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Background: Groups at high risk of severe illness/death from COVID-19 (older people and those identified as clinically extremely vulnerable: CEV) experienced increased restrictions, poor mental health and loneliness during the first UK lockdown. Methods: Seventeen older adults, eight CEV adults, one parent of a CEV child, and two family carers of CEV adults, shared their experiences of the first UK lockdown through various media: written reflections, interviews, poetry, videos, photographs, and visual artwork. Results: Through a positive psychology lens, five themes were identified: experiencing loss; community and connection; finding joy, hope and optimism; adapting to change; and sense- and meaning-making. Conclusion: High-risk groups fostered wellbeing and flourishing and formed a sense of coherence in a time of great loss. Engagement with artistic, creative, and cultural activities facilitated this. The arts not only provided a creative means of collecting data but was also identified as a central thread in the findings. [ABSTRACT FROM AUTHOR]

Interprofessional working is common practice within the health and care sector and particularly within care homes to support the diverse needs of their residents. However, this is less common between the arts and care sectors despite the established impact of the arts on older people's health, wellbeing, and quality of life. Arts activities that do take place in care homes tend to be time-bound, with artists utilising short-term funding to deliver a defined project often with limited engagement from care home staff due to their competing priorities. This article reflects on qualitative findings from the Artists' Residencies in Care Homes (ARCH) programme led by Magic Me, which paired four leading arts organisations with four care homes in Essex who worked together over four years to deliver creative arts for the residents. Building trusted relationships and collaborative working between the artists and care home staff was essential for the success of the residencies and for generating and embedding sustainable creative practice in the homes. This article argues that for creative practice to become sustainably embedded in care homes, arts organisations and the arts and culture sector need to embrace interprofessional collaborative practice in health and social care. [ABSTRACT FROM AUTHOR]

Confronted with a range of methodological options, novice researchers often face the daunting dilemma of selecting a methodological route which best fits the purpose of their study. Following the decision-making process, all methodologies present challenges which need to be explored and addressed. This paper outlines the application of descriptive phenomenology for a doctoral study. Examples and insights are offered about how applied theoretical underpinnings can translate into research action. The central aim of descriptive phenomenology is to use first person accounts to clarify the essential meanings of defined phenomena. Therefore, attention is placed on how researchers can use the process of methodologically coherent bracketing to remain participant focussed. The metaphor of a stage play is used to illustrate the research process and identify issues relating to researcher positionality. A suggested prompt sheet is included to help readers practically consider the steps involved in undertaking a study using descriptive phenomenology. The paper concludes with the assertion that methodologically coherent descriptive phenomenology is a useful approach for gaining valuable understandings into human experience. This paper will be relevant for many disciplines and allied healthcare professionals who wish to consider descriptive phenomenology as an interesting and appropriate qualitative methodology. This paper seeks to provide an academic awareness into an established, yet growing methodology, providing methodological insights and an interdisciplinary recognition that descriptive phenomenology can be applied and implemented to support many areas of qualitative study. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic placed increasing pressure on university staff with spiralling workloads due to the rapid implementation of changes to university processes and staff being required to take on additional duties due to self-isolating or unwell colleagues. The mental health of students was also adversely affected due to changes in their education and social life and the overall uncertainty caused by the pandemic. Engaging in creative and cultural activities has been demonstrated to have a positive impact on mental wellbeing. The present study aimed to explore how and why staff and students in one UK university engaged with arts, cultural and creative activities, and the perceived impact of this engagement on their mental wellbeing during UK lockdowns. This article presents findings from a series of fourteen qualitative interviews conducted with staff and students in the summer of 2021. Thematic analysis identified that participants engaged in the activities to enhance their mental wellbeing through a sense of achievement, enjoyment, absorption and connecting to others. However, the activities were also used as a coping strategy, to deal with loss, and to make meaning of the uncertainty caused by the pandemic. [ABSTRACT FROM AUTHOR]

Confronted with a range of methodological options, novice researchers often face the daunting dilemma of selecting a methodological route which best fits the purpose of their study. Following the decision-making process, all methodologies present challenges which need to be explored and addressed. This paper outlines the application of descriptive phenomenology for a doctoral study. Examples and insights are offered about how applied theoretical underpinnings can translate into research action. The central aim of descriptive phenomenology is to use first person accounts to clarify the essential meanings of defined phenomena. Therefore, attention is placed on how researchers can use the process of methodologically coherent bracketing to remain participant focussed. The metaphor of a stage play is used to illustrate the research process and identify issues relating to researcher positionality. A suggested prompt sheet is included to help readers practically consider the steps involved in undertaking a study using descriptive phenomenology. The paper concludes with the assertion that methodologically coherent descriptive phenomenology is a useful approach for gaining valuable understandings into human experience. This paper will be relevant for many disciplines and allied healthcare professionals who wish to consider descriptive phenomenology as an interesting and appropriate qualitative methodology. This paper seeks to provide an academic awareness into an established, yet growing methodology, providing methodological insights and an interdisciplinary recognition that descriptive phenomenology can be applied and implemented to support many areas of qualitative study. [ABSTRACT FROM AUTHOR]

Purpose: Supporting the mental health of university students is a key priority for higher education. Students living with long-term health conditions are at increased risk of poor mental health; yet little work has focused on their particular mental health needs or indeed, the implications for health education in the university setting. This study sought to identify the mental health support needs of students with long-term conditions, including best ways for universities to support these students. Design/methodology/approach: A UK national online survey of 200 university students living with long-term physical health conditions (e.g. asthma, endometriosis, epilepsy) was conducted in 2019. Findings: 95% of respondents reported that their long-term condition/s had at least a moderate impact on their mental wellbeing, with 81% reporting that they felt depressed and anxious at least once a month because of their health. The most common suggestion for how universities can better support their mental wellbeing was to raise awareness about long-term conditions on campuses, with many reporting a lack of understanding about long-term conditions from academic and support services staff members – with negative impacts on their mental health. Because of this, some respondents reported a reluctance to come forward and seek help from university services, with 25% not formally disclosing their conditions. Originality/value: These reported concerns underscore the need to develop health education amongst university staff about long-term conditions and to ensure these students are supported with their health at university. [ABSTRACT FROM AUTHOR]

In the UK support for older people living in residential care to undertake meaningful activities is provided by Activities Co‐ordinators. There is also a growing trend for care home providers to invite arts organisations into care settings to deliver a range of arts and cultural activities. These arts and cultural activities are delivered by Arts Facilitators, who are distinct from Activities Co‐ordinators because their practice is specifically in an art form. This paper presents findings from the Creative Journeys research project which focused on exploring the role of participatory arts within residential care home in developing and maintaining social relationships between residents and staff. One of the objectives of the research was to identify factors which facilitated or hindered the delivery and impact of the activities. Data collection methods included observations and semi‐structured interviews with residents and staff. Thematic analysis was conducted on the qualitative data. It was found that a key factor in the successful delivery of the groups was the working relationship between the Arts Facilitators and the Activities Co‐ordinators. This relationship is explored and presented under three main themes: the collaborative process, practicalities and preparation and the approach of the Arts Facilitator. The Activities Co‐ordinators' role is an under‐researched area, but they play a central role in supporting visiting arts organisations to deliver the sessions and in enabling residents to attend and engage with meaningful activities. [ABSTRACT FROM AUTHOR]

Young adults are frequent users of social media, but the help and hindrance of social media for living well with long-term conditions (LTCs) in young adulthood is little-researched. The aim of this paper was to explore the experiences of social media use amongst young adults with LTCs. Interviews with 15 young adults with LTCs explored their experiences of using social media more broadly and in relation to online health communities. Social media came with both 'good and bad sides' which required a balancing act to manage (overarching theme), as reflected in the following subthemes: (1) Relationships: reducing social isolation versus need for face-to-face contact; (2) Comparisons: normalising versus negative (upward) comparisons; (3) Community: fitting in versus feeling left out; (4) Emotions: inspiring versus distress contagion; and (5) Knowledge: exchanging useful information versus fear of decline. The findings highlight the importance of young adults' self-reflection/awareness of social media's impact on their wellbeing, identifying when limited or increased use may be preferable. Whilst there is a 'good' to social media such as increased feelings of belonging and connection, this should not be the sole focus of future self-management interventions; as its use also contributes to feelings of distress, fear and not fitting in, and participants desire face-to-face contact. [ABSTRACT FROM AUTHOR]

Accessible Summary: What is known on the subject?: More people experience withdrawal symptoms when weaning off antidepressants than previously thought; particularly after taking them for a long time. What this paper adds to existing knowledge?: I explore my own experience of weaning off antidepressants; detailing conflicting advice I have received from healthcare professionals, and the mental and physical withdrawal symptoms I experienced.I relate my experiences to a growing body of research, which have important implications for improving care. What are the implications for mental health nursing?: Healthcare professionals should make patients aware of potential withdrawal symptoms they may experience before they wean off antidepressants; regularly review their progress; consider helping them access psychological support whilst weaning off; and engage in open and collaborative conversations with patients throughout.Clinical guidance needs to be updated to provide appropriate evidence‐based information/advice/recommendations for how best to support patients when coming off of antidepressants. A significant proportion of the UK population are taking antidepressants, and have been taking them for at least a year. Clinical guidelines have controversially stated that withdrawal symptoms when weaning off antidepressants are mild and resolve after one week, with the proviso that they can be severe only if the drug is stopped abruptly. However, recent evidence suggests this is not the case. I describe my own experiences of tapering the dose of my antidepressants after several years of taking them. I describe my encounters with healthcare professionals throughout this period, detailing conflicting advice I have received, along with describing the mental and physical withdrawal symptoms I have experienced. My experiences relate to a growing body of research, which have important implications for improving care. Potential learning outcomes are that healthcare professionals should make patients aware of potential withdrawal symptoms they may experience before they wean off antidepressants; regularly review their progress; consider helping them access psychological support whilst weaning off; and engage in open and collaborative conversations with patients throughout the process. Clinical guidance needs to be updated to provide appropriate evidence‐based information, advice, and recommendations for how best to support patients when coming off of antidepressants. [ABSTRACT FROM AUTHOR]

This conceptual review focuses on the impact of participatory arts in promoting reciprocal relationships for older people receiving care in residential or community settings between older people and caregivers, older people themselves, and older people and the wider community. Findings from forty-four studies demonstrate the role that participatory arts can play in maintaining well-being amongst older people through enabling and facilitating reciprocal relationships. Through enabling older people to have a voice, power, and to contribute within relationships, participatory arts facilitate reciprocity, thereby facilitating well-being. Through creating deeper and more reciprocal social connections between older people, caregivers, and the community, participatory arts can help address the prevalence of social isolation and loneliness amongst older people. However, further research is needed to explore the key mechanisms which facilitate these relationships and how to sustain relational impacts. The compelling findings thus far should prompt arts organisations, funders, and policy makers to utilise participatory arts in reducing social isolation and loneliness amongst older people. [ABSTRACT FROM AUTHOR]

Background: It has been suggested that the mental health impacts of living with long‐term conditions are greater in young adulthood compared to older adulthood, due to greater disruption to identity and routine life events. Objectives: To explore the impact of living with long‐term conditions in young adulthood on mental health and identity, and what helps living well with these conditions. Methods: Fifteen in‐depth interviews with young adults with various conditions were conducted and analysed thematically. Results: Themes related to the impacts on mental health and identity include the following: negative mood and depression; anxiety and fear for the future; and identity as 'ill'/abnormal compared to former self and 'normal' others. Themes related to suggestions for addressing negative impacts include the following: promotion of positive thinking; support reaching acceptance with altered identity and limitations (through stages of denial, anger, depression, then acceptance); and more professional mental health support. Discussion: In order to promote mental health and a positive sense of self/identity, young adults with long‐term conditions should be offered advice and support on positive thinking; the long and difficult process of reconstructing identity; and reaching acceptance. This is particularly important for young adults for whom the identity reconstruction process is more complex and psychologically damaging than for older adults, as this life stage is associated with health/vitality and illness represents a shift from a perceived normal trajectory to one that appears and feels abnormal. [ABSTRACT FROM AUTHOR]

Recovery Colleges aim to assist people with mental health difficulties in the journey to recovery through education. They bring together professional and lived experience of mental health challenges in a non‐stigmatising college environment and operate on college principles. All courses are designed to contribute towards well‐being and recovery. Despite the ever‐growing number of Recovery Colleges (both in the UK and internationally), the evaluative evidence is limited; comprising mostly non‐peer‐reviewed evaluations, audits and case studies. The present article comprises a mixed‐methods evaluation of a newly established Recovery College in South East Essex, UK. The evaluation comprised questionnaires of mental well‐being and social inclusion at baseline and 3 and 6 month follow‐up, in addition to three focus groups. There were significant improvements in both mental well‐being and social inclusion from baseline to 6 month follow‐up (25 participants completed the measure of well‐being at both time points and 19 completed the measure of social inclusion). This was supported by additional free‐text questionnaire comments and focus group findings (17 participants participated across the focus groups), with reports of increased confidence, reduced anxiety and increased social inclusion/reduced social isolation. Additionally, at 6 month follow‐up a majority of respondents were planning on attending courses external to the Recovery College, volunteering and/or gaining paid employment. Challenges and recommendations identified through the focus groups indicate the importance for standardisation of processes (which is particularly important when multiple organisations are involved in the running of a Recovery College), as well as consideration of longer‐running courses. Funders should continue to invest in the Recovery College movement as the growing evidence‐base is demonstrating how these colleges can help address the high prevalence of mental health difficulties, by promoting mental well‐being and social inclusion. [ABSTRACT FROM AUTHOR]

Abstract: This review provides an updated evaluation of the emerging body of literature on the value of the arts in healthcare settings. Internationally, there is growing interest in the use of the arts in the healthcare context supported by the number of research studies reported in the nursing and medical literature. There is evidence that arts interventions have positive effects on psychological and physiological outcomes on patients in a hospital environment. A critical review of the literature between 2011 and 2016 was undertaken. The following databases were searched: MedLine, CINAHL, AMED, Web of Science and ASSIA. Searches included words from three categories: cultural activities, outcomes and healthcare settings. Initial searches identified 131 potentially relevant articles. Following screening and review by the research team, a total of 69 studies were included in the final review. The majority of studies examined the effect of music listening on patients/service users (76.8%). These studies were primarily quantitative focusing on the measurable effects of music listening in a surgical context. Overall, the studies in the review support the growing evidence base on the value of the arts in a variety of healthcare settings for patients/service users. The review findings suggest that now is the time for different voices and art forms to be considered and represented in the research on arts in healthcare. Further research is also required to strengthen the existing evidence base. [ABSTRACT FROM AUTHOR]

Restraint in mental health care has negative consequences, and guidelines/policies calling for its reduction have emerged internationally. However, there is tension between reducing restraint and maintaining safety. In order to reduce restraint, it is important to gain an understanding of the experience for all involved. The aim of the present study was to improve understanding of the experience of restraint for patients and staff with direct experience and witnesses. Interviews were conducted with 13 patients and 22 staff members from one UK National Health Service trust. The overarching theme, 'is restraint a necessary evil?', contained subthemes fitting into two ideas represented in the quote: 'it never is very nice but...it's a necessary evil'. It 'never is very nice' was demonstrated by the predominantly negative emotional and relational outcomes reported (distress, fear, dehumanizing, negative impact on staff/patient relationships, decreased job satisfaction). However, a common theme from both staff and patients was that, while restraint is 'never very nice', it is a 'necessary evil' when used as a last resort due to safety concerns. Mental health-care providers are under political pressure from national governments to reduce restraint, which is important in terms of reducing its negative outcomes for patients and staff; however, more research is needed into alternatives to restraint, while addressing the safety concerns of all parties. We need to ensure that by reducing or eliminating restraint, mental health wards neither become, nor feel, unsafe to patients or staff. [ABSTRACT FROM AUTHOR]

Loneliness and social isolation are pertinent issues for older people due to the life transitions and loss often experienced in later life. Research points towards the potential for participatory arts with older people to address loneliness and social isolation; however, there is little conceptualization of the mechanisms through which this can be promoted. This conceptual review brings together selected literature that reports on the social impacts of participatory arts with older people to develop a conceptual framework of themes that respond specifically to understandings of the experience of loneliness and social isolation. First, participatory arts can strengthen existing relationships and build new relationships by facilitating social interaction and promoting social capital, thus promoting social embeddedness in the community. Second, participatory arts can address the discrepancies between expected or desired relationships and reality by enhancing well-being, self-worth and a sense of belonging that helps older people to feel more content with their social lives. Third, participatory arts can be accessible and inclusive of everyone and enables older people to make a valued contribution towards the community, which facilitates meaningful social participation. This conceptual framework is a useful resource for those advocating for the value of older people participating in the arts. Key factors raised across the literature are discussed along with avenues for future research. Ultimately, the potential for participatory arts in reducing loneliness and social isolation is evident, but this potential needs further investigation and promotion to make a real difference. [ABSTRACT FROM AUTHOR]

Arts-for-health initiatives are associated with improvements in mental health, wellbeing and social inclusion; however, research amongst young people is sparse. The aim of the study was to conduct a mixed-methods evaluation of a participatory arts programme for young people with, or at risk of, mental ill health. The Zinc Arts ArtZone programme involved working with individuals aged 11-25 in south-east England, engaging them in arts activities over ten-week courses in community and secure unit settings. 122 course participants completed pre/post measures of mental illness severity and well-being, and 34 participants took part in interviews and focus groups. Mental illness severity significantly decreased and mental well-being significantly increased. Participants reported social and emotional benefits including decreased social isolation and increased social inclusion and mental well-being. Participatory arts interventions may serve as a useful tool in tackling increasing mental ill health amongst young people. [ABSTRACT FROM AUTHOR]

2Create is a mental health service user-led art group in the UK, established by graduates of Open Arts, a community arts and mental health project. The study aimed to explore group members' experiences over its first year. Methods Semi-structured interviews were conducted with five current and one former member of 2Create. Results Key themes related to organisation (evolving, flexibility, finance, leadership challenges), the studio environment, personal gains (social inclusion, self-esteem, well-being) and future plans (increasing membership, exhibitions, funding applications, social events). Conclusion The gains reported indicate that 2Create is beneficial to its members. Although a number of challenges were identified, all participants identified personal and group-wide gains and emphasised that challenges are to be expected when setting up a new group. The key implication for independent mental health user-led arts groups is that support is needed in the early stages, and that independence can then be achieved with time. [ABSTRACT FROM AUTHOR]

Participatory arts projects are thought to increase mental well-being and social inclusion for people with mental health difficulties. This article presents a one-year evaluation of the Open Arts studio at Hadleigh Old Fire Station (HOFS) in Essex, England, established to provide opportunities for mental health service users to carry out art-making independently with professional support. The evaluation was a mixed-methods design, with qualitative and quantitative strands. A total of 23 studio members completed measures of mental well-being and social inclusion at baseline and follow-up, and scores increased significantly over time. Members' comments indicated increased social support, confidence, motivation and mental well-being in addition to decreased social isolation. Despite small sample sizes, this evaluation provides promising evidence of gains in mental well-being and social inclusion. The question of longer-term benefits beyond the studio placement remains to be addressed, but results add further support to the use of participatory arts in promoting mental health and well-being. [ABSTRACT FROM AUTHOR]

This experiment examined fast (orientation) and slow (disengagement) components of attention to food and interpersonal threat words in high and low restrained eaters using a modified Stroop task. Target words (food, interpersonal ego threat, neutral) were presented prior to a sequence of four matched neutral words. Participants were slow to disengage from food and ego threat words, and this pattern was particularly striking for the high restraint group. Findings show no evidence of an orientation bias but indicate that slowed disengagement from these stimuli can be demonstrated consistently using the Stroop task. However, restraint was not a significant predictor, and slowed disengagement was also found in the neutral condition, suggesting a categorical effect. This study provides important suggestions for modifications of Stroop tasks designed to target both attention bias and disengagement. Implications of slowed disengagement from disorder-relevant stimuli are discussed in relation to the development of disordered eating. [ABSTRACT FROM AUTHOR]

ABSTRACT The bailiwick of Jersey's special constitutional position has given it the opportunity to develop its own economic, cultural and policy strategies. Becoming an off-shore tax haven, with a flat rate income tax of 20 per cent, no VAT, no inheritance tax and no capital gains tax, has brought with it the need to strictly limit residency. A key instrument in this has been housing policy and draconian measures have been introduced by the States of Jersey to ration access to housing through a complex series of stacked housing rights directly linked to residency rights. At the same time, the high cost of housing on Jersey that has resulted from economic pressures has forced the States to subsidise housing to certain categories of those who fulfil the residency requirements. This paper describes Jersey's unique and little known housing system. It is suggested that Jersey's housing policy strategy can be fruitfully understood in a broader international comparative context and in relation to other tax-havens and 'micro-states'. [ABSTRACT FROM AUTHOR]