Show/hide main menu

A-Z of projects

Promoting Recovery in Mental Health (PRIMH)

ava-logoPRIMH (Promoting Recovery in Mental Health) is an evaluation of an intervention developed and delivered by the non-governmental organisation AVA (Against Violence and Abuse) to improve service responses to domestic and sexual violence at two mental health trusts: Camden and Islington NHS Foundation Trust and Sussex Partnership NHS Foundation Trust. 

The objectives of the evaluation are to:

  1. Evaluate pre- and post-intervention changes in NHS strategic- and operational-level responses to service users’ experiences of violence and abuse
  2. Evaluate pre- and post-intervention changes in clinicians’ knowledge, confidence and competencies to respond to service users’ experiences of violence and abuse
  3. Explore clinicians’ views and opinions about Trust roles in addressing service users’ experiences of violence and abuse and their expectations/experiences of taking part in an intervention on domestic and sexual violence
  4. Evaluate pre- and post-intervention changes in service users’ service satisfaction, health and well-being.
  5. Explore pre- and post-intervention changes in service users’ experiences and opinions about clinicians’ responses to violence and abuse. 

Why carry out the research?

The links between domestic and sexual violence and mental ill-health are well documented, as is the high prevalence of abuse experienced by mental health service users. Most cases of domestic and sexual violence, however, remain undetected by mental health services.  Mental health professionals rarely ask service users about experiences of abuse and often fail to provide adequate responses to disclosures.

Strategies concentrating solely on the enhancement of mental health professionals’ skills and competencies to address violence and abuse have shown only limited success in improving service responses. Preliminary evidence suggests that broader organisational support is necessary to engender staff confidence and to achieve the successful implementation of domestic and sexual violence innovations with healthcare Trusts. 

How is the research being undertaken?

 The research includes:

  1. Pre- and post-intervention analysis of Trust guidelines, strategies and recommendations on the identification, referral and provision of care for mental health service users who have experienced domestic and sexual violence.
  2. Pre- and post-intervention cross-sectional surveys with mental health service users who have experienced domestic and sexual violence about service satisfaction, health and well-being
  3. Pre- and post-intervention qualitative interviews mental health service users who have experienced domestic and sexual violence about Trust responses to violence and abuse
  4. Surveys of mental health professionals’ knowledge, competence, and confidence to respond to service user experiences of domestic and sexual violence. 
  5. Pre- and post-intervention qualitative interviews with study champions and key safeguarding professionals about Trust responses to domestic and sexual violence.
  6. Pre- and post-intervention focus groups with mental health professionals about Trust responses to domestic and sexual violence. 

Who is involved?

The project is funded by the Department of Health Voluntary Sector Investment Programme Innovation, Excellence and Strategic Development Fund 2013-14.

Dr Siân Oram (PI), Dr Kylee Trevillion and Prof Louise Howard (co-investigators) and Ms Lauren Capron are working on the PRIMH project. The project began in August 2013 and will continue until July 2016. To find out more contact: sian.oram@kcl.ac.uk.

Research papers and reports 

 

Sitemap Site help Terms and conditions  Privacy policy  Accessibility  Modern slavery statement  Contact us

© 2019 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454