Forensic MH patient experience of strength-based approaches 2
Research type
Research Study
Full title
A Qualitative Exploration of Service Users’ Experiences of Strength-Based Approaches in Forensic Mental Health Settings: An Interpretative Phenomenological Analysis
IRAS ID
336563
Contact name
Karen McKeown
Contact email
Sponsor organisation
University of Glasgow on behalf of NHS GG&C
Duration of Study in the UK
0 years, 6 months, 24 days
Research summary
Summary of Research
Background: Strength-Based Approaches (SBA) are asset based and focus on individual strengths, goals and values to promote well-being. Forensic mental healthcare has traditionally focused on deficit based approaches to managing risk and needs. More recent forensic research highlights positive SBA outcomes in recovery, quality of life, recidivism, mental health, violence, risk and engagement. Limited evidence on the topic however, suggests little evidence of clinical application of SBA in practice with some highlighting potential barriers such as reluctance to positive risk taking. As such, there is limited research on SBA as applied to clinical practice overall, and much of this is predominantly from a staff rather than service-user perspective. Conceptual misunderstandings have also been indicated highlighting a need for need for further research.
Aims: This study aims to elicit understanding of forensic mental health service users’ perspectives on and experiences of SBA within their care and treatment.
Methods: Interpretive Phenomenological Analysis (IPA) of semi-structured interviews with service users residing in medium-secure inpatient settings will take place. Projected sample size is 6.
Practical Applications: This research aligns with recommendations from the Scottish Government Independent Forensic Mental Health Review, specifically promotion of a holistic approach to violence risk assessment and recovery in forensic mental healthcare. Attempting to understand the service user perspective of their experience might help inform further policy development and clinical approaches to promoting the application of SBA in forensic mental health practice. New insights might promote professional awareness and understanding, and contribute to theory development on recovery focused approaches, an under researched area.Summary of Results
Four main themes were identified: The System, Recovery, Therapeutic Milieu, and A Chance. These included several informant themes describing a range of further experiences.
The research highlighted that service users were somewhat familiar with their personal strengths, values and goals. Although, they were not as familiar with how they formed part of their care and treatment. It is possible that the inherent power imbalance between service users and the forensic mental health system is the primary barrier to this in practice.
Services should consider incorporating SBA earlier and more explicitly into care and treatment and increasing staff training on SBA and related principles.REC name
West of Scotland REC 3
REC reference
23/WS/0183
Date of REC Opinion
15 Jan 2024
REC opinion
Further Information Favourable Opinion