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Andrew Grundy

Research Associate (Mental Health Research Group), Faculty of Medicine & Health Sciences

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Biography

Andrew Grundy is a Mental Health Research Associate in the division of Nursing, with a background in Theology and Religious Studies (University of Nottingham: BA(Hons); MPhil).

He was recruited to be trained on a pioneering Masters-level 'Research Methods and Design' training course run by the University of Manchester, which was funded by an NIHR Programme Development Grant. The course ran in 2011, and was especially designed to train a number of mental health service-users and carers from Manchester and from Nottingham in research methodology so that they could become fully involved in every aspect of mental health research, and in what would become a care planning programme of research in particular. The course was cited by the MHRN and NICE as an exemplar of good practice in equipping service-users and carers for involvement in research.

He subsequently worked with Prof. Patrick Callaghan to co-facilitate a number of two-day 'Introduction to Research' training workshops for service-users and carers at both the Recovery College and at the Institute of Mental Health, Nottingham.

Following his research training, he accepted an invitation to be a service-user co-applicant and co-investigator on an NIHR Funded Programme Grant of £1.9m to run a 5 year research programme - EQUIP: enhancing the quality of user involved care planning in mental health services.

Since Feb. 2013, he has been working as a Research Associate within the Mental Health Research Group.

Teaching Summary

Patient and Public Involvement in Clinical Research Introduction to care planning in Mental Health services External teaching: Introduction to Research for mental-health service users and… read more

Research Summary

Research interests:

  • Understanding concepts of mental health service provision from the service user and carer perspective
  • Mental health risk assessment and management from the service user perspective
  • User/carer involved care planning in Adult Mental Health services
  • 'Patient and Public Involvement' in research
  • Mental health stigma, prejudice and discrimination

Current Research:

  • EQUIP: Enhancing the quality of user involved care planning in mental health services (NIHR PGfAR) 2012-2017

Co-Applicants: K. Lovell, P. Callaghan; J. Baker, P. Bee, P. Bower, P. Cahoon, A. Childs, L. Cree, L. Davies, R. Drake, A. C. GRUNDY, C. Roberts, A. Rogers, C. Sanders, L. Walker

A collaborative project between the University of Nottingham, the University of Manchester, Nottinghamshire Healthcare NHS Trust and Manchester Mental Health and Social Care NHS Trust, that has been awarded nearly £2 million by the National Institute for Health Research to examine ways to improve user and carer involvement in care planning in mental health services. It consists of seven studies, and the project will run for 5 years.

The main purpose of this research is to develop a user/carer-led training package for mental health professionals to enhance user/carer involvement in their care planning. We will also develop a measure of user/carer involvement in care planning. We will then test the resulting training package, and explore how it affects service users and professionals in everyday practice.

Methods: Focus Groups with stakeholders (service-users, carers and mental health professionals) to identify what the training should consist of and how it should be delivered (Study 1)

Qualitative Interviews with stakeholders to determine the priorities and key components of 'quality' service user/carer engagement and 'involvement' in care planning (Study 2)

Development and validation of a Patient Reported Outcome Measure (PROM) of service user/carer involved care planning (Study 3) and audit tool (Study 4)

Evaluation of the efficacy and cost effectiveness of service user/carer involved care planning through a cluster Randomised Controlled Trial and cross-sectional survey (Study 5)

Identifying the current organisational context of care planning within the Trusts through a mapping exercise and qualitative interviews (Study 6)

Qualitative evaluation nested within the trial, including interviews, observations and diary work (Study 7)

  • Youth Mental Health and Wellbeing Seminar Series (ESRC) 2014-2017

Co-Applicants: M. Michail; B. Dooley, A. C. GRUNDY, C. Heary, E. Hennessy, P. Patterson, S. Stathi

A seminar programme funded by the Economic and Social Research Council consisting of nine one-day events over a three year period on key themes of youth mental health including:

1. youth mental health and stigma

2. e-health and new technologies for youth mental health

3. the development of youth friendly mental health services.

Recent Publications

Other 'Patient and Public Involvement' work:

  • Mental Health Nursing Research (MHNR) Conference 2016-present

Scientific and organising committee: B. Hannigan; J. Baker, C. Carson, T. Carter, A. C. GRUNDY, I. Hulatt, M. Mckeown, L. Renwick

The International Mental Health Nursing Research Conference is the Network for Psychiatric Nursing Research Conference re-imagined and reinvented. The theme for the 2017 conference (14th/15th Sept, Cardiff) is 'Imagination, Invention and Inquiry: New Ideas for Mental Health Care'.

  • Youth Mental Health and Wellbeing Managed Innovation Network (IMH) 2014-2017

MIN members: M. Michail; A. Athfah, D. Butler, T. Carter, D. Churchill, A. C. GRUNDY, J. Manning, E. O'Regan, E. Perez, A. Taylor, E. Townsend, K. Widdowson, N. Wright

Aims: 1. To promote public and professional interest in the mental health and wellbeing of young people aged 12 to 25

2. To foster collaboration and communication locally (and subsequently nationally) between practitioners, researchers, academics, young service users and charities working to improve the health and wellbeing of young people using evidence informed practices

3. To identify gaps in research and clinical practice and work together to promote the advancement of research and education in youth mental health

4. To meaningfully engage young people who use mental health services as advisors in the MIN to help us develop and advance research that would target their health needs

  • Patient and Public Involvement in Clinical Research
  • Introduction to care planning in Mental Health services
  • External teaching: Introduction to Research for mental-health service users and carers

Past Research

  • Community and Capoeira - Creative Practice as Mutual Recovery (IMH) 2013-2016

Research group: M. Jordan; M. Barker, A. C. GRUNDY, E. Joyes, A. Purser, E. Wright, N. Wright

Capoeira is an Afro-Brazilian martial art, involving elements of play, dance, music and fight. Much of the literature available to date surrounding Capoeira focused on aspects of cultural sociology and not health per se. However, here, Capoeira was used to explore mental health, well-being, and connectedness in a mutual sense through the delivery of a 13-week Capoeira course. This study formed a work package to Theme 2 of the AHRC Creative Practice as Mutual Recovery programme grant which was led by Prof. Paul Crawford.

The study adopted a mixed-methods approach comprising four elements:

pre-/post-course quantitative measure of social inclusion (Secker et al., 2009)

pre-/post-course quantitative measure of well-being (WEMBWS Tennant et al., 2007);

overt non-participant observation data from the classes;

semi-structured interviews towards the end of the course.

Data was collected from two participant groupings, Capoeira students and the Capoeira teachers (or 'Capoeiristas') to explore connectedness and community.

  • ReQoL: Recovering Quality of Life outcome measure (DoH) 2014-2016

Scientific Committee: J. Brazier; M. Barkham, J. Boardman, J. Carlton, J. Connell, A. C. GRUNDY, S. Heywood-Everett, A. Keetharuth, A. Papadopoulous, T. Ricketts, D. Rose, M. Slade

The Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU) at the University of Sheffield and the University of York was commissioned by the Department of Health to develop a brief generic mental health recovery and quality of life Patient Reported Outcome Measure (PROM) called ReQoL. The questionnaire was primarily developed by a 12-member scientific group chaired by Prof John Brazier. I was a member of this scientific group and was also a member of an expert user group which advised the research team throughout the development of the PROM. I also conducted a number of face and content validity testing interviews with mental health service users which formed a key part of the development of the PROM.

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