The journey of service users with complex mental health needs: a qualitative study

Figures & data

Figure 1. Recruitment process for service users and carers.

Text boxes explaining, step-by-step, how service users and carers were recruited i.e. participants were identified, approached, and interviewed.

Figure 2. Recruitment process for clinicians.

A diagram demonstrating, step-by-step, how clinicians were recruited. It demonstrates that service user and carer interviews guided the process.

Table 1. Service user and carer demographics.

Pseudonym	Gender	Ethnicity	Placement	Experience of OAP	Duration of interview
Service User
Chloe	Female	White British	Community	Yes	79 min
Sarah	Female	White British	Inpatient	Yes	33 min
Sam	Male	White British	Inpatient	Yes	66 min
Eric	Male	White British	Inpatient	No	15 min
Jacob	Male	White British	Community	Yes	65 min
Micah	Male	White British	Inpatient	Yes	31 min
Chelsea	Female	White British	Inpatient	No	20 min
Matthew	Male	White British	Community	Yes	50 min
Catherine	Female	White British	Community	Yes	21 min
Trevor	Male	White British	Inpatient	Yes	32 min
Alex	Male	White Asian	Inpatient	No	45 min
Carer
Diana	Female	n/a	n/a	Yes	17 min
Ruth	Female	n/a	n/a	Yes	58 min
Christine	Female	n/a	n/a	Yes	22 min
Ruby	Female	n/a	n/a	Yes	30 min
Amanda	Female	n/a	n/a	Yes	62 min
Michael	Male	n/a	n/a	No	37 min
Betty	Female	n/a	n/a	No	42 min
Andrea	Female	n/a	n/a	No	28 min
Peter	Male	n/a	n/a	No	32 min
Percy	Male	n/a	n/a	No	28 min

Table 2. Clinician demographics and roles.

Pseudonym	Gender	Age	Role	Time in Current Role	Professional Background	Duration of Interview
Paul	Male	nk	Psychiatry Consultant	nk	Psychiatry	53 min
Beatrice	Female	43 years	Psychiatry Consultant	4 years	Psychiatry	53 min
Sandra	Female	45 years	Psychiatry Consultant	6 years	Psychiatry	42 min
Randall	Male	47 years	Psychiatry Consultant	8 years	Psychiatry	36 min
Lauren	Female	27 years	Specialist Occupational Therapist	10 months	Occupational Therapist	45 min
Miguel	Male	nk	Psychiatry Consultant	nk	Psychiatry	38 min
Martin	Male	41 years	Consultant Social Worker	16 months	Social Work	49 min
Caroline	Female	44 years	Principal Clinical Psychologist	18 months	Clinical Psychology	47 min
Julie	Female	34 years	Clinical Lead	4 months	Clinical	33 min
Susie	Female	34 years	Principal Clinical Psychologist	17 months	Clinical Psychology	48 min
Sally	Female	31 years	Early Intervention Practitioner	1 month	Mental Health Nursing	39 min
Sabine	Female	32 years	Service Development Manager	3 months	Nursing	47 min
Laura	Female	50 years	Principal Clinical Psychologist	17 months	Clinical Psychology	38 min
Adam	Male	48 years	Staff Nurse	6 years	Mental Health Nursing	39 min
Rosie	Female	38 years	Clinical Lead	2 years	Mental Health Nursing	42 min
Marcus	Male	45 years	Advanced Nurse Practitioner	2 years	Nursing	27 min
Lydia	Female	33 years	Clinical Lead	1 year	Mental Health Nursing	44 min
Miles	Male	49 years	Nurse Consultant	9 months	Mental Health Nursing	46 min

Figure 3. Service user journey themes diagram.

A diagram showing the five themes contributing to the ‘service user journey,’ showing that relationships, treatment, autonomy, OAPs and training all have an impact.

Figure 4. List of recommendations for implementation, based on participant interviews.

A list of recommendations made by participants, including the need for strong therapeutic relationships, increased autonomy and better staff training.

Data availability

The data that support the findings of this study are available from the corresponding author [[email protected]], upon reasonable request.