Elderly Mental Health and Targeted Abuse: Qualitative Investigation of Service User Experiences

This research paper discusses the experiences of elderly individuals facing mental health issues and targeted abuse. The study utilizes a qualitative investigation of service user experiences and highlights the need for user-led hindrance and protective covering. The study also explores the impact of stigma on healthcare providers and the rise of care home abuse.

Assessment 1
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RESEARCH PAPER 1
Main findings
Researcher aim to discuss over the elders who are facing serious mental health issues
and are at high risk of targeted abuse as well as violence. This study utilises qualitative
investigation of services that have been experienced by the scholar while conducting the
examination.
The major findings that had been evaluated by conducting qualitative research and
collecting data through primary method i.e. interview, it has been analysed that
surviving in fear due to maltreatment and belief unsecured all the times into all
settings was most common across the services. Most of the service users that are
selected for the interview are women hence, the findings are related to the women's
experiences as well as concepts of thinking. Majority of staff members reported
feeling disempowered, lacking behind in confidence level, afraid to take
accountabilities of the tasks that requires to be performed along with less level of
assurance in order to exponent one-on-one to communicate out loud about the
abominable practices into the whole system as well as in mental health or social
work within which blame culture exists (Brown and McCann, 2019).
As per the service users, there should be detailed intensity over user-led
hindrance and protective covering with guard preparation and precaution the final
results in agreement with the service user while doing care preparation. Moreover,
the users reported that they require mental health and adult safeguarding
practitioners, police as well as housing officers to listen and believe them
appropriately. In addition to this, they should also become responsible to take
ownership of the issues and help also to pursue justice.
Approach that is being used by research worker to complete the study
The method that is being utilised by the scholar is quantitative approach in order to
perform this investigation into most successful manner. In order to collect detailed analysis,
the researcher conduct different surveys at diversified timings along with adopting dissimilar
number of participants. Initially interview conducted within which there were 23 participants
available. In another study 46 participants were presented and at last two sessions that were
conducted over Twitter through chat mode includes 585 and 139 participants. On the basis of
above participants, the final data had been collected and final comments had been prepared.

With the help of utilizing deductive approach within the research, the scholar
was able to identify the appropriate results in most successful manner. With the help
of this particular approach, the examiner was able to used integrated work course
with diversified method acting which involves profession extent assessment, done
with user obsessed audience with self-selecting intellectual wellness company users
with experience of targeted aggression and abuse enlisted with the help of user led
establishment. Moreover, practitioners led adult safeguarding as well as mental
health practitioner along with stakeholder focus groups discussing preliminary
service user interview. Thus, as the study was based upon the mental health service
user led within which over half of the team members were known as service users
and survivor scholars which also includes the principal investigator (Cusack and
et.al., 2018). The study was co-produced with two practician individual into team
employed to set of common principles as well as methods that had been traced from
liberate investigation.
Key express of used approach
Although there are varied people who had been addressed at the time of collecting the
information but from the study, it had been identified that most of the interviewers were
women hence, the findings are relatively predominant towards women’s who reported their
experiences and concepts in detailed manner. Therefore, the final comments that have been
prepared or data which have been extracted might have face biases. Thus, this study might
have become better by including participants of both gender to get balanced level of output
from the research. There are various studies that have been conducted over similar topic and
successful because of their active and appropriate proportion of participants.
With the help of above chosen methods in order to complete the overall study,
it had been analysed that the final implications of the report includes that staff
members feel disempowered and feel lack of confidence within themselves at the
time of attending people who are living or facing complex conditions. Thus, compeer
proponent might be formulation for encouraging service users who have intimate
insult or decline especially into the mental welfare services. In addition to this, mental
health service users and carers requires information as well as consciousness about
grown up safe-conduct and elevation vigilant, protection and rights so that they can
access activity scheme and hold occupational group to their relationship (Brown and
McCann, 2019). The police and other housing safeguards need to be accessible and

respond in quick manner in reporting incidents of targeted violence or abuse and
crime into closed mental health environment which includes wards and supported
housing. Moreover, they should be members of local adult safeguarding boards with
having equal influence and power.
The ways in which this investigation helps in health and social care practice
This research is highly able to reveal few aspects that still there are various elders
available who are facing serious mental health abuse and violence issues which requires
urgent and extreme level of attention of society. The key findings should be adopting by
varied policy makers in order to find appropriate solutions to address this issue appropriately.
This would definitely preserve the rights of the patients as well as elder victims.
From the whole study, it had been illustrated that many people surviving with
mental health trouble and also at broad danger of abuse and targeted furiousness.
As this investigation was a qualitative study of service user experiences and
concepts of marked violence and mistreatment over the grounds of mental health
status. The primary aim of this study is related to assemble an evidence base for the
UK over mental health service user experiences as well as perception over mental
health related targeted violence and hostility (NIHR, 2019). Moreover, the
examination assist and reveals some specific mental health issues and disablement
hatred transgression in front of the society which is highly significant.
RESEARCH PAPER 2
1. Describe the main collection of the research:
This paper was focusing on stigma faced by health care provider in the service, key
finding from this paper focus on mental impact health care worker faced because of
abuse. Stigma become biggest issue when it comes to providing health treatment to
those client who do not follow ethical consideration.
Finding in this research highlight that both male and female were considered in this
study and their sample where been considered, there was not gender discrimination
in the process of completing research. This research focus on impact of stigma in
healthcare process where unfair justice is dangerous for people living with chronic
disease (Earnshaw and Quinn, 2012). For the completion of this research, author
have considered path analysis method that allow them to divide witness on the scale
of variable. Result from this research state that internalized stigma is faced by the

client from healthcare worker that impact their mental health as well. Data collected
using path analysis demonstrate that quality of life is impacted due to stigma
anticipated from the health care worker, participant who faced greater stigma state
that healthcare worker were major reason why their quality of life is been impacted.
2. Describe the plan of attack the author/s have used to carry out the research:
Author have selected qualitative method where they are focusing on thematic data
collected directly from participant and their perception, this method is one of the most
reliable which means author can depend on qualitative method to complete their
study.
Every research has one appropriate approach adopted by the researcher, approach
allow author to collect data and analyse the key finding. For the completion of this
study, researcher have focused on including 184 participant who are living with
chronic illness and facing major stigma from health care worker who fail to work
according to policy of the organization. Focusing on primary approach, author have
collected experience of participant that have faced stigma anticipated from health
care worker (Pandey and Pandey, 2021). Participant highlight their experience and
stigma faced by them in getting health care, participant state that their quality of life
is impacted due to stigma faced by them from healthcare worker. Author have
focused on secondary data to understand rise of stigma in health care area, focusing
on cases recorded for stigma and understanding role of path analysis in the process.
Key express of the approach
The scholar collects data from 184 participants whose are living and facing chronic
diseases in more or less ways. Irrespective of collection of large amount of data, still there are
various people having information regarding chronic disease are still being ignored in care
settings. This includes that the people who are facing great level of stigma from healthcare
workers are accessed less healthcare and also experienced decreased level of quality of life.
Initially the model that have been used and represent the alternative hypothesis that the
quality of life experienced enhanced care accessibility which predicts decreased level of
stigma. This represent poorer fit into the study.
With the help of utilizing the multi prolonged approach in order to interfere with
health care individual and to cut down stereotypes discrimination and preconception
along with grouping living with degenerative unwellness to reduce internationalized

reproductive structure and thus addition of care accessibility. With this approach, it
acts as best way to reduce anticipated stigma along with improves the attribute of life
of citizenry living with chronic illness. Hence, the research explored the procedure in
which internationalize knowledgeable and awaited stigma within healthcare settings
impacted the attribute of life of the group living with chronic diseases. With the help
of results of the path, the scholar supported the hypotheses (Reinka and et.al.,
2020). As the current research is illustrated the harmful role of stigma into health
care settings over the quality of life of people living with chronic illness. And with the
appropriate methods, the study is highly able to complete in most successful
manner.
The structure in which current study is used in health and social care settings
The multi prolonged approach that had been used into this study had been appropriately
intervene with healthcare workers to reduce stereotypes, prejudice and discrimination along
with people having issues related to chronic illness to decrease internationalized stigma along
with increase care access and thus improves the quality of life in overall context.
With the help of this study, the people are able to understand the meaning of
stigma which is related to when someone sees in a negative situation because of
their mental illness. Moreover, discrimination is when someone treats an individual in
a negative manner because of the mental disability. In addition to this, it had also
highlighted that social stigma as well as discrimination can also make mental health
issues worse and stop an individual from getting the help. Thus, under such
circumstances, the requirements arises due to this study. Initially the examination
arises the significance of targeted internationalized stigma in interventions illustrates
that people living with degenerative illness approve mental representation and
disadvantage related with their chronic illness (Albury and et.al., 2020). Another the
study underscore the importance of reference point intimate blemish to reduce
expected mark also helps the address the issues. Thus, in total context, this enables
the health and social care to elaborate the concepts in detailed manner along with
find appropriate solutions.

RESEARCH PAPER 3
1. Describe the main findings
The paper was about mental issue faced by health care worker when providing
service, this issue arrives because worker face abuse and discrimination while
providing service to the client. This paper has focused on abuse faced by health care
worker while providing service to client which is a major issue.
Finding from this article or research have demonstrated that care home abuse is one
of the serious issue, nearly 72.9% of participant responded they were witness of
abuse. Number of abuses recorded have increased over time when no action is
taken to control abuse in the home care setting (Moore, 2019). All participant actively
provided there respond, nearly 74% of witness state that abuse was done by
proprietor or manager of care home who used their power and position to abuse their
member and client. Finding from this research clearly state that organization fail to
keep their culture healthy, report of abuse state true nature of the care home and
their worker who abuse their client. Many cases of abuse have not been recorded by
the organization because of their image, some participants provided this information
as they were abused by the organization and its member. Witness state that there
was no action taken by the organization and its member which give rise to abuse
cases in-home care.
2. Describe the approach the communicator/s have used to carry out the research:
Author have selected qualitative approach allowing them to focus on gathering
thematic data from participant and their perception, researcher have consider this
method as they are focusing on primary method of data collection.
Every author adopts one approach before starting their research allowing them to
collect more accurate and relevant data, for the completion of this research, author
have adopted both, quantitative and qualitative approach (Cr, 2020). Quantitative
approach means author have used statistical data to represent their finding whereas
qualitative approach allow author to focus on interview with participant and
understanding their viewpoint. This study focus mainly on primary data which is been
collected by the author with the help of questionnaire and direct interview with
participant. Author have distributed nearly 391 questionnaires in which, 285 returned
with a clear indication that participants has witnessed the abuse in the care home.
The author used a qualitative approach when they reach 11 newly appointed staff of

care homes. The author has also focused on established data that indicate abuse
has taken a rapid rise in a care home where members and clients have been abused
by the care home owner or manager.
3. Identify the key evince of this approach:
Primary approach is one of the best approach that is consider by almost every
researcher, this approach is best because data collected in this approach remain
most relevant. However, researcher have to perform extra task, this research would
have gone more accurate if researcher have considered secondary data as well
which means more relevant information to complete this study.
The approach is one of the most important elements in the research that allows the
author to collect data according to the research topic, for the completion of this
research, author have used both primary and secondary approach allowing them to
collect established and new data. Focusing of implication of primary approach,
author have distributed 391 questionnaires to gather new data. 285 responded
provided information about witness of abuse in-home care (Kumar, 2018). Outcome
of primary data allow researcher to collect relevant data using both quantitative and
qualitative approach. Author also have focused on secondary data that allow them to
review those facts and details of abuse faced by previous member or witness. Still, a
significant number of data is not been recorded. Both primary and secondary data
provide right and useful information about the topic, to collect experience of abuse,
author have focused on primary data where correct number of abuse can be
recorded.
4. State how this problem solving could be used in health and social care practice:
Issue related to abusive behaviour can be addressed by the authorties, key finding
from this research highlight that policy maker and authority need to focus on
continuous improvement by considering each and every case with evidence and
improve quality of service provided by the care home helper and worker.
This research will be beneficial in future practice in healthcare and social care
because author have chosen one of the major topic and collected data with one of
the most reliable method. Finding and conclusion of this research can be used in
health and social care practice, reviewer can understand abuse is major issued
faced by almost every member that is connected with care home. This study can be

used in understand and collected data of abuse recorded, author have collected
information or finding with the help of primary data which means this data will remain
new and can be used in further studies (Rinjit, 2020). However, no solution is been
crafted to address the issue of abuse in care home which means this research have
limitation while using it in health and social care practice. This research has drawn
was drawn with the help of experience provided by the witness, further action and
intervention can be drawn with this data.
REFERENCES
Albury, C. and et.al., (2020). The importance of language in engagement between health-care
professionals and people living with obesity: a joint consensus statement. The
Lancet Diabetes & Endocrinology, 8(5), pp.447-455.
Brown, M. and McCann, E., (2019). The views and experiences of families and direct care
support workers regarding the expression of sexuality by adults with intellectual
disabilities: A narrative review of the international research evidence. Research in
developmental disabilities, 90, pp.80-91.
Carr, S., Faulkner, A., Hafford-Letchfield, T., Megele, C., Gould, D., Khisa, C., Cohen, R.
and Holley, J., (2019). Keeping Control: Exploring Mental Health Service User
Perspectives on Targeted Violence and Hostility in the Context of Adult
Safeguarding.
Cr, K., (2020). Research methodology methods and techniques.
Cusack, P. and et.al., (2018). An integrative review exploring the physical and psychological
harm inherent in using restraint in mental health inpatient settings. International
journal of mental health nursing, 27(3), pp.1162-1176.
Earnshaw, V.A. and Quinn, D.M., (2012). The impact of stigma in healthcare on people
living with chronic illnesses. Journal of health psychology, 17(2), pp.157-168.
Kumar, R., (2018). Research methodology: A step-by-step guide for beginners. Sage.
Moore, S., (2019). The sound of silence: evidence of the continuing under reporting of abuse
in care homes. The Journal of Adult Protection.

Pandey, P. and Pandey, M.M., (2021). Research methodology tools and techniques. Bridge
Center.
Reinka, M.A. and et.al., (2020). Cumulative consequences of stigma: Possessing multiple
concealable stigmatized identities is associated with worse quality of life. Journal of
Applied Social Psychology, 50(4), pp.253-261.