Research Focused on the Praxis Model of Care

Praxis Care has commissioned a series of studies to explore the key components and effectiveness of their services for people with very high levels of complex needs. This research involves a combination of methods to explore services providing very intensive support and to establish what works for whom in what types of setting.

This work is ongoing.

Reviews of the Existing Evidence on the Effectiveness of Praxis Care’s Interventions

We have an ongoing process of identifying and synthesising the existing, international evidence for interventions that are being provided by Praxis Care and new approaches that could be introduced. This aspect of the research programme involves scoping, narrative and systematic reviews of the research evidence.

Five scoping reviews are available here:

• Personality Disorder Services
• Positive Behaviour Support
• Forensic Services
• Autism Services
• Mental Health Services 

Mental Wellbeing in the Workplace

This staff led initiative is evaluating the impact of a training course on mental wellbeing in the workplace. The aim is to further support the mental health and wellbeing of everyone who works for Praxis Care. The evaluation is using a quasi-experimental design to provide data on how effective the training is.

Presentation of the findings

This work is ongoing.

Implementing the Mental Capacity Act (NI) 2016

The implementation of the Mental Capacity Act (Northern Ireland) 2016 provides some excellent opportunities for the development of progressive approaches to supporting people whose ability to make decisions may be impaired. This aspect of the research programme is using a co-produced approach to explore people’s experiences of making decisions and how Praxis staff can help support people in those processes.

The report and two presentations are available here:

• Supported Decision Making Report
• Supported Decision Making Easy Read Report
• Presentation of the Findings
• Presentation on Co-Production by Co-Researchers
• A peer-reviewed paper on Service users’ experiences and views of support for decision‐making is available online.
• A peer reviewed paper on the ‘Key components of supporting and assessing decision making ability’ is available online

Exploring how to Engage People in Positive Physical Activity

Praxis Care provides support for people’s needs including their physical health. This co-produced project is exploring ways to engage people in physical activity with the aim of improving their physical health but also their mental health and quality of life.

Please see below outputs from this project:

• Policy Briefing: Physical Activity interventions in Northern Ireland for People with Severe and Enduring Mental Health Problems
• Physical Activity Report: Empowering people through physical activity
• Factors that influence participation in physical activity for people with bipolar disorder: a synthesis of qualitative evidence
• Factors that influence participation in physical activity for anxiety and depression: a synthesis of qualitative evidence
• A peer reviewed paper on an ‘exercise intervention for people with serious mental illness’ is available online

Promoting Involvement in Research

A key component of Praxis Care’s research programme is the involvement of people with lived experience of mental health problems and/or intellectual disabilities in identifying priorities for research, designing studies, conducting research and disseminating the findings. This is an exciting, innovative and central aspect of the research programme.

Praxis Care’s co-researchers have worked as an integral part of the research team on studies of supported decision making and physical activity for people with mental ill health. Praxis Care is therefore committed to working with experts by experience in order to ensure that our research is inclusive, relevant and impactful.

This work is ongoing.

Green and Blue Spaces: How being outdoors can benefit our mental health

A co-produced research project which looks at the following:

• How do people with serious and enduring mental illness (SMI) perceive, use and benefit from green and blue spaces?
• Does the interaction with green and blue spaces differ between people with SMIs and the general population?

This work is ongoing.

Scoping Review: Physical design of supported accommodation for people with mental ill health, learning/intellectual disabilities and challenging behaviour

Presentation on design, mental health and intellectual disabilities

Context report

This work is ongoing.

Social Value

A project to design an economic model which will investigate how  Praxis Care adds value to the lives of the people with whom it works.

This work is ongoing.

Influencing Adult Safeguarding Policy

Praxis Care provides support for people with intellectual disabilities. This co-produced study identifies the best approaches for people with a learning disability to influence adult safeguarding and associated policy and legislation.

A number of reports are available here:

• Full report
• Executive summary
• Executive summary – easy read
• Action plan
• A peer reviewed paper on ‘Getting our voice heard: empowering people with a learning disability to influence adult safeguarding policy’ is available online

PhD Projects

Praxis Care facilitates and/or provides funding for a number of PhD projects in the following areas:

• Housing need in Irish mental health services
• Decision making processes within mental ill health and learning disability
• Staff understanding of trauma and its implication for adults with learning disability
• A virtual reality and 360 video based intervention for individuals with ASD and social anxiety
• Exploration of the effectiveness of a bespoke service offering individualised intensively supported accommodation to adults with complex needs
• Implementation of Positive Behaviour Support (PBS) in routine service provision

Staffing Recruitment, Development and Retention

Praxis Care has commissioned a staff-related research project which aims to:

• Conduct a rapid review to identify the international evidence on the most effective approaches to staff recruitment, development and retention in social care.
• Complete in-depth interviews with key Praxis stakeholders to explore the current work to address these issues and the ongoing challenges.
• Design and conduct an online survey, informed by the rapid review and the in-depth interviews, to be completed by Praxis care staff to provide further direction on what would work for Praxis.

This work is ongoing.