Service user experiences of a motivational group
| Published date | 18 November 2013 |
| Date | 18 November 2013 |
| DOI | https://doi.org/10.1108/JFP-09-2012-0012 |
| Pages | 269-280 |
| Author | Lucinda Charlotte Flinn,Danielle Grey,Louise G. Braham |
| Subject Matter | Health & social care,Criminology & forensic psychology,Forensic practice |
Service user experiences of
a motivational group
Lucinda Charlotte Flinn, Danielle Grey and Louise G. Braham
Lucinda Charlotte Flinn is a
Trainee Clinical Psychologist
and Danielle Grey is a Trainee
Clinical Psychologist, both are
based at Mental Health
Directorate, Rampton Hospital,
Nottinghamshire, UK.
Louise G. Braham is a
Consultant Clinical and
Forensic Psychologist at
Mental Health Directorate,
Rampton Hospital,
Nottinghamshire, UK, and the
University of Nottingham,
Nottingham, UK.
Abstract
Purpose – The Forward Motion Motivational Group (FMMG) is a psychological group intervention facilitated
in the Mental Health Directorate of a high-secure Hospital. Research has highlighted a limited amount of
service user involvement within secure settings. The aims of the study were to explore participant’s
experiences of FMMG, to establish whether these reflected the aims of the programme, to provide
participants with the opportunity to recommend changes to the current service provision and to explore
whether the programme supported engagement in further psychological interventions.
Design/methodology/approach – Tenprogramme completers were interviewed using a semi-structured
interview. The interview transcripts were analysed using thematic analysis (Braun and Clarke, 2006)
alongside Beutow (2010) Saliency Analysis Guidelines.
Findings – Thematic analysis of the data resulted in five key themes: expectations, group experience,
programme facilitators, learning and programme aims and programme development.
Practical implications – Qualitative measures provide an insight into whether participant’s experiences
reflect the programme aims which is a valuable indicator of treatment effectiveness. Participants advocated
the value of completing an introductory group to broaden their insight into the structure and delivery of
psychological group interventions.
Originality/value – Given the limited amount of research involving service users within secure settings, it is
specifically the service user’s experiences and suggestions for programme development that are
considered within this paper. This highlights the value of service user involvement for those interested in
conducting research within secure settings.
Keywords High secure, Motivation (psychology), Service user,Forensic mental health, Thematic analysis,
Mental health services
Paper type Research paper
Introduction
The views of service users are being increasingly recognised as important in the contribution to
healthcare services. Patient and Public Involvement in Health: The Evidence for Policy
Implementation (The Department of Health, 2004) highlights “effective patient and public
involvement is fundamental to an NHS based on choice, responsiveness and equity. Delivering
and designing health services around the needs of patients is key to the modernisation of
the NHS and is integral to improving patients’ experiences of health services” (p. 4). In 2009,
The Care Quality Commission published Voices into Action where their commitment to service
user involvement was highlighted and is now an essential requirement for all NHS trusts. The
Research Governance Framework (Department of Health, 2001) suggests that service user
involvement should be present during all stages of research where appropriate. However, the
meaning of service user involvement covers a wide range of activities and there are varying
levels of participation (Peck et al., 2002). Pilgrim and Rogers (1993) outline three distinctions of
mental health service users. Users as patients are viewed as recipients of services, user
as consumers are viewed by professionals as having the right to express their views and
users as survivors are viewed as collectively campaigning as a new social movement. Research
DOI 10.1108/JFP-09-2012-0012 VOL. 15 NO. 4 2013, pp. 269-280, CEmerald Group Publishing Limited, ISSN 2050-8794
j
JOURNAL OF FORENSIC PRACTICE
j
PAGE 269
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