After you’d gone

Authors

  • Pamela Jacobsen
  • Patrick Hopkinson
  • Ronan McIvor
  • Jerome Carson

DOI:

https://doi.org/10.1921/swssr.v14i3.496

Keywords:

users’ experiences, coping and adaptation, grounded theory, health care professionals, mental health and illness

Abstract

Mental health professionals often move across services in the National Health Service (NHS) as a result of organizational change. However, little is known about the impact this has on people who are in receipt of psychiatric services (service users). We conducted an exploratory qualitative study into the experiences of service users under a community mental health team following a service restructure. Nine service users took part in face-to-face interviews, which were subsequently analysed following the principles of Grounded Theory. We found that service users were affected by their consultant leaving in a variety of ways, ranging from grief reactions to improved self-efficacy. We concluded that service users can be significantly affected by their consultant leaving, and this should be taken into account when planning restructures of mental health services.

References

Baum, N. (2005). Correlates of clients’ emotional and behavioural responses to treatment termination. <i>Clinical Social Work Journal, 33</i>, 309-326.\nBaum, N. (2007). Therapists’ responses to treatment termination: An inquiry into the variables that contribute to therapists’ experiences. <i>Clinical Social Work Journal,35</i>, 97-106.\nBeck, A. T. (1967). <i>Depression: Clinical, Experimental and Theoretical Aspects</i>. New York: Harper and Row.\nBurns, T. (2004). <i>Community Mental Health Teams: A Guide to Current Practices</i>. Oxford: Oxford University Press.\nCarter, M. F. (2005). Time-limited therapy in a community mental health team setting. <i>Counselling & Psychotherapy Research, 5</i>, 43-47.\nDepartment of Health (2008). <i>Improving Access to Psychological Therapies. Implementation Plan: National guidelines for regional delivery</i>. London: Department of Health.\nDonnison, J., Thompson, A. R., & Turpin, G. (2009). A qualitative exploration of communication within the community mental health team. <i>International Journal of Mental Health Nursing, 18</i>, 310-317.\nFagin, L. (2007). On leaving. <i>Psychiatric Bulletin, 31</i>, 350-353.\nFortune, A. E. (1987). Grief only? Client and social worker reactions to termination. <i>Clinical Social Work Journal, 15</i>, 159-171.\nFortune, A. E., Pearlingi, B., & Rochelle, C. D. (1992). Reactions to termination of individual treatment. <i>Social Work, 37</i>, 171-178.\nGabbard, G. O. (2009). What is a ‘good enough’ termination? <i>Journal of the American Psychoanalytic Association, 57</i>, 575-594.\nGarcia-Lawson, K. A. & Lane, R. C. (1997). Thoughts on termination: Practical considerations. <i>Psychoanalytic Psychology, 14</i>, 239-257.\nGarcia-Lawson, K. A., Lane, R. C., & Koetting, M. G. (2000). Sudden death of the therapist: The effects on the patient. <i>Journal of Contemporary Psychotherapy, 30</i>, 85-103.\nGlaser, B. & Strauss, A. (1967). <i>The Discovery of Grounded Theory: Strategies for Qualitative Research</i>. Chicago: Aldine.\nMisra-Hebert, A. D., Kay, R., & Stoller, J. K. (2004). A review of physician turnover: Rates, causes, and consequences. <i>American Journal of Medical Quality, 19</i>, 56-66.\nPenn, L. S. (1990). When the therapist must leave: Forced termination of psychodynamic therapy. <i>Professional Psychology: Research and Practice, 21</i>, 379-384.\nPidgeon, N. & Henwood, K. (1997). Using grounded theory in psychological research. In N. Hayes (Ed.), <i>Doing Qualitative Analysis in Psychology</i> (pp. 245-273). Hove: Psychology Press.\nPropp, K. M., Apker, J., Ford, W. S. Z., Wallace, N., Serbenski, M., & Hofmeister, N. (2010). Meeting the complex needs of the health care team: Identification of nurse-team communication practices perceived to enhance patient outcomes. <i>Qualitative Health Research, 20</i>, 15-28.\nQuintana, S. M. (1993). Toward an expanded and updated conceptualization of termination - Implications for short-term individual psychotherapy. <i>Professional Psychology-Research and Practice, 24</i>, 426-432.\nQuintana, S. M. & Holahan, W. (1992). Termination in short-term counseling: Comparison of successful and unsuccessful cases. <i>Journal of Counseling Psychology, 39</i>, 299-305.\nReneses, B., Munoz, E., & Lopez-Ibor, J. J. (2009). Factors predicting drop-out in community mental health centres. <i>World Psychiatry, 8</i>, 173-177.\nStrauss, A. & Corbin, J. (1990). <i>Basics of Qualitative Research: Grounded Theory Procedures and Techniques</i>. London: Sage.\nVasquez, M. J. T., Bingham, R. P., & Barnett, J. E. (2008). Psychotherapy termination: Clinical and ethical responsibilities. <i>Journal of Clinical Psychology, 64</i>, 653-665.\n

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Published

2012-12-20

How to Cite

Jacobsen, P., Hopkinson, P., McIvor, R., & Carson, J. (2012). After you’d gone. Social Work and Social Sciences Review, 14(3), 50-63. https://doi.org/10.1921/swssr.v14i3.496

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Section

Articles