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Article
Publication date: 1 September 2006

Ian Morrison and Stephen M. Clift

The purpose of this research is to report on an evaluation of a programme of supported education in a Further Education context for students with long‐term mental health problems…

1935

Abstract

Purpose

The purpose of this research is to report on an evaluation of a programme of supported education in a Further Education context for students with long‐term mental health problems, based on Antonovsky's Salutogenic model of health. The students are referred by the Community Mental Health Team.

Design/methodology/approach

Three consecutive cohorts of students (n=148, 93 male, 55 female; average age 39.5 years) undertaking the programme, completed Antonovsky's Short‐form Sense of Coherence scale (the SOC13) on entry to the programme, and when exiting from it. Qualitative feedback from the second cohort of students was examined to establish the processes at work in the programme. This identified a number of themes relating to the processes at work in the programme and its outcomes (Peer Support, Learning Support, Learning Effects, Symptom Reduction and Positive Affect) and provided a basis for designing short questionnaires, which were completed by the second cohort. Data from these questionnaires and the SOC13 were used to build a causal model of the processes at work in the programme.

Findings

The overall change between the entry and exit SOC13 scores was not significant. However, students with SOC13 scores below 52 (total n=81, 52 male, 29 female; average age 42.8 years) made statistically significant positive gains. In this initially low scoring group, 70 per cent improved their exit SOC13 score, 2 per cent remained constant, and 28 per cent reported lower exit SOC13 scores. The causal model from the whole of the second cohort of students suggests that peer support is the initial factor contributing to the success of the programme by positively influencing learning effects of the programme and the uptake of learning support. In turn, learning effects reduced symptoms and this had the effect of raising positive affect. Raised positive affect reduced the need for learning support and was positively linked to entry and exit SOC13 scores.

Practical implications

This research has implications for budget holders, health promotion staff and allied professionals in the collaborative use of resources to help people recovering from or managing mental health difficulties move forward in their lives.

Originality/value

This study highlights the need for community collaborative social initiatives to be properly funded and validated. Approaches to evaluation could usefully be formulated on the basis of Antonovsky's model. Professionals need to consider investing in creating peer support and positive affect when working with people with mental health needs.

Details

Health Education, vol. 106 no. 5
Type: Research Article
ISSN: 0965-4283

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Article
Publication date: 13 February 2017

Stephen Clift, Sharon Manship and Lizzi Stephens

Clift and Morrison (2011) report that weekly singing over eight months for people with enduring mental health issues led to clinically important reductions in mental distress. The…

752

Abstract

Purpose

Clift and Morrison (2011) report that weekly singing over eight months for people with enduring mental health issues led to clinically important reductions in mental distress. The purpose of this paper is to test the robustness of the earlier findings.

Design/methodology/approach

Four community singing groups for people with mental health issues ran weekly from November 2014 to the end of 2015. Evaluation place over a six-month period using two validated questionnaires: the short Clinical Outcomes in Routine Evaluation (CORE-10) questionnaire, and the Warwick Edinburgh Mental Wellbeing Scale (WEMWBS).

Findings

In all, 26 participants completed baseline and follow-up questionnaires. CORE-10 scores were significantly reduced, and WEMWBS scores significantly increased. Comparisons with the earlier study found a similar pattern of improvements on CORE items that are part of the “problems” sub-scale in the full CORE questionnaire. There was also evidence from both studies of participants showing clinically important improvements in CORE-10 scores.

Research limitations/implications

The main limitations of the study are a small sample size and the lack of a randomised control group.

Originality/value

No attempts have been made previously to directly test the transferability of a singing for health model to a new geographical area and to evaluate outcomes using the same validated measure.

Details

Mental Health and Social Inclusion, vol. 21 no. 1
Type: Research Article
ISSN: 2042-8308

Keywords

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Book part
Publication date: 18 March 2021

J. Yoon Irons and Grenville Hancox

Abstract

Details

Singing
Type: Book
ISBN: 978-1-83867-332-1

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Article
Publication date: 1 May 2005

Ian Morrison and Stephen Clift

Changes in government policies threaten to remove an important source of funding that enables people with mental health problems to be supported to enter and progress from further…

44

Abstract

Changes in government policies threaten to remove an important source of funding that enables people with mental health problems to be supported to enter and progress from further education to employment and university. Ian Morrison and Stephen Clift describe one such scheme whose future is in doubt, and the journeys undertaken by some of the people it has supported.

Details

A Life in the Day, vol. 9 no. 2
Type: Research Article
ISSN: 1366-6282

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Article
Publication date: 16 March 2012

Laetitia Livesey, Ian Morrison, Stephen Clift and Paul Camic

The aim of this study is to explore the benefits of choral singing for mental wellbeing and health as perceived by a cross‐national sample of amateur choral singers.

2883

Abstract

Purpose

The aim of this study is to explore the benefits of choral singing for mental wellbeing and health as perceived by a cross‐national sample of amateur choral singers.

Design/methodology/approach

Data consisted of written responses to open‐ended questions. These were derived from 169 participants selected from a larger dataset reporting high and low levels of emotional wellbeing on the WHOQOL‐BREF questionnaire. A majority of participants were female and aged over 50. A thematic analysis was followed by a content analysis and Pearson chi square analyses. Comparisons were made between different ages, genders and nationalities and participants with high and low reported emotional wellbeing.

Findings

The analysis revealed multiple themes covering perceived benefits in social, emotional, physical, and cognitive domains. There were no significant differences in frequency of themes across any of the participant sociodemographic and wellbeing categories. The results indicate that benefits of singing may be experienced similarly irrespective of age, gender, nationality or wellbeing status.

Research limitations/implications

Implications for further research include future use of validated instruments to measure outcomes and research into the benefits of singing in other cultures. The results of this study suggest that choral singing could be used to promote mental health and treat mental illness.

Originality/value

This study examines a cross‐national sample which is larger than previous studies in this area. These findings contribute to understanding of the complex and interacting factors which might contribute to wellbeing and health, as well as specific benefits of singing.

Details

Journal of Public Mental Health, vol. 11 no. 1
Type: Research Article
ISSN: 1746-5729

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Article
Publication date: 23 May 2011

Stephen Clift and Ian Morrison

This paper aims to describe the development and evaluation of an innovative community singing initiative with mental health services users and supporters in East Kent, UK.

2013

Abstract

Purpose

This paper aims to describe the development and evaluation of an innovative community singing initiative with mental health services users and supporters in East Kent, UK.

Design/methodology/approach

A network of seven singing groups was established between September 2009 and June 2010. The choirs met weekly in three terms with breaks for Christmas and Easter, and joined together for two public performances in February and June 2010. In total, 137 participants were involved in the evaluation processes over this period. Of these, 42 provided complete data on the CORE questionnaire, a widely used clinical measure of mental distress, at baseline and eight months later.

Findings

Clinically significant improvements were observed in response to the CORE. These changes, together with qualitative feedback from participants, demonstrate that group singing can have substantial benefits in aiding the recovery of people with a history of serious and enduring mental health problems. A limited body of research has also shown that singing can be helpful for people with existing mental and physical health problems.

Originality/value

The research finds marked improvements in mental wellbeing on a clinically validated measure for people with a range of enduring mental health issues participating in a network of small choirs. Qualitative evidence indicates that group singing can offer a wide range of emotional and social benefits for mental health service users.

Details

Mental Health and Social Inclusion, vol. 15 no. 2
Type: Research Article
ISSN: 2042-8308

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Article
Publication date: 1 October 2005

Stephen Clift

To provide a context for the contributions to the special issue.

406

Abstract

Purpose

To provide a context for the contributions to the special issue.

Design/methodology/approach

An outline of key UK developments and publications.

Findings

Considerable interest and activity in the arts and health field in the UK since the late 1990s.

Originality/value

Provides a guide to essential reading for anyone unfamiliar with the arts and health field.

Details

Health Education, vol. 105 no. 5
Type: Research Article
ISSN: 0965-4283

Keywords

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Book part
Publication date: 4 July 2019

Abstract

Details

SDG3 – Good Health and Wellbeing: Re-Calibrating the SDG Agenda: Concise Guides to the United Nations Sustainable Development Goals
Type: Book
ISBN: 978-1-78973-709-7

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Book part
Publication date: 18 March 2021

J. Yoon Irons and Grenville Hancox

Abstract

Details

Singing
Type: Book
ISBN: 978-1-83867-332-1

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Article
Publication date: 23 April 2019

Sarah Gabashwediwe Mungodla, Linda Zikhona Linganiso, Sukoluhle Mlambo and Tshwafo Motaung

In 2008, a number of Southern African countries cultivated about 900,000 ha of Jatropha, with a number of biodiesel plants ready for production; however, none of the projects…

1139

Abstract

Purpose

In 2008, a number of Southern African countries cultivated about 900,000 ha of Jatropha, with a number of biodiesel plants ready for production; however, none of the projects succeeded. In 2014, KiOR advanced biofuel Energy Company in the USA announced bankruptcy due to incompetent technology. Studies disclose that the reasons for biofuel plants failure are not only due to lack of incentives and unclear policies but also due to lack of economic feasibility and low production yields. This paper aims to review the techno-economy assessment of second-generation biofuel technologies. The purpose of this paper is to summarize specific techno-economic indicators such as production cost, technology efficiency and process life cycle analysis for advanced biofuel technology and to narrate and illustrate a clear view of what requires assessment to deploy a feasible advanced biofuel technology. This study also reviews assessment of biomass supply chain, feedstock availability and site selection criteria. The review also elaborates on the use of different processes, forecasting and simulation-modeling tools used in different techno-economic analysis studies. The review provides guidance for conducting a technical and economic feasibility study for the advanced biofuels energy business.

Design/methodology/approach

The aim of this review is, therefore, to evaluate the techno-economic feasibility studies for the establishment of viable industrial scale production of second-generation biofuels. It does so by grouping studies based on technology selection, feedstock availability and suitability, process simulation and economies as well as technology environmental impact assessment.

Findings

In conclusion, techno-economic analysis tools offer researchers insight in terms of where their research and development should focus, to attain the most significant enhancement for the economics of a technology. The study patterns within the scope of techno-economics of advanced biofuel reveal that there is no generic answer as to which technology would be feasible at a commercial scale. It is therefore important to keep in mind that models can only simplify and give a simulation of reality to a certain extent. Nevertheless, reviewed studies do not reach the same results, but some results are logically similar.

Originality/value

The originality of this article specifically illustrates important technical and economic indicators that should be considered when conducting feasibility studies for advance biofuels.

Details

Journal of Engineering, Design and Technology, vol. 17 no. 4
Type: Research Article
ISSN: 1726-0531

Keywords

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