.E., Van Der Feltz-Cornelis, C.M., and Mulder, C.L.
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© 2021 van Aken, Bakia, Wierdsma, Voskes, Van Weeghel, van Bussel, Hagestein, Ruissen, Leendertse, Sewbalak, van der Draai, Hammink, Mandos, van der Gaag, Bonebakker, Van Der Feltz-Cornelis and MulderIn the original article, reference (100) was incorrectly written as “de Sonneville L. Amsterdamse neuropsychologische taken: wetenschappelijke en klinische toepassingen. Tijdschr voor Neuropsychol. (2005) 10:27–41”. It should be “Corcoran R, Mercer G, Frith CD. Schizophrenia, symptomatology and social inference: investigating “theory of mind” in people with schizophrenia. Schizophr Res. (1995) 17:5–13.” The authors apologize for this error and state that this does not change the scientific conclusions of the article in any way. The original article has been updated.
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- 2021
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36. Strategies for parenting by mothers and fathers with a mental illness
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VAN DER ENDE, P. C., VAN BUSSCHBACH, J. T., NICHOLSON, J., KOREVAAR, E. L., and VAN WEEGHEL, J.
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- 2016
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37. In What Ways Does Health Related Stigma Affect Sustainable Employment and Well-Being at Work? A Systematic Review
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van Beukering, I. E., primary, Smits, S. J. C., additional, Janssens, K. M. E., additional, Bogaers, R. I., additional, Joosen, M. C. W., additional, Bakker, M., additional, van Weeghel, J., additional, and Brouwers, E. P. M., additional
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- 2021
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38. Line managers' hiring intentions regarding people with mental health problems: A cross-sectional study on workplace stigma
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Janssens, K. M. E., van Weeghel, J., Dewa, C., Henderson, C., Mathijssen, J. J. P., Joosen, M. C. W., Brouwers, E. P. M., Janssens, K. M. E., van Weeghel, J., Dewa, C., Henderson, C., Mathijssen, J. J. P., Joosen, M. C. W., and Brouwers, E. P. M.
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- 2021
39. Victimisation of individuals with serious mental illness living in sheltered housing: Differential impact of risk factors related to clinical and demographic characteristics
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Zarchev, M., Mulder, C. L., Henrichs, J., Roeg, D. P. K., Bogaerts, S., van Weeghel, J., Kamperman, A. M., Zarchev, M., Mulder, C. L., Henrichs, J., Roeg, D. P. K., Bogaerts, S., van Weeghel, J., and Kamperman, A. M.
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Background Sheltered housing is associated with quality-of-life improvements for individuals with serious mental illness (SMI). However, there are equivocal findings around safety outcomes related to this type of living condition. Aims We aimed to investigate raw differences in prevalence and incidence of crime victimisation in sheltered housing compared with living alone or with family; and to identify groups at high risk for victimisation, using demographic and clinical factors. We do so by reporting estimated victimisation incidents for each risk group. Method A large, community-based, cross-sectional survey of 956 people with SMI completed the Dutch Crime and Victimisation Survey. Data was collected on victimisation prevalence and number of incidents in the past year. Results Victimisation prevalence was highest among residents in sheltered housing (50.8%) compared with persons living alone (43%) or with family (37.8%). We found that sheltered housing was associated with increased raw victimisation incidence (incidence rate ratio: 2.80, 95% CI 2.36–3.34 compared with living with family; 1.87, 95% CI 1.59–2.20 compared with living alone). Incidence was especially high for some high-risk groups, including men, people with comorbid post-traumatic stress disorder and those with high levels of education. However, women reported less victimisation in sheltered housing than living alone or with family, if they also reported drug or alcohol use. Conclusions The high prevalence and incidence of victimisation among residents in sheltered housing highlights the need for more awareness and surveillance of victimisation in this population group, to better facilitate a recovery-enabling environment for residents with SMI.
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- 2021
40. UP's: A cohort study on recovery in psychotic disorder patients: Design protocol
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van Aken, B. C., Bakia, A., Wierdsma, A. I., Voskes, Y., van Weeghel, J., van Bussel, E. M. M., Hagestein, C., Ruissen, A. M., Leendertse, P., Sewbalak, W. V., van der Draai, D. A., Hammink, A., Mandos, M. E., van der Gaag, M., Bonebakker, A. E., van der Feltz-Cornelis, C. M., Mulder, C. L., van Aken, B. C., Bakia, A., Wierdsma, A. I., Voskes, Y., van Weeghel, J., van Bussel, E. M. M., Hagestein, C., Ruissen, A. M., Leendertse, P., Sewbalak, W. V., van der Draai, D. A., Hammink, A., Mandos, M. E., van der Gaag, M., Bonebakker, A. E., van der Feltz-Cornelis, C. M., and Mulder, C. L.
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Recovery is a multidimensional concept, including symptomatic, functional, social, as well as personal recovery. The present study aims at exploring psychosocial and biological determinants of personal recovery, and disentangling time-dependent relationships between personal recovery and the other domains of recovery in a sample of people with a psychotic disorder. A cohort study is conducted with a 10-year follow-up. Personal recovery is assessed using the Recovering Quality of Life Questionnaire (ReQoL) and the Individual Recovery Outcomes Counter (I.ROC). Other domains of recovery are assessed by the Positive and Negative Symptom Scale Remission (PANSS-R), the BRIEF-A and the Social Role Participation Questionnaire—Short version (SRPQ) to assess symptomatic, functional and societal recovery, respectively. In addition, multiple biological, psychological, and social determinants are assessed. This study aims to assess the course of personal recovery, and to find determinants and time-dependent relationships with symptomatic, functional and societal recovery in people with a psychotic disorder. Strengths of the study are the large number of participants, long duration of follow-up, multiple assessments over time, extending beyond the treatment trajectory, and the use of a broad range of biological, psychological, and social determinants.
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- 2021
41. Targeting personal recovery of people with complex mental health needs: The development of a psychosocial intervention through user-centered design
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van der Meer, L., Jonker, T., Wadman, H., Wunderink, C., van Weeghel, J., Pijnenborg, G. H. M., van Setten, E. R. H., van der Meer, L., Jonker, T., Wadman, H., Wunderink, C., van Weeghel, J., Pijnenborg, G. H. M., and van Setten, E. R. H.
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Long-term admissions in psychiatric facilities often result in a gradual erosion of the identity of people diagnosed with severe mental illnesses (SMIs) into merely “patient.” Moreover, experiences of loss often reduced people's sense of purpose. Although regaining a multidimensional identity and a sense of purpose are essential for personal recovery, few interventions specifically address this, while at the same time take people's often considerable cognitive and communicative disabilities into consideration. This study describes the development process of a new intervention through user-centered design (UCD). UCD is an iterative process in which a product (in this case, an intervention) is developed in close cooperation with future users, such that the final product matches their needs. The design process included three phases: an analysis, design, and evaluation phase. In the analysis phase, the “problem” was defined, users' needs were identified, and design criteria were established. In the design phase, the collected information served as input to create a testable prototype using a process of design and redesign, in close collaboration with service users and other stakeholders. This resulted in an intervention entitled “This is Me” (TiM) in which service users, together with a self-chosen teammate, actively engage in new experiences on which they are prompted to reflect. Finally, in the evaluation phase, TiM was implemented and evaluated in a real-life setting. In a small feasibility pilot, we found indications that some people indeed demonstrated increased reflection on their identity during the intervention. Furthermore, TiM seemed to benefit the relationship between the service users and the mental health professionals with whom they underwent the experiences. The pilot also revealed some aspects of the (implementation of) TiM that can be improved. Overall, we conclude that UCD is a useful method for the development of a new psychosocial intervention. The m
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- 2021
42. Public stigmatisation of people with intellectual disabilities: A mixed-method population survey into stereotypes and their relationship with familiarity and discrimination
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Pelleboer-Gunnink, H. A., van Weeghel, J., Embregts, P. J. C. M., Pelleboer-Gunnink, H. A., van Weeghel, J., and Embregts, P. J. C. M.
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Purpose: Stigmatisation can negatively affect opportunities for people with intellectual disabilities to participate in society. Stereotyping, a first step in the process of stigmatisation, has been insufficiently explored for people with intellectual disabilities. This study examined the general public's set of stereotypes that is saliently attributed to people with intellectual disabilities as well as the relationship of these stereotypes with discriminatory intentions and familiarity. Materials and methods: A mixed-method cross-sectional survey within a representative sample of the Dutch population (n = 892) was used. Stereotypes were analysed with factor analysis of a trait-rating scale, and qualitative analysis of an open-ended question. The relationship between stereotypes and discrimination as well as familiarity with people with intellectual disabilities was explored through multivariate analyses. Results and conclusions: Four stereotype-factors appeared: "friendly", "in need of help", "unintelligent", and "nuisance". Stereotypes in the "nuisance" factor seemed unimportant due to their infrequent report in the open-ended question. "Friendly", "in need of help", "unintelligent" were found to be salient stereotypes of people with intellectual disabilities due to their frequent report. The stereotypes did not relate to high levels of explicit discrimination. Yet due to the both positive and negative valence of the stereotypes, subtle forms of discrimination may be expected such as limited opportunities for choice and self-determination. This may affect opportunities for rehabilitation and might be challenged by protest-components within anti-stigma efforts. Implications for rehabilitation: There is currently sparse input for anti-stigma campaigns regarding people with intellectual disabilities. Anti-stigma interventions may benefit from adopting protest elements: education of the general public about inequalities
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- 2021
43. IPS in supported housing: Fidelity and employment outcomes over a 4 year period
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Roeg, D. P. K., de Winter, L., Bergmans, C., Couwenbergh, C., McPherson, P., Killaspy, H., van Weeghel, J., Roeg, D. P. K., de Winter, L., Bergmans, C., Couwenbergh, C., McPherson, P., Killaspy, H., and van Weeghel, J.
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Background: People with severe mental illness have difficulties finding and maintaining competitive employment. This is particularly so for those living in supported housing who, by definition, have significant day-to-day support needs: in the Netherlands only 3 to 5% of people with serious mental health problems who live in supported housing are competitively employed. To support these people in finding and maintaining competitive employment, Individual Placement, and Support (IPS) was introduced within supported housing services in the Netherlands in 2015. As this is the first country that broadly implemented IPS in supported housing settings, this paper will focus on the first results regarding feasibility and effects on employment in clients of IPS in this sector. Methods: We investigated the feasibility and employment outcomes of delivering IPS in supported housing services using fidelity assessments and quarterly employment outcomes on IPS program level within eight supported housing organizations, and compared these with 21 mental health treatment organizations in the Netherlands over a 4 year period. We investigated possible reasons for our findings and their implications through qualitative evaluations of the IPS fidelity assessors' notes and additional focus groups with IPS specialists and coordinators from supported housing services and fidelity assessors. Results: The overall fidelity scores indicated reasonable implementation of the IPS model within both supported housing services and mental health services. However, there were differences between services with regard to specific fidelity items; mental health treatment organizations scored higher for team integration, whereas supported housing services scored higher for rapid job search and caseload size, diversity of jobs, and employers. Our qualitative data suggested that the difference in team integration between the two sectors was due to differences in their organiz
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- 2021
44. Emerging processes within peer-supported hearing voices groups: A qualitative study in the Dutch context
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Schaefer, B., Boumans, J., van Os, J., van Weeghel, J., Schaefer, B., Boumans, J., van Os, J., and van Weeghel, J.
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Purpose/Aims: This study aimed to gain insight into the value of Hearing Voices Groups (HVGs) in the Dutch context. Specifically, we aimed to learn more about the meaning of HVG participation, as well as the aspects that contribute to that meaning, from the perspective of participants' experiences. Method: The study used a qualitative design with in-depth interviews to explore the experiences of 30 members within seven HVGs in the Netherlands. Interviews were recorded, transcribed, and analyzed using interpretative analysis inspired by the Grounded Theory method. Findings: The individual-level analysis revealed four different group processes that appear to determine the value that HVGs have for their participants: (i) peer-to-peer validation, (ii) exchanging information and sharing self-accumulated knowledge, (iii) connection and social support, and (iv) engaging in mutual self-reflection. We found that specific characteristics of HVGs facilitate these group processes and lead to specific personal outcomes. Combining the interview data from people who joined the same HVG reveals that, although all four described group processes occur in all groups, each group's emphasis differs. Three related factors are described: (i) the composition of the group, (ii) the style of the facilitators, and (iii) the interaction between group processes and individual processes. Implications: Unique processes, for which there is little to no place within regular mental health care (MHC), occur within HVGs. MHC professionals should be more aware of the opportunities HVG can offer voice-hearers. Essential matters regarding the implementation of HVGs are discussed.
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- 2021
45. Development of an intervention aimed at increasing awareness and acknowledgement of victimisation and its consequences among people with severe mental illness
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Albers, W. M. M., Nijssen, Y. A. M., Roeg, D. P. K., Bongers, I. M. B., van Weeghel, J., Albers, W. M. M., Nijssen, Y. A. M., Roeg, D. P. K., Bongers, I. M. B., and van Weeghel, J.
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Individuals with severe mental illness have a significant risk of (anticipated) discrimination and (criminal) victimisation, which is not structurally and systematically addressed by mental health practitioners. The aim of this study was to develop and pilot an intervention which supports professionals to address victimisation and its consequences, in order to reinforce safe social participation and improve recovery. Following the rehabilitation and positive risk management literature, in addition to current practice, intervention components were developed in two focus groups and four subsequent expert meetings. The intervention was piloted in two outpatient teams before being finalised. The Victoria intervention includes positive risk management, focusing on clients’ narratives and strengths, and awareness of unsafe (home) environments: it comprises four steps: exploring issues with social participation, analysing victimisation experiences, clarifying the context of these experiences, and determining future steps, including victimisation-sensitive rehabilitation planning and optional trauma treatment. Future research should further test this intervention.
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- 2021
46. Workers' decisions to disclose a mental health Issue to managers and the consequences
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Dewa, C. S., van Weeghel, J., Joosen, M. C. W., Gronholm, P. C., Brouwers, E. P. M., Dewa, C. S., van Weeghel, J., Joosen, M. C. W., Gronholm, P. C., and Brouwers, E. P. M.
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Background: Stigma can be a barrier to accessing effective interventions and work accommodations for mental illnesses. Fear of stigma's concomitant prejudice and discrimination can inhibit workers from asking for help. Thus, it may be important to develop effective interventions addressing workplace stigma. To identify important targets for these interventions, this study addresses three questions: (1) what proportion of workers experiencing mental health issues disclosed their mental health issue to their managers, (2) what factors did they identify as contributing to their disclosure decisions, and (3) what were the consequences of their decisions? Methods: The dataset is comprised of responses from respondents who were randomly drawn from a nationally representative sample of working Dutch adults who completed a web-based survey in February 2018. Respondents indicating they either had or have mental health issues were asked three sets of questions focusing on: (1) Did you disclose your mental health issue to you manager? (2) For what reasons did you disclose/not disclose the issue? (3) What were the consequences of your disclosure decision? Results: About 73% of respondents with lived experience with mental health issues told their managers about their mental health issue. The structure of the survey questions identified four groups of workers who either: (1) disclosed and had a positive experience (64.2%), (2) disclosed and had a negative experience (9.0%), (3) did not disclose and had a positive experience (22.6%), or (4) did not disclose and had a negative experience (4.2%). Conclusion: Our results reflect workers' diverse preferences for disclosing their mental health issues to their managers. Understanding both the factors that contributed to the decision to disclose and the consequences of disclosure decisions could help to better target workplace educational programs and interventions to address workplace stig
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- 2021
47. Belemmerende en bevorderende factoren voor hulp zoeken bij psychische klachten of verslaving: Focusgroepstudie vanuit meerdere perspectieven binnen de Nederlandse krijgsmacht
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Bogaers, R. I., Geuze, S. G., van Weeghel, J., Leijten, F. R. M., van de Mheen, Dike, Varis, P. K., Rozema, A. D., Brouwers, E. P. M., Bogaers, R. I., Geuze, S. G., van Weeghel, J., Leijten, F. R. M., van de Mheen, Dike, Varis, P. K., Rozema, A. D., and Brouwers, E. P. M.
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Achtergrond Wereldwijd worden miljoenen mensen op het werk blootgesteld aan stressvolle factoren die de kans op het ontwikkelen van psychische klachten en/of verslaving (PK/V) verhogen (bijvoorbeeld militairen, politie, artsen). Maar het zijn ook juist deze beroepen waar men geacht wordt sterk en gezond te zijn. Hierdoor is het soms moeilijker om hulp te zoeken voor PK/V. Zo laat Engels onderzoek zien dat 60% van de militairen met PK/V hier geen professionele hulp voor zoekt. Eerder onderzoek naar hulp zoeken voor PK/V richtte zich met name op het perspectief van militairen met PK/V, waarbij andere belangrijke perspectieven niet meegenomen werden. Daarnaast is dit probleem niet eerder onderzocht binnen de Nederlandse krijgsmacht. Doel Het doel van de huidige studie was de belemmerende en bevorderende factoren voor het zoeken van hulp voor PK/V in kaart te brengen binnen de Nederlandse krijgsmacht vanuit verschillende perspectieven. Methode In totaal hebben 46 mensen deelgenomen aan de studie verdeeld over acht focusgroepen, met drie verschillende perspectieven: vier groepen militairen met PK/V (totaal 20 deelnemers), twee groepen militairen zonder PK/V (totaal 10 deelnemers) en twee groepen zorgprofessionals (totaal 16 deelnemers). De focusgroepen zijn opgenomen en letterlijk uitgeschreven. Vervolgens is met behulp van kwalitatieve data-analysesoftware contentanalyse uitgevoerd vanuit een inductieve benadering. Resultaten Er zijn vijf belemmerende factoren voor het zoeken van hulp gevonden: (1) angst voor negatieve carrièregevolgen, (2) angst voor sociale afwijzing, (3) zorgen rond de vertrouwelijkheid, (4) de militaire werkcultuur en (5) praktische barrières. Ook zijn drie bevorderende factoren gevonden: (1) sociale steun, (2) toegankelijkheid zorgverlening en kennis over waar hulp te verkrijgen en (3) militaire zorgverlening. Ondanks dat het onderzoek zich expliciet richtte op verschillende perspectieven kwamen de vis
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- 2021
48. Stigma research in the field of intellectual disabilities: A scoping review on the perspective of care providers
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Pelleboer-Gunnink, H. A., van Oorsouw, W. M. W. J., van Weeghel, J., Embregts, P. J. C. M., Pelleboer-Gunnink, H. A., van Oorsouw, W. M. W. J., van Weeghel, J., and Embregts, P. J. C. M.
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Objectives: Care providers are key agents in the lives of individuals with an intellectual disability (ID). The quality of their support can be affected by manifestations of stigma. This scoping review was conducted to explore studies that provide indications of care providers’ stigmatization of people with ID. Methods: A structured search was made in four databases to identify relevant studies in English-language peer-reviewed journals. Records were systematically and independently screened by the researchers. Results: The 40 articles included in this review were mainly conducted in Western countries and used Likert-type self-report measures of explicit attitudes. Stigmatization seemed more distinct concerning people with high support needs. The few studies on public stigma preliminary suggest that staff may also stigmatize people with ID based on other social identities. Regarding the support of structural stigma, staff reported skepticism regarding community inclusion for people with high support needs, and tended to be ambivalent about the protection-or-empowerment balance in the support of people with ID. Possible indications of stigmatization regarding sexuality were found on specific issues, such as self-determination and privacy. Agreement of staff with certain rights did not necessarily lead to staff acting in accordance with such rights. Conclusion: Indications of stigmatization of people with ID by care providers were found. Stigmatizing attitudes might affect the quality of care providers’ support. Potential leads for future interventions concern creating awareness, sharing power, addressing diagnostic overshadowing, and providing explicit policy translations. Directions for future research concern strengthening the methodology of studies and enriching the studied topics.
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- 2021
49. The association between common mental disorders and violence: to what extent is it influenced by prior victimization, negative life events and low levels of social support?
- Author
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ten Have, M., de Graaf, R., van Weeghel, J., and van Dorsselaer, S.
- Published
- 2014
50. Positieve effecten van voorlichting over psychiatrische aandoeningen in de algemene bevolking
- Author
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van Erp, N., van Zelst, C., Delespaul, P., Wagemakers, E., van Weeghel, J., Brugmans, J., Bierbooms, J. J. P. A., Rabbers, G., van de Weerd, S., Kroon, H., Tranzo, Scientific center for care and wellbeing, and Geestelijke Gezondheidszorg
- Abstract
Achtergrond: De cursus Mental Health First Aid (mhfa) is een vorm van psycho-educatie voor burgers in de algemene bevolking en voor specifieke doelgroepen (welzijnswerkers, politie e.d.). De cursus is erop gericht om psychische problemen bij anderen te herkennen, hen te benaderen,te ondersteunen en te verwijzen naar passende hulp. Doel: Beargumenteren van de mogelijke bijdrage die mhfa kan leveren aan de vroegsignalering van, vroege interventie bij en destigmatisering van psychische problemen in Nederland. METHODE Vanuit de literatuur en praktijk beschrijven van kenmerken, meerwaarde en aandachtspunten van mhfa in de Nederlandse context. Resultaten: Positieve ervaringen in het buitenland doen veronderstellen dat mhfa ook in Nederland kan bijdragen aan de vroegsignalering van, vroege interventie bij en destigmatisering van psychische problemen. Optimalisering van de cursus op de lokale context is hierbij van belang. Conclusie: Gezien de ervaringen met mhfa in het buitenland verwachten wij dat de cursus ook in Nederland kan bijdragen aan de vroegsignalering van, vroege interventie bij en destigmatisering van psychische problemen. Optimalisering van de cursus op de Nederlandse lokale context is hierbij van belang. Nederlands evaluatie- en effectonderzoek is nodig om vast te stellen of de positieve effecten uit internationaal onderzoek ook in ons land van toepassing zijn. Ook is meer inzicht nodig in hoe de cursus kan worden toegesneden op de lokale Nederlandse context, of volwassenen en jongeren tijdig goede hulp ontvangen dankzij mhfa, en hoe het stigma rond psychische aandoeningen verder verkleind kan worden.
- Published
- 2020
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