Staff views on formulations in community mental health services: a discursive analysis

Bealey, Rebecca (2020) Staff views on formulations in community mental health services: a discursive analysis. Doctoral thesis, University of East Anglia.

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Abstract

The aim of this research was to understand staff views and experiences of using psychological formulations in mental health services. A systematic review was conducted utilising a Thematic Synthesis to combine findings from qualitative studies on staff experiences of participating in team formulations. The review also aimed to provide a quality appraisal of the included research using the Critical Appraisal Skills Programme qualitative checklist. The review examined 16 qualitative papers which were of a mixed quality and in some instances there was an insufficient amount of detail to complete an accurate assessment. The review highlighted the importance of team formulation in general practice for enhancing staff understanding of service users but also improving professional confidence and validation. The review also highlighted some barriers to staff practicing team formulation. An empirical study was conducted to further identify discourses of community mental health staff regarding psychological formulation in their everyday practice. Focus groups were completed with staff in three different multidisciplinary community mental health teams, with the discussions subsequently analysed using a critical discourse informed approach. Discourse topics were identified relating to the importance of storytelling, the role of power and hierarchy, trauma and exclusion of the individual and staff struggles, burnout and constraints. Four overlapping major discourses were found in the research, with the study highlighting the positive impacts that formulation can have on staff but emphasising the role of power in mental health settings. The findings from both studies were critically discussed and evaluated.

Item Type: Thesis (Doctoral)
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Chris White
Date Deposited: 03 Nov 2020 14:24
Last Modified: 03 Nov 2020 14:24
URI: https://ueaeprints.uea.ac.uk/id/eprint/77522
DOI:

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