Creative approaches to mental health: a critical analysis of the mindfulness agenda in Sussex

Part of book or chapter of book English OPEN
Spiegelhalter, Kate (2013)
  • Publisher: Inter-Disciplinary Press
  • Subject: HM
    mesheuropmc: health care economics and organizations

Mindfulness is a packaged intervention with current popularity in East Sussex, and this study explores how it is embedded in mental health services, the processes of the gathering and presentation of evidence, how the experience of patients is organizationally shaped and the importance of indirect interventions. These forms of interventions are what has been termed ‘choice architecture’ by proponents of the ‘nudge agenda’, describing the way that decisions and behaviour are influenced by how the choices are presented or designed . I want to explore the feasibility of applying indirect interventions to mindfulness in order to increase take-up rates, evaluative mechanisms and follow-up support, based on the patient perspective. Mindfulness-based cognitive therapy (MBCT) was recommended by NICE in their guidelines in 2004, was brought fully into the mainstream and has now been specifically adapted for psychosis. My research is on the interaction between mindfulness as an innovative therapy, a marginalised group of people who experience psychosis, and the currently popular behavioural economics (nudge) agenda. The nudge agenda is being promoted on the basis of cost-effectiveness, the aptness of its ideology to the current political climate, and its evidence base in particular case studies. The use of creative indirect interventions such as nudge, ‘when carefully crafted and applied’, can be ‘a positive means of communication between physician and patient’ .
  • References (1)

    Appleby, John, Ham, Chris, Imison , Candice & Jennings, Mark. Improving NHS productivity, More with the same not more of the same (Kings Fund Report, 2010) Viewed 18.6.12<> Ariely, Dan. Predictably Irrational-The Hidden Forces that Shape Our Decisions (London: Harper Collins, 2008) Baer, Ruth. Mindfulness training as a clinical intervention: A conceptual and empirical review (Clinical Psychology: Science and Practice, 10(2), 2003) , 125 Berry, C., Gerry, L., Hayward, Mark, Chandler, Ruth. Expectations and illusions: a position paper on the relationship between mental health practitioners and social exclusion. Journal of Psychiatric and Mental Health Nursing. 17, 411-421, 2010 Bovens, Luke The Ethics of Nudge. In Grüne-Yanoff, Till and Hansson, Sven Ove, (eds.) Preference change: approaches from philosophy, economics and psychology. Springer, pp. 207-219, 2009 Cabinet Office Institute for Government (2010), Viewed 18.6.12 <>

  • Metrics
    No metrics available
Share - Bookmark