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The purpose of this paper is to demonstrate the innovative application of an Appreciative Inquiry (AI) approach for the design and implementation of organizational stress management interventions, alongside a case study of the successful design and implementation of the approach. By utilizing the AI methodology to develop a “local stress theory” for the participating organization, the authors propose a model which can be utilized in other similar organizations.

Stage 1: 35 participants completed up to ten daily logs by answering four positively framed questions regarding their working day. Stage 2: semi-structured interviews (n=13). The interview schedule was designed to further elaborate log findings, and begin looking into feasible organizational changes for improvement of stress. Stage 3: two focus groups (Stage 3, total 13 employees) verified interventions from logs and interviews and discuss how these can be implemented.

The log phase identified two key themes for improvement: managerial/organizational support and communication. From these, interviews and focus groups led to workable proposals for simple but likely effective changes. The authors reported findings to management, emphasizing organizational change implementation, and these were subsequently implemented.

The study demonstrated the effectiveness of AI to identify and implement relatively simple but meaningful changes. The AI cycle was completed but allocating lengthy follow-up time for evaluation of outcomes was not possible, although initial responses were favorable. There are also issues of generalizability of the findings.

This is the among first studies to utilize an AI approach for the design of stress management interventions.

The purpose of this paper is to present a qualitative analysis of the role of self-harm self-help groups from the perspective of group members.

A qualitative case study approach guided the research, which involved working with two self-harm self-help groups and all regularly attending members.

A thematic approach to the analysis of the findings indicates that self-harm self-help groups can provide a safe, non-judgemental space where those who self-harm can meet, listen and talk to others who share similar experiences for reciprocal peer support. Offering a different approach to that experienced in statutory services, the groups reduced members’ isolation and offered opportunities for learning and findings ways to lessen and better manage their self-harm.

This was a small-scale qualitative study, hence it is not possible to generalise the findings to all self-harm self-help groups.

The value of peers supporting one another, as a means of aiding recovery and improving well-being, has gained credence in recent years, but remains limited for those who self-harm. The findings from this research highlight the value of self-help groups in providing opportunities for peer support and the facilitative role practitioners can play in the development of self-harm self-help groups.

Self-harm self-help groups remain an underexplored area, despite such groups being identified as a valuable source of support by its members. This research provides empirical evidence, at an individual and group level, into the unique role of self-harm self-help groups.

Malcolm Ramsay's article looked at the empowerment of older people through good advice and information. Continuing this theme in our next article, Carol Munn‐Giddings et al describe a unique project that has equipped older people with the necessary research skills to go after the information themselves and is giving them the confidence to directly shape local services. Providers and commissioners ‐ beware!

This article discusses the labelling and location of self‐organising community groups ‐ ‘self‐help’, ‘peer support’ and ‘service user’. It notes the increasingly close relationship between these groups and statutory authorities, and how this relationship may put the benefits of the groups at risk. Historical, cultural and social factors are discussed to help explain differences and separate developments within African, Caribbean and other Black communities.

This article gives an overview and selected findings from a study funded by the Mental Health Foundation in 2007, which was collaboratively carried out by researchers at Anglia Ruskin University and two freelance researchers. The research team included members with direct and indirect experience of mental distress. The findings add to our knowledge of an under‐studied part of the voluntary sector: organisations run for and by people who share the same health or social condition. The reported study explored and identified the innovative organisational features and funding arrangements of four mental health user‐led organisations, as well as assessing service users' perceptions of the role that such organisations play in promoting social inclusion and recovery from their mental health problems.

Despite the recent growing interest in user‐led organisations (ULOs), they remain an under‐researched area of volunteer sector activity, with the majority of the literature emanating from North America. This article attempts to redress this imbalance by reporting on the innovatory features and challenges facing mental health ULOs in England, particularly in light of recent government policy prioritising generic pandisability ULOs. In‐depth qualitative interviews were undertaken with a purposive sample of 48 service users and staff from four geographically dispersed mental health ULOs in England. Innovatory features identified by staff running and service users attending mental health ULOs were: being user‐led; their non‐hierarchical organisational structures; and community‐inclusive activities. The challenges identified were: maintaining a user‐led ethos; managing the tension between being user‐led or user‐managed; and relationships with funders. Recent policies that recognise and promote the development of ULOs are encouraging, although the emphasis on generic, pan‐disability ULOs may impede the innovatory ethos and development of mental health ULOs.

This article relates one aspect of an action research project on work related stress and mental health problems to its wider context. It is argued that self‐help/mutual aid, including self‐management, could make an important contribution to tackling the current epidemic of work‐related stress in the UK and elsewhere. Initiatives such as the government's Work‐Life Balance campaign indicate that the policy context is appropriate. An overview of the causes, costs of, and policy responses to work‐related stress is followed by a discussion on the nature of self‐help/mutual aid and the benefits that the sharing of experiential knowledge can bring to participants. This includes a specific, structured form of self‐help: self‐management programmes as led and used by mental health user groups. We conclude that self‐help initiatives can make a valuable contribution to addressing work‐related stress if employers support them. Beyond simply ameliorating staff retention problems, the experiential learning communities that could be created could be an asset, particularly in seeking to change workplace cultures to minimise work‐related mental stresses.

Complex collaborative interventions are increasingly applied for stress management but outcomes are inconsistent. “Collaboration” is most highly developed in participatory action research (PAR). Future research might be guided by understanding features integral to successful PAR designs. The purpose of this paper is to present a review of PAR studies which had predominantly positive outcomes, in order to identify features of their designs.

In total, 48 collaborative intervention studies (1982‐2010) were identified, and filtered according to positive outcomes (improved working environment, job performance, absenteeism, and stress levels), and PAR criteria for stakeholder engagement: 11 studies from six countries were selected for scoping review.

Organization size and sector was not important for PAR, but the extent of uptake of an intervention/change is and a “unit” of up to 100 employees was engaged in most of the studies reviewed. Study aims should not be over‐ambitious. Long‐term involvement of “change agents” or “action groups” in close communication with a steering group appears most effective in engaging employees over a long period of time, ideally 12+ months. Self‐report scales dominated evaluations (21 different scales; range 1‐7 per study) but this strategy is challenged by impacts of organizational change and staff turnover on response rates. Comparison with a non‐intervention group appears to strengthen the evaluation, but PAR also provides an opportunity to implement an innovative strategy sensitive to the workplace situation. PAR provides scope to engage managers as participants. The participatory process was least effective where this was unsuccessful.

PAR has high potential for the engagement of management, and identification of a rigorous evaluation strategy, that would facilitate the efficacy of collaborative designs.

Insights are provided into characteristics of highly collaborative, and demonstrably effective, PAR designs.

This paper describes some findings from an evaluation of the effectiveness of a community development project that aimed to overcome inequalities in mental health care experienced by members of the local black and minority ethnic (BME) communities. A participatory action research design was used, involving people from BME communities who had experienced mental health problems and external stakeholders. The study relied largely on qualitative methodology. Findings reported here indicate that participants in the project valued the culturally and spiritually relevant support they received, but felt that more opportunities were needed for training and employment, greater representation on the project's management committee, and greater awareness of the project in the community. External stakeholders felt that the project gained credibility from its community base and valued its ability to work across faith traditions and cultures. It was also seen as successful in acting as a bridge between the communities and statutory services, although there were concerns about the project's relationship with frontline services. The paper proposes two models of community development that primary care trusts may wish to adopt ‐ radical or consensus, or a mixture of both ‐ in order to address inequalities in mental health service provision.

Purpose – This research considers how self-help groups (SHGs) and self-help organizations (SHOs) contribute to consumerist trends in two different societies: United States and United Kingdom. How do the health care systems and the voluntary sectors affect the kinds of social changes that SHGs/SHOs make?

Methodology/approach – A review of research on the role of SHGs/SHOs in contributing to national health social movements in the UK and US was made. Case studies of the UK and the US compare the characteristics of their health care systems and their voluntary sector. Research reviews of two community level self-help groups in each country describe the kinds of social changes they made.

Findings – The research review verified that SHGs/SHOs contribute to national level health social movements for patient consumerism. The case studies showed that community level SHGs/SHOs successfully made the same social changes but on a smaller scale as the national movements, and the health care system affects the kinds of community changes made.

Research limitations – A limited number of SHGs/SHOs within only two societies were studied. Additional SHGs/SHOs within a variety of societies need to be studied.

Originality/value of chapter – Community SHGs/SHOs are often trivialized by social scientists as just inward-oriented support groups, but this chapter shows that local groups contribute to patient consumerism and social changes but in ways that depend on the kind of health care system and societal context.