Helen Lester
Biographic Data
| ID | 102165 |
|---|---|
| NAME | Helen Lester |
| GIVEN NAMES | Helen |
| FAMILY NAME | Lester |
| SIGNATURE | LESTER H |
| AFFILIATIONS | University of Manchester |
| VERIFIED | No |
| TOTAL WORKS | 14 |
| TOTAL CITATIONS | 34 |
| AUTHOR COUNT | 14 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2004 |
| LATEST PUBLICATION YEAR | 2016 |
| H-INDEX | 4 |
Barriers to shared decision making in mental health care
BACKGROUND: Despite increasing calls for shared decision making (SDM), the precise mechanisms for its attainment are unclear. Sharing decisions in mental health care may be especially complex. Fluctuations in service user capacity and significant power differences are particular barriers. OBJECTIVE AND DESIGN: We trialled a form of facilitated SDM that aimed to generate patients' treatment preferences in advance of a possible relapse. The 'Joint …
Improving Therapeutic Relationships
Outcomes for individuals with psychosis remain far from acceptable. Recently, prominent psychiatrists have called for an improved understanding of the impact of social contexts, and how social contexts might influence the development and maintenance of mental health problems. A key social context for individuals with psychosis is the therapeutic relationship. As part of a trial of joint crisis planning in England, this qualitative study aimed to …
Therapeutic relationships between mental health service users with psychotic disorders and their clinicians
Individuals with schizophrenia and other psychotic disorders remain among the most marginalised in our communities. There has been increasing criticism of the current state of clinical treatment of such individuals as technological developments in medication provide little, if any, improvement in the lived experiences of mental health service users (SUs). In this context, there is a call for a re-orientation away from medication in the treatment …
Usefulness of EQ-5D for evaluation of health-related quality of life in young adults with first-episode psychosis
An exploration of the value and mechanisms of befriending for older adults in England
Social isolation and loneliness in older adults are growing problems. Empirical research suggests that loneliness can lead to poorer health outcomes including higher mortality rates. Befriending has been shown to decrease loneliness and depression although the exact mechanisms of action are unclear. In this study we aimed to explore experiences and identify key ‘ingredients’ of befriending through interviews conducted with 25 older adults who had…
Practice nurses and the effects of the new general practitioner contract in the English National Health Service
Barriers and facilitators to partnership working between Early Intervention Services and the voluntary and community sector
Partnership working between health and the voluntary and community sector has become an increasing political priority. This paper describes and explores the extent and patterns of partnership working between health and the voluntary and community sector in the context of Early Intervention Services for young people with a first episode of psychosis. Data were collected from 12 Early Intervention Services and through semistructured interviews with…
Mental Health Care for People of Diverse Backgrounds - edited by Julia Buckner, Yezzennya Castro, Jill Holm-Denoma and Thomas Joiner Jr.
Designing and evaluating complex interventions to improve health care
Determining the effectiveness of complex interventions can be difficult and time consuming. Neil C Campbell and colleagues explain the importance of ground work in getting usable results
Incremental change without policy learning
This paper reviews recent policy changes in English mental health services and the nature of the evidence base that has guided these changes. In particular, the paper focuses on different groups within mental health policy and practice, citing examples of information rejection by each of the key stakeholders. Drawing on a neo-Durkheimian institutionalist framework, the paper argues that each group classifies the world, remembers and forgets, and …
Contesting Psychiatry. Social Movements in Mental Health by Crossley, N
Crossley, N. Contesting Psychiatry. Social Movements in Mental Health . Abingdon : Routledge, Taylor and Francis Group , 2006 . £21.99 (pbk) 228pp . ISBN 0-415-35417-x . Contesting Psychiatry, a new book by Nick Crossley, a leading expert in the field of social movements, explores the history of power and resistance to it in psychiatry during the second half of the 20th Century. In particular, the book focuses on the history of social movements a…
Integrated mental health services in England
We conclude with suggestions for strategies that may facilitate more integrated working
Listen to my madness
This article explores the salience of disability theory for understanding the experiences of people with serious mental illness. Drawing on data from a focus group study, we suggest that users experience both impairment (as embodied irrationality) which can, in itself, be oppressive, and also have to manage their lives within a largely disabling society. We outline some of the strategies adopted by users to manage their situation and ensure they …
Delayed Hospital Discharge and Mental Health
In 2003, the Community Care (Delayed Discharges etc.) Act introduced charges for social services departments unable to discharge patients from hospital within agreed timescales. As details of this reimbursement policy have begun to emerge, it has become apparent that the new system may also be extended to mental health services. In response, this narrative review of the literature on delayed hospital discharges and mental health reports findings …
Practice nurses and the effects of the new general practitioner contract in the English National Health Service
Listen to my madness
This article explores the salience of disability theory for understanding the experiences of people with serious mental illness. Drawing on data from a focus group study, we suggest that users experience both impairment (as embodied irrationality) which can, in itself, be oppressive, and also have to manage their lives within a largely disabling society. We outline some of the strategies adopted by users to manage their situation and ensure they …
An exploration of the value and mechanisms of befriending for older adults in England
Social isolation and loneliness in older adults are growing problems. Empirical research suggests that loneliness can lead to poorer health outcomes including higher mortality rates. Befriending has been shown to decrease loneliness and depression although the exact mechanisms of action are unclear. In this study we aimed to explore experiences and identify key ‘ingredients’ of befriending through interviews conducted with 25 older adults who had…
Barriers and facilitators to partnership working between Early Intervention Services and the voluntary and community sector
Partnership working between health and the voluntary and community sector has become an increasing political priority. This paper describes and explores the extent and patterns of partnership working between health and the voluntary and community sector in the context of Early Intervention Services for young people with a first episode of psychosis. Data were collected from 12 Early Intervention Services and through semistructured interviews with…
Incremental change without policy learning
This paper reviews recent policy changes in English mental health services and the nature of the evidence base that has guided these changes. In particular, the paper focuses on different groups within mental health policy and practice, citing examples of information rejection by each of the key stakeholders. Drawing on a neo-Durkheimian institutionalist framework, the paper argues that each group classifies the world, remembers and forgets, and …
Improving Therapeutic Relationships
Outcomes for individuals with psychosis remain far from acceptable. Recently, prominent psychiatrists have called for an improved understanding of the impact of social contexts, and how social contexts might influence the development and maintenance of mental health problems. A key social context for individuals with psychosis is the therapeutic relationship. As part of a trial of joint crisis planning in England, this qualitative study aimed to …
Integrated mental health services in England
We conclude with suggestions for strategies that may facilitate more integrated working
Delayed Hospital Discharge and Mental Health
In 2003, the Community Care (Delayed Discharges etc.) Act introduced charges for social services departments unable to discharge patients from hospital within agreed timescales. As details of this reimbursement policy have begun to emerge, it has become apparent that the new system may also be extended to mental health services. In response, this narrative review of the literature on delayed hospital discharges and mental health reports findings …
Integrated mental health services in England
We conclude with suggestions for strategies that may facilitate more integrated working
Listen to my madness
This article explores the salience of disability theory for understanding the experiences of people with serious mental illness. Drawing on data from a focus group study, we suggest that users experience both impairment (as embodied irrationality) which can, in itself, be oppressive, and also have to manage their lives within a largely disabling society. We outline some of the strategies adopted by users to manage their situation and ensure they …
Contesting Psychiatry. Social Movements in Mental Health by Crossley, N
Crossley, N. Contesting Psychiatry. Social Movements in Mental Health . Abingdon : Routledge, Taylor and Francis Group , 2006 . £21.99 (pbk) 228pp . ISBN 0-415-35417-x . Contesting Psychiatry, a new book by Nick Crossley, a leading expert in the field of social movements, explores the history of power and resistance to it in psychiatry during the second half of the 20th Century. In particular, the book focuses on the history of social movements a…
Mental Health Care for People of Diverse Backgrounds - edited by Julia Buckner, Yezzennya Castro, Jill Holm-Denoma and Thomas Joiner Jr.
Designing and evaluating complex interventions to improve health care
Determining the effectiveness of complex interventions can be difficult and time consuming. Neil C Campbell and colleagues explain the importance of ground work in getting usable results
Incremental change without policy learning
This paper reviews recent policy changes in English mental health services and the nature of the evidence base that has guided these changes. In particular, the paper focuses on different groups within mental health policy and practice, citing examples of information rejection by each of the key stakeholders. Drawing on a neo-Durkheimian institutionalist framework, the paper argues that each group classifies the world, remembers and forgets, and …
Barriers and facilitators to partnership working between Early Intervention Services and the voluntary and community sector
Partnership working between health and the voluntary and community sector has become an increasing political priority. This paper describes and explores the extent and patterns of partnership working between health and the voluntary and community sector in the context of Early Intervention Services for young people with a first episode of psychosis. Data were collected from 12 Early Intervention Services and through semistructured interviews with…
Practice nurses and the effects of the new general practitioner contract in the English National Health Service
Usefulness of EQ-5D for evaluation of health-related quality of life in young adults with first-episode psychosis
An exploration of the value and mechanisms of befriending for older adults in England
Social isolation and loneliness in older adults are growing problems. Empirical research suggests that loneliness can lead to poorer health outcomes including higher mortality rates. Befriending has been shown to decrease loneliness and depression although the exact mechanisms of action are unclear. In this study we aimed to explore experiences and identify key ‘ingredients’ of befriending through interviews conducted with 25 older adults who had…
Therapeutic relationships between mental health service users with psychotic disorders and their clinicians
Individuals with schizophrenia and other psychotic disorders remain among the most marginalised in our communities. There has been increasing criticism of the current state of clinical treatment of such individuals as technological developments in medication provide little, if any, improvement in the lived experiences of mental health service users (SUs). In this context, there is a call for a re-orientation away from medication in the treatment …
Improving Therapeutic Relationships
Outcomes for individuals with psychosis remain far from acceptable. Recently, prominent psychiatrists have called for an improved understanding of the impact of social contexts, and how social contexts might influence the development and maintenance of mental health problems. A key social context for individuals with psychosis is the therapeutic relationship. As part of a trial of joint crisis planning in England, this qualitative study aimed to …
Barriers to shared decision making in mental health care
BACKGROUND: Despite increasing calls for shared decision making (SDM), the precise mechanisms for its attainment are unclear. Sharing decisions in mental health care may be especially complex. Fluctuations in service user capacity and significant power differences are particular barriers. OBJECTIVE AND DESIGN: We trialled a form of facilitated SDM that aimed to generate patients' treatment preferences in advance of a possible relapse. The 'Joint …
Psychology (12 works) · Psychiatry (9 works) · Medicine (8 works) · Mental health (8 works) · Political science (8 works) · Health care (6 works) · Mental Health and Patient Involvement (5 works) · Nursing (5 works) · Business (4 works) · Psychotherapist (4 works)