Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-13T07:17:32.940Z Has data issue: false hasContentIssue false

The views of professional on the role of self-help groups in the mental health area

Published online by Cambridge University Press:  13 June 2014

Elizabeth A Dunn
Affiliation:
Department of Applied Psychology
Aine C Fitzpatric
Affiliation:
Department of Applied Psychiatry, University College Cork, Cork, Ireland

Abstract

Objectives: Changes in healthcare policy over the last decade emphasise care in the community over residential care. Self-help organisations may play a useful role in these circumstances. Against this background, the objective of this study was to obtain the views of members of the main mental health professions on the place of self-help groups in mental health care.

Method: A postal survey of 255 mental health professionals from two health boards was carried out, using a semi-structured questionnaire that contained both open and closed questions. The responses obtained were analysed using descriptive statistics and content analysis as appropriate.

Results: The response rate was 35% so results must be interpreted cautiously. Self-help groups are used particularly in the management of addictive behaviours, and are also considered useful in cases of mood disorder. In general, self-help organisations are seen as providing support to patients and their families; information on mental illness/health to the general public; and lobbying for services relevant to the needs of their members. Respondents were concerned that the philosophy and programme of a group should not conflict with established models of mental health. The impact of the organisational structure of the multi-disciplinary team on the referral pattern of the different mental health professions, and the role of group availability and accessibility on the decision to refer a patient to a self-help group is commented upon.

Conclusions: While some professionals see a role for self-help organisations in the mental health care system, reservations expressed about a possible clash between selfhelp groups' approach and professional mental healthcare practice need to be addressed so that the potential of both positions can be realised.

Type
Original Papers
Copyright
Copyright © Cambridge University Press 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Government Publications Office. Shaping a healthier future: a strategy for effective healthcare in the 1990s. Dublin: Government Publications Office, 1994.Google Scholar
2.DHHS Public Health Service HRSA Bureau of Maternal and Child Health and Resource Development Publication No. 224-50: Surgeon General's Workshop on Self-Help and Public Health. Washington DC: US Government Printing Office, 1988.Google Scholar
3.Salem, DA, Seidmen, B, Rappaport, J. Community treatment of the mentally ill: the promise of mutual-help organisations. Social Work 1985; 33: 403–8.Google Scholar
4.Borkman, T. Self-help groups at the turning point: emerging egalitarian alliances with the formal healthcare system. Am J Comm Psychol 1990; 18: 321–32.Google Scholar
5.Borkman, T. A selective look at self-help groups in the United States. Health and Social Care in the Community 1997; 5(6): 357–64.Google Scholar
6.Dunne, EA, Fitzpatrick, ACWhose patient is it anyway? Forum 1997; 13(11): 14–6.Google Scholar
7.Mowrer, OH. The Mental Health Professions and Mutual-Help Programmes: co-optation or collaboration?In: Gartner, A, Reissman, F (eds). The self-help revolution. New York: Human Science Press, 1984.Google Scholar
8.Balgopal, PR, Ephross, PH, Vassil, TV. Self-help groups and professional helpers. Small Group Behav 1986; 17(2): 123–37.Google Scholar
9.Levy, LH. Self-help groups viewed by mental health professionals: a survey and comments. Am J Comm Psychol 1978; 6: 305–13.CrossRefGoogle ScholarPubMed
10.Hermalin, J, Melendez, L, Kamarak, T, Klevans, F, Ballen, E, Gordon, M. Enhancing primary prevention: the marriage of self-help groups and formal healthcare delivery systems. J Clin Child Psychol 1979; 8: 125–9.CrossRefGoogle Scholar
11.Heppner, PP, Kuvlighan, DM, Wampold, B. Research design in counselling. Ca; Wadsworth Inc, 1992.Google Scholar
12.Smith, JA, Harre, R, VanLangenhove, L, (eds). Rethinking methods in psychology. London: Sage Publications, 1995.Google Scholar
13.Wilson, J. How to work with self-help groups: guidelines for professionals. Aldershot: Arena, 1995.Google Scholar