Workforce Perspectives of Sustaining the Utilisation of a Harm Reduction Instrument in a Mental Health Residential Setting

Purpose: This exploratory study investigated worker experiences of utilising the Before During After (BDA) harm reduction instrument to engage well with service users in a residential mental health service setting. Stakeholder interviews were conducted with a purposive sample of two senior nurses an...

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Main Authors: Simon Kroes, Hannah McKim, Melissa Petrakis
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/12/2/276
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author Simon Kroes
Hannah McKim
Melissa Petrakis
author_facet Simon Kroes
Hannah McKim
Melissa Petrakis
author_sort Simon Kroes
collection DOAJ
description Purpose: This exploratory study investigated worker experiences of utilising the Before During After (BDA) harm reduction instrument to engage well with service users in a residential mental health service setting. Stakeholder interviews were conducted with a purposive sample of two senior nurses and one senior allied health staff at the study site to explore the impacts of BDA implementation on their work after 3 years of its use. A thematic analysis was conducted, including two-level coding. Five major themes were discussed. Of particular interest, and the focus of this paper, are the themes of effect on service users and effect on staff. The study found improved engagement between staff and service users, reduced stigma and more holistic care that was collaborative. In regard to staff, it was found that staff knowledge and confidence increased in addressing harm reduction issues with consumers and this was sustained over 3 years. Use of the BDA clinical instrument and package was reported to enhance worker engagement, knowledge and confidence in dual diagnosis work with service users.
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spelling doaj.art-d7cce2e4f0b142aa9f6189f42eb88bc42024-01-26T16:48:50ZengMDPI AGHealthcare2227-90322024-01-0112227610.3390/healthcare12020276Workforce Perspectives of Sustaining the Utilisation of a Harm Reduction Instrument in a Mental Health Residential SettingSimon Kroes0Hannah McKim1Melissa Petrakis2Mental Health Service, St Vincent’s Hospital Melbourne, Fitzroy 3065, AustraliaSocial Work Department, School of Primary and Allied Health Care, Caulfield Campus, Monash University, Caulfield East 3145, AustraliaMental Health Service, St Vincent’s Hospital Melbourne, Fitzroy 3065, AustraliaPurpose: This exploratory study investigated worker experiences of utilising the Before During After (BDA) harm reduction instrument to engage well with service users in a residential mental health service setting. Stakeholder interviews were conducted with a purposive sample of two senior nurses and one senior allied health staff at the study site to explore the impacts of BDA implementation on their work after 3 years of its use. A thematic analysis was conducted, including two-level coding. Five major themes were discussed. Of particular interest, and the focus of this paper, are the themes of effect on service users and effect on staff. The study found improved engagement between staff and service users, reduced stigma and more holistic care that was collaborative. In regard to staff, it was found that staff knowledge and confidence increased in addressing harm reduction issues with consumers and this was sustained over 3 years. Use of the BDA clinical instrument and package was reported to enhance worker engagement, knowledge and confidence in dual diagnosis work with service users.https://www.mdpi.com/2227-9032/12/2/276harm reductiondual diagnosismental healthaddictionalcohol and other drugsimplementation
spellingShingle Simon Kroes
Hannah McKim
Melissa Petrakis
Workforce Perspectives of Sustaining the Utilisation of a Harm Reduction Instrument in a Mental Health Residential Setting
Healthcare
harm reduction
dual diagnosis
mental health
addiction
alcohol and other drugs
implementation
title Workforce Perspectives of Sustaining the Utilisation of a Harm Reduction Instrument in a Mental Health Residential Setting
title_full Workforce Perspectives of Sustaining the Utilisation of a Harm Reduction Instrument in a Mental Health Residential Setting
title_fullStr Workforce Perspectives of Sustaining the Utilisation of a Harm Reduction Instrument in a Mental Health Residential Setting
title_full_unstemmed Workforce Perspectives of Sustaining the Utilisation of a Harm Reduction Instrument in a Mental Health Residential Setting
title_short Workforce Perspectives of Sustaining the Utilisation of a Harm Reduction Instrument in a Mental Health Residential Setting
title_sort workforce perspectives of sustaining the utilisation of a harm reduction instrument in a mental health residential setting
topic harm reduction
dual diagnosis
mental health
addiction
alcohol and other drugs
implementation
url https://www.mdpi.com/2227-9032/12/2/276
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