Michael Clark
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View article: The cost-effectiveness of specialist hospital discharge and intermediate care services for patients who are homeless
The cost-effectiveness of specialist hospital discharge and intermediate care services for patients who are homeless Open
Background Recognising the diverse healthcare needs of the population, there is a growing emphasis on tailoring hospital discharge processes to address the unique challenges faced by individuals who are homeless, aiming to enhance the effi…
View article: Mental health social care: scoping and developing new and necessary health and care research system
Mental health social care: scoping and developing new and necessary health and care research system Open
Mental health social care is an emerging and evolving field of practice and research within mental health care in the UK. It recognises the significant role played by social determinants in the development of mental illness and distress, a…
View article: Fitting a square peg in a round hole? A mixed-methods study on research ethics and collaborative health and social care research involving ‘vulnerable’ groups
Fitting a square peg in a round hole? A mixed-methods study on research ethics and collaborative health and social care research involving ‘vulnerable’ groups Open
Background Current research ethics frameworks that oversee health and social care research, in the United Kingdom and internationally, originated in biomedical research, having positivist underpinnings and an orientation towards experiment…
View article: Integrating homelessness support – developing a relational understanding
Integrating homelessness support – developing a relational understanding Open
Purpose People experiencing homelessness often have multiple health and other support needs, requiring complex, coordinated support. Admission to hospital is potentially an opportunity to address these needs and begin integrating care, but…
View article: Realist assessment of fidelity during the implementation of the PARTNERS collaborative care intervention for people with diagnoses of severe mental illness within a cluster randomised controlled trial
Realist assessment of fidelity during the implementation of the PARTNERS collaborative care intervention for people with diagnoses of severe mental illness within a cluster randomised controlled trial Open
Many with severe mental illnesses are underserved by disjointed service provision. PARTNERS aims to address this via collaborative care with recovery-based coaching. PARTNERS was evaluated in a randomised controlled trial. Understanding ho…
View article: Collaborative care intervention for individuals with severe mental illness: the PARTNERS2 programme including complex intervention development and cluster RCT
Collaborative care intervention for individuals with severe mental illness: the PARTNERS2 programme including complex intervention development and cluster RCT Open
Background and aims Individuals living with severe mental illness such as schizophrenia and bipolar can have significant emotional, cognitive, physical and social challenges. Most people with severe mental illness in the United Kingdom do …
View article: Supporting Meaningful Implementation and Evaluation of Strengths-Based Approaches in Adult Social Care: A Theory of Change for The Three Conversations
Supporting Meaningful Implementation and Evaluation of Strengths-Based Approaches in Adult Social Care: A Theory of Change for The Three Conversations Open
There is much policy support internationally for ‘strengths-based approaches’ which work collaboratively with people seeking support. Such approaches aim to recognise the strengths in individuals, those around them, and their communities, …
View article: Relationships and a relational understanding in mental health research
Relationships and a relational understanding in mental health research Open
In engaging in this article with the far-reaching scholarly work of Peter Huxley, I focus on the foundations he has laid in developing a stronger social basis to understanding mental health and the forms of support that those experiencing …
View article: Doctors are striking for a pay-rise, but better conditions are needed to make them feel valued. Key insights from New Zealand
Doctors are striking for a pay-rise, but better conditions are needed to make them feel valued. Key insights from New Zealand Open
View article: How important is integration to the successful ‘roll out’ of specialist hospital discharge schemes for people who are homeless?
How important is integration to the successful ‘roll out’ of specialist hospital discharge schemes for people who are homeless? Open
In 2021, we published research funded by the UK National Institute for Health Research that demonstrated the effectiveness and cost effectiveness of specialist hospital discharge schemes for people who are homeless. A key finding of the re…
View article: A person-centred approach to help services and commissioners to improve the experience of people who are homeless and secure better sustainability.
A person-centred approach to help services and commissioners to improve the experience of people who are homeless and secure better sustainability. Open
Successful implementation of evidence-based services in health and social care depends largely on the fit of the services with the values and priorities of users who are shaping and participating in their delivery and use. When looking at …
View article: Modeling Disruptions to Sex Trafficking Networks with Other Forced Illegal Activities
Modeling Disruptions to Sex Trafficking Networks with Other Forced Illegal Activities Open
Victims of sex trafficking are often forced to participate in a variety of legal and illegal activities, including selling commercial sex, drug trafficking, committing theft, and committing fraud. We build an operational model of a sex tra…
View article: Social workers and acquired brain injury: A systematic review of the current evidence-base
Social workers and acquired brain injury: A systematic review of the current evidence-base Open
Social work plays an important role in the assessment and treatment of people with acquired brain injury. Acquired brain injury is a complex and highly prevalent condition which can impact on cognitive, emotional and social domains. As acq…
View article: Development of a conceptual framework to guide description and evaluation of social interventions for people with serious mental health conditions
Development of a conceptual framework to guide description and evaluation of social interventions for people with serious mental health conditions Open
People with serious mental health conditions face social exclusion and have poorer social outcomes compared to the general population in several areas of life. Social exclusion also negatively impacts mental health. Promising models of sup…
View article: The cost-effectiveness of specialist hospital discharge and intermediate care services for patients who are homeless
The cost-effectiveness of specialist hospital discharge and intermediate care services for patients who are homeless Open
Objective To evaluate the cost-effectiveness of specialist hospital discharge and intermediate care (support after discharge) services for people who are homeless in England. Methods We estimated the comparative cost and consequences of di…
View article: Liquidity and uncertainty: digital adaptation of a complex intervention for people with severe mental illness during the COVID-19 lockdown
Liquidity and uncertainty: digital adaptation of a complex intervention for people with severe mental illness during the COVID-19 lockdown Open
View article: Practitioners’ ability to remotely develop understanding for personalised care and support planning: a thematic analysis of multiple data sources from the feasibility phase of the Dementia Personalised Care Team (D-PACT) intervention
Practitioners’ ability to remotely develop understanding for personalised care and support planning: a thematic analysis of multiple data sources from the feasibility phase of the Dementia Personalised Care Team (D-PACT) intervention Open
Practitioner understanding of patients’ preferences, wishes and needs is essential for personalised health care i.e., focusing on ‘what matters’ to people based on their individual life situation. To develop such an understanding, dementia…
View article: Longitudinal realist evaluation of the Dementia PersonAlised Care Team (D-PACT) intervention: protocol
Longitudinal realist evaluation of the Dementia PersonAlised Care Team (D-PACT) intervention: protocol Open
Background Different dementia support roles exist but evidence is lacking on which aspects are best, for whom, and in what circumstances, and on their associated costs and benefits. Phase 1 of the Dementia PersonAlised Care Team programme …
View article: The effectiveness of a primary care-based collaborative care model to improve quality of life in people with severe mental illness: PARTNERS2 cluster randomised controlled trial
The effectiveness of a primary care-based collaborative care model to improve quality of life in people with severe mental illness: PARTNERS2 cluster randomised controlled trial Open
Background Individuals living with severe mental illness can have significant emotional, physical and social challenges. Collaborative care combines clinical and organisational components. Aims We tested whether a primary care-based collab…
View article: Development of a conceptual framework to guide description and evaluation of social interventions for people with serious mental health conditions
Development of a conceptual framework to guide description and evaluation of social interventions for people with serious mental health conditions Open
People with serious mental health conditions face social exclusion and have poorer social outcomes compared to the general population in several areas of life. Social exclusion also negatively impacts mental health. Promising models of sup…
View article: Citizen Science as a Framework for Improving the Science-Society Interface in Long-Term Care Research
Citizen Science as a Framework for Improving the Science-Society Interface in Long-Term Care Research Open
Context: Engaging with and involving the public in research has become a widespread consideration in many research fields, including long-term (social) and health care. Perspective: Citizen science (CS) is an umbrella concept that has grow…
View article: Data-set for "Prescribed burning consumes key forest structural components: implications for landscape heterogeneity"
Data-set for "Prescribed burning consumes key forest structural components: implications for landscape heterogeneity" Open
Prescribed burning to achieve management objectives is a common practice in fire-prone regions worldwide. Structural components of habitat that are combustible and slow to develop are particularly susceptible to change associated with pres…
View article: The economic case for hospital discharge services for people experiencing homelessness in England: An in‐depth analysis with different service configurations providing specialist care
The economic case for hospital discharge services for people experiencing homelessness in England: An in‐depth analysis with different service configurations providing specialist care Open
There are long-standing concerns that people experiencing homelessness may not recover well if left unsupported after a hospital stay. This study reports on a study investigating the cost-effectiveness of three different 'in patient care c…
View article: Individualized Risk Prediction for Improved Chronic Wound Management
Individualized Risk Prediction for Improved Chronic Wound Management Open
Significance: Chronic wounds are associated with significant morbidity, marked loss of quality of life, and considerable economic burden. Evidence-based risk prediction to guide improved wound prevention and treatment is limited by …
View article: Engaging Stakeholders in Realist Programme Theory Building: Insights from the Prospective Phase of a Primary Care Dementia Support Study
Engaging Stakeholders in Realist Programme Theory Building: Insights from the Prospective Phase of a Primary Care Dementia Support Study Open
‘Dementia - Personalised Care Team’ (D-PACT) is a five-year NIHR funded programme, using realist methods to develop and evaluate a complex, person-centred intervention for people with dementia and their carers. During the early project sta…
View article: Improving care transfers for homeless patients after hospital discharge: a realist evaluation
Improving care transfers for homeless patients after hospital discharge: a realist evaluation Open
Background In 2013, 70% of people who were homeless on admission to hospital were discharged back to the street without having their care and support needs addressed. In response, the UK government provided funding for 52 new specialist ho…
View article: Reflections from the COVID‐19 pandemic on inequalities and patient and public involvement and engagement (PPIE) in social care, health and public health research
Reflections from the COVID‐19 pandemic on inequalities and patient and public involvement and engagement (PPIE) in social care, health and public health research Open
Patient and public involvement and engagement (PPIE) has evolved to become widely established practice in social care, health and public health research in the UK. The COVID‐19 pandemic has caused rapid change in practice in PPIE, notably …
View article: Beyond clinical trials: Extending the role of the clinical research nurse into social care and homeless research
Beyond clinical trials: Extending the role of the clinical research nurse into social care and homeless research Open
Aim Clinical research nurses work at the fulcrum of clinical trials with clearly defined roles and responsibilities. In England, the National Institute for Health Research (the main funder of health research) has broadened its scope to enc…
View article: Evaluation of a primary care-based collaborative care model (PARTNERS2) for people with diagnoses of schizophrenia, bipolar, or other psychoses: study protocol for a cluster randomised controlled trial
Evaluation of a primary care-based collaborative care model (PARTNERS2) for people with diagnoses of schizophrenia, bipolar, or other psychoses: study protocol for a cluster randomised controlled trial Open
Background Current NHS policy encourages an integrated approach to provision of mental and physical care for individuals with long term mental health problems. The ‘PARTNERS2’ complex intervention is designed to support individuals with ps…
View article: Status of primary and secondary mental healthcare of people with severe mental illness: an epidemiological study from the UK PARTNERS2 programme
Status of primary and secondary mental healthcare of people with severe mental illness: an epidemiological study from the UK PARTNERS2 programme Open
Background There is global interest in the reconfiguration of community mental health services, including primary care, to improve clinical and cost effectiveness. Aims This study seeks to describe patterns of service use, continuity of ca…