Smith, Vivienne; (2019) Understanding the disclosure of mental health problems by mental health professionals. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Abstract

This thesis set out to further understanding of mental health disclosure decision-making amongst UK-based mental health professionals. Part one is a conceptual introduction looking at the factors associated with the disclosure of mental health problems amongst this population, including a literature review of research published in the past decade. Part Two consists of an empirical paper in which the Disclosure Process Model (DPM) is applied to baseline data collected from the Honest, Open, Proud for Mental Health Professionals (HOP-MHP) pilot randomised controlled trial (RCT) – a guided self-help intervention designed to aid mental health professionals with mental health problems with disclosure decision-making. This is part of a joint project carried out by two trainee clinical psychologists. The paper outlines the researcher’s role in the development and running of the pilot RCT and details the application of the DPM to elucidate the disclosure experiences of participants. Part three is a critical appraisal of the research undertaken in this thesis, presenting personal reflections on the research process and discussing the challenges involved in researching disclosure-decision making amongst mental health professionals. It concludes with a reflection on the implications of the study.

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