How do we improve men’s mental health via primary care? An evaluation of the Atlas Men’s Well-being Pilot Programme for stressed/distressed men

Cheshire, A., Peters, D. and Ridge, Damien T. 2016. How do we improve men’s mental health via primary care? An evaluation of the Atlas Men’s Well-being Pilot Programme for stressed/distressed men. BMC Family Practice. 17 (13). https://doi.org/10.1186/s12875-016-0410-6

TitleHow do we improve men’s mental health via primary care? An evaluation of the Atlas Men’s Well-being Pilot Programme for stressed/distressed men
AuthorsCheshire, A., Peters, D. and Ridge, Damien T.
Abstract

Background
Over three-quarters of all suicides are men (England and Wales), this is despite higher levels of anxiety and depression being reported by women. This disparity may in part be explained by atypical presentations of distress in men, and gendered issues around help-seeking. Consequently, the Atlas Men’s Well-being Programme was designed to engage stressed/distressed men who were patients at a London-based GP surgery. Atlas encouraged GPs to identify and refer men for counselling and/or acupuncture by raising their awareness of men’s distress. The aim of this pilot study was to evaluate Atlas in terms of patients’ characteristics, service utilisation, patient outcomes and cost implications.

Methods
All patients using the Programme were asked to complete a questionnaire before and after their Atlas sessions. Outcome measures included the Hospital Anxiety and Depression scale, Perceived Stress Scale, Warwick-Edinburgh Mental Well-being Scale, a 11-point scale measuring physical health, and the Psychological Outcome Profiles (PSYCHLOPS), a patient-generated outcome measure. Additionally, for cost calculations, participants were asked about their employment, number of days off work due to illness, and their health and social care service use.

Results
102 participants were recruited, 82 completed pre- and post-treatment questionnaires. Comparisons pre- and post-treatment revealed a statistically significant improvement in anxious mood (p <0.001), perceived stress (p < 0.001), positive well-being (p = <0.001), PSYCHLOPS (p = <0.001) and physical health (p = 0.001), though not depressed mood (p = 0.660). Additionally, reductions in costs related to lost employment and health and social care use, exceeded the cost of Atlas counselling and acupuncture sessions, with an average saving of nearly £700 per patient.

Conclusions
Atlas attendance was associated with improvements in patients’ mental and physical health, and demonstrated likely cost savings. It is now important to understand patient and stakeholder perspectives. Further research could compare usual care with the Atlas approach, and investigate full cost-effectiveness.

KeywordsMental health, Well-being, Male, Primary care, Stress, Masculinity
JournalBMC Family Practice
Journal citation17 (13)
ISSN1471-2296
Year2016
PublisherBioMed Central
Publisher's version
Digital Object Identifier (DOI)https://doi.org/10.1186/s12875-016-0410-6
Publication dates
Published02 Feb 2016
FunderNelsons

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Self-care and entrepreneurism: An ethnography of soft skills development for higher education staff
Fixsen, Alison, Cranfield, S. and Ridge, Damien T. 2018. Self-care and entrepreneurism: An ethnography of soft skills development for higher education staff. Studies in Continuing Education. 40 (2), pp. 181-197. https://doi.org/10.1080/0158037X.2017.1418308

How to respond psychologically to terror attacks
Loveday, C. and Ridge, Damien T. 2017. How to respond psychologically to terror attacks. iNews.

What influences quality of life in older people living with HIV?
Catalan, J., Tuffrey, V., Ridge, Damien T. and Rosenfeld, D. 2017. What influences quality of life in older people living with HIV? AIDS Research and Therapy. 14 (22) 22. https://doi.org/10.1186/s12981-017-0148-9

Westminster REFRAME workshops for foundation year doctors 2016-2017: Evaluation report
Cheshire, A. 2017. Westminster REFRAME workshops for foundation year doctors 2016-2017: Evaluation report. London Faculty of Science and Technology, University of Westminster.

Westminster REFRAME workshops for Guy’s and St Thomas’ Hospital staff: Evaluation report
Cheshire, A. 2017. Westminster REFRAME workshops for Guy’s and St Thomas’ Hospital staff: Evaluation report. London Faculty of Science and Technology, University of Westminster.

Depression at Work, Authenticity in Question: Experiencing, Concealing and Revealing
Ridge, Damien T., Broom, A., Kokanovic, R., Ziebland, S. and Hill, N. 2017. Depression at Work, Authenticity in Question: Experiencing, Concealing and Revealing. Health. 23 (3), pp. 344-361. https://doi.org/10.1177/1363459317739437

Stories of Hell and Healing: Internet Users’ Construction of Benzodiazepine Distress and Withdrawal
Fixsen, Alison and Ridge, Damien T. 2017. Stories of Hell and Healing: Internet Users’ Construction of Benzodiazepine Distress and Withdrawal. Qualitative Health Research. 27 (13), pp. 2030-2041. https://doi.org/10.1177/1049732317728053

GPs’ perceptions of resilience training: a qualitative study
Cheshire, A., Hughes, J., Lewith, G., Panagioti, M, Peters, D., Simon, C. and Ridge, Damien T. 2017. GPs’ perceptions of resilience training: a qualitative study. British Journal of General Practice. 67 (663), pp. e709-e715. https://doi.org/10.3399/bjgp17X692561

Influences on GP coping and resilience: a qualitative study in primary care
Cheshire, A., Ridge, Damien T., Hughes, J., Peters, D., Panagioti, M., Simon, C. and Lewith, G. 2017. Influences on GP coping and resilience: a qualitative study in primary care. British Journal of General Practice. 67 (659), pp. E428-E436. https://doi.org/10.3399/bjgp17X690893

What influences quality of life in older people living with HIV?
Catalan, J., Ridge, Damien T., Tuffrey, V. and Rosenfeld, D. 2017. What influences quality of life in older people living with HIV? AIDS Research and Therapy. 14 (22) 22. https://doi.org/10.1186/s12981-017-0148-9

A survey to determine usual care after cancer treatment within the United Kingdom National Health Service
Duncan, M., Deane, J., White, P.D., Ridge, Damien T., Roylance, R., Korszun, A., Chalder, T., Bhui, K.S., Thaha, M.A. and Bourke, L. 2017. A survey to determine usual care after cancer treatment within the United Kingdom National Health Service. BMC Cancer . 17 (186) 186. https://doi.org/10.1186/s12885-017-3172-1

Care, control and the electroconvulsive therapy (ECT) ritual: Making sense of polarised patient narratives
Knight, F., Ridge, Damien T., McShane, R., Ryan, S. and Griffith, L. 2017. Care, control and the electroconvulsive therapy (ECT) ritual: Making sense of polarised patient narratives . Qualitative Health Research. 27 (11), pp. 1675-1685. https://doi.org/10.1177/1049732317701403

REFRAME: Resilience training for GPs
Lynch, S., Lown, M., Rajasingami, D., Peters, D., Ridge, Damien T., Cheshire, A., Fismer, K., Stewart-Brown, S, Lewith, H., Jagger, O. and Lewith, G. 2016. REFRAME: Resilience training for GPs. InnovAiT. 9 (6), p. 356–360. https://doi.org/10.1177/1755738016646396

The Day After Tomorrows Doctors: UK Undergraduate Medical Student Resilience, Reports on the Symposium 2016
Peters, D., Lynch, S., Manning, C., Lewith, G. and Pommerening, D. 2016. The Day After Tomorrows Doctors: UK Undergraduate Medical Student Resilience, Reports on the Symposium 2016. University of Westminster Centre for Resilience.

The neurobiology of resilience
Peters, D. 2016. The neurobiology of resilience. InnovAiT. 9 (6), pp. 333-341. https://doi.org/10.1177/1755738016641980

Beyond maternal death: improving the quality of maternal care through national studies of ‘near-miss’ maternal morbidity
Knight, M., Acosta, C., Brocklehurst, P., Cheshire, A., FItzpatrick, K., Hinton, L., Jokinen, M., Kemp, B., Kurinczuk, J.J., Lewis, G., Lindquist, A., Locock, L., Nair, M., Patel, N., Quigley, M., Ridge, Damien T., Rivero-Arias, O., Sellers, S. and Shah, A. 2016. Beyond maternal death: improving the quality of maternal care through national studies of ‘near-miss’ maternal morbidity. Programme Grants for Applied Research. 4 (9) 9. https://doi.org/10.3310/pgfar04090

Age and Life Course Location as Interpretive Resources for Decisions Regarding Disclosure of HIV to Parents and Children: Findings from the HIV and Later Life Study
Rosenfeld, D., Ridge, Damien T., Catalan, J. and Delpech, V. 2016. Age and Life Course Location as Interpretive Resources for Decisions Regarding Disclosure of HIV to Parents and Children: Findings from the HIV and Later Life Study. Journal of Aging Studies. 38, pp. 81-91. https://doi.org/10.1016/j.jaging.2016.06.001

Graded Exercise Therapy Guided Self-Help Trial for Patients with Chronic Fatigue Syndrome (GETSET): Protocol for a Randomized Controlled Trial and Interview Study
Clark, L.V., Mccrone, P., Ridge, Damien T., Cheshire, A., Vergara-Williamson, M., Pesola, F. and White, P.D. 2016. Graded Exercise Therapy Guided Self-Help Trial for Patients with Chronic Fatigue Syndrome (GETSET): Protocol for a Randomized Controlled Trial and Interview Study. JMIR Research Protocols. 5 (2), p. e70. https://doi.org/10.2196/resprot.5395

New Ways of Being a Man: “Positive” Hegemonic Masculinity in Meditation-based Communities of Practice
Lomas, Tim, Cartwright, T., Edginton, T.L. and Ridge, Damien T. 2016. New Ways of Being a Man: “Positive” Hegemonic Masculinity in Meditation-based Communities of Practice. Men and Masculinities. 19 (3), pp. 289-310. https://doi.org/10.1177/1097184X15578531

Resilience: what is it, why do we need it, and can it help us?
Lown, M., Lewith,, G., Simon, C. and Peters, D. 2015. Resilience: what is it, why do we need it, and can it help us? British Journal of General Practice. 65 (639), p. e708–e710. https://doi.org/10.3399/bjgp15X687133

Atlas Men’s Well-being Programme: Evaluation Report
Cheshire, A. and Ridge, Damien T. 2015. Atlas Men’s Well-being Programme: Evaluation Report. London Faculty of Science and Technology, University of Westminster.

An individualised yoga programme for multiple sclerosis: a case study
Powell, L. and Cheshire, A. 2015. An individualised yoga programme for multiple sclerosis: a case study. International Journal of Yoga Therapy. 25 (1), pp. 127-134 IJYT-D-15-00006R2. https://doi.org/10.17761/1531-2054-25.1.127

Starting antidepressant use: a qualitative synthesis of UK and Australian data
Anderson, C., Kirkpatrick, S., Ridge, Damien T., Kokanovic, R. and Tanner, C. 2015. Starting antidepressant use: a qualitative synthesis of UK and Australian data. BMJ Open. 5 (e008636). https://doi.org/10.1136/bmjopen-2015-008636

'My dirty little habit': patient constructions of antidepressant use and the ‘crisis’ of legitimacy
Ridge, Damien T., Kokanovic, R., Broom, A., Kirkpatrick, S., Anderson, C. and Tanner, C. 2015. 'My dirty little habit': patient constructions of antidepressant use and the ‘crisis’ of legitimacy. Social Science & Medicine. 146, p. 53–61. https://doi.org/10.1016/j.socscimed.2015.10.012

Cultivating equanimity through mindfulness meditation: a mixed methods enquiry into the development of decentring capabilities in men
Lomas, T., Edginton, T.L., Cartwright, T. and Ridge, Damien T. 2015. Cultivating equanimity through mindfulness meditation: a mixed methods enquiry into the development of decentring capabilities in men. International Journal of Wellbeing. 5 (3), pp. 88-106. https://doi.org/10.5502/ijw.v5i3.7

Interaction Rituals and Jumbled Emotions Among “Relative Strangers”: Simulated Patient Work on a Trainee Complementary Therapy Practitioner Program
Fixsen, Alison, Ridge, Damien T., Kirkpatrick, S. and Foot, D. 2015. Interaction Rituals and Jumbled Emotions Among “Relative Strangers”: Simulated Patient Work on a Trainee Complementary Therapy Practitioner Program . Sage Open. pp. 1-12. https://doi.org/10.1177/2158244015595090

A qualitative analysis of experiential challenges associated with meditation practice
Lomas, Tim, Cartwright, T., Edginton, T.L. and Ridge, Damien T. 2015. A qualitative analysis of experiential challenges associated with meditation practice. Mindfulness. 6, pp. 848-860. https://doi.org/10.1007/s12671-014-0329-8

‘I just went with hope, because I thought I’m doing something’: Women’s Experiences of Western Herbal Practice for Distress
Yates, A., Whitehouse, J., Ridge, Damien T. and Green, J. 2014. ‘I just went with hope, because I thought I’m doing something’: Women’s Experiences of Western Herbal Practice for Distress. College of Medicine Multi-Disciplinary Student Summer School. King's College School of Nursing and Midwifery 05 Sep 2014

How women experience distress, and western herbal practice for the treatment of distress: implications for health care and self-management approaches
Yates, A., Whitehouse, J., Ridge, Damien T. and Green, J. 2014. How women experience distress, and western herbal practice for the treatment of distress: implications for health care and self-management approaches. University of Westminster Post-Graduate Fair. Univeristy of Westminster 29 Apr 2014

“It felt like someone holding you up and lifting the pain away”: Women's experiences of western herbal practice for the treatment of distress
Yates, A.J., Green, J., Whitehouse, J. and Ridge, Damien T. 2014. “It felt like someone holding you up and lifting the pain away”: Women's experiences of western herbal practice for the treatment of distress. European Journal of Integrative Medicine. 6 (5), p. 612. https://doi.org/10.1016/j.eujim.2014.07.007

Vital scientific puzzle or lived uncertainty? Professional and lived approaches to the uncertainties of ageing with HIV
Rosenfeld, D., Ridge, Damien T. and Von Lob, G. 2014. Vital scientific puzzle or lived uncertainty? Professional and lived approaches to the uncertainties of ageing with HIV. Health Sociology Review. 23 (1), pp. 20-32.

Gender comparisons in non-acute cardiac symptom recognition and subsequent help-seeking decisions: a mixed methods study protocol
Ridge, Damien T., Cheshire, A. and Stain Nolan 2014. Gender comparisons in non-acute cardiac symptom recognition and subsequent help-seeking decisions: a mixed methods study protocol. BMJ Open. 4 (10), p. e005742. https://doi.org/10.1136/bmjopen-2014-005742

Engagement with meditation as a positive health trajectory: Divergent narratives of progress in male meditators
Lomas, Tim, Ridge, Damien T., Cartwright, T. and Edginton, T.L. 2014. Engagement with meditation as a positive health trajectory: Divergent narratives of progress in male meditators. Psychology & Health. 29 (2), pp. 218-236. https://doi.org/10.1080/08870446.2013.843684

Men developing emotional intelligence through meditation? Integrating narrative, cognitive and electroencephalography (EEG) evidence
Lomas, Tim, Edginton, T.L., Cartwright, T. and Ridge, Damien T. 2014. Men developing emotional intelligence through meditation? Integrating narrative, cognitive and electroencephalography (EEG) evidence. Psychology of Men & Masculinity. 15 (2), pp. 213-224. https://doi.org/10.1037/a0032191

A religion of wellbeing? The appeal of Buddhism to men in London, United Kingdom
Lomas, Tim, Cartwright, T., Edginton, T.L. and Ridge, Damien T. 2014. A religion of wellbeing? The appeal of Buddhism to men in London, United Kingdom. Psychology of Religion and Spirituality. 6 (3), pp. 198-207. https://doi.org/10.1037/a0036420

'It was the most beautiful country I have ever seen': the role of Somali narrative in adapting to a new country
Ramsden, R. and Ridge, Damien T. 2013. 'It was the most beautiful country I have ever seen': the role of Somali narrative in adapting to a new country. Journal of Refugee Studies. 26 (2), pp. 226-246. https://doi.org/10.1093/jrs/fes021

I was so done in that I just recognized it very plainly, “You need to do something”’: men’s narratives of struggle, distress and turning to meditation
Lomas, Tim, Cartwright, T., Edginton, T.L. and Ridge, Damien T. 2013. I was so done in that I just recognized it very plainly, “You need to do something”’: men’s narratives of struggle, distress and turning to meditation. Health. 17 (2), pp. 191-208. https://doi.org/10.1177/1363459312451178

How women use and experience western herbal practice for distress: Implications for health care and self-management approaches
Yates, A., Green, J., Whitehouse, J. and Ridge, Damien T. 2013. How women use and experience western herbal practice for distress: Implications for health care and self-management approaches. European Journal of Integrative Medicine. 5 (6), pp. 579-580. https://doi.org/10.1016/j.eujim.2013.08.019

How women use and experience western herbal practice for distress: implications for health care and self-management approaches.
Yates, A., Green, J., Whitehouse, J. and Ridge, Damien T. 2013. How women use and experience western herbal practice for distress: implications for health care and self-management approaches. CAMSTRAND 2013. University of Westminster 02 Jul 2013 Elsevier. https://doi.org/doi:10.1016/j.eujim.2013.08.019

Patient outcomes and experiences of an acupuncture and self-care service for persistent low back pain in the NHS: a mixed methods approach
Cheshire, A., Polley, M.J., Peters, D. and Ridge, Damien T. 2013. Patient outcomes and experiences of an acupuncture and self-care service for persistent low back pain in the NHS: a mixed methods approach. BMC Complementary and Alternative Medicine. 13 (1), p. 300. https://doi.org/10.1186/1472-6882-13-300

Performance, emotion work, and transition: challenging experiences of complementary therapy student practitioners commencing clinical practice
Fixsen, Alison and Ridge, Damien T. 2012. Performance, emotion work, and transition: challenging experiences of complementary therapy student practitioners commencing clinical practice. Qualitative Health Research. 22 (9), pp. 1163-1175. https://doi.org/10.1177/1049732312449213

Use of patient narratives in promoting recovery from depression
Ridge, Damien T. 2012. Use of patient narratives in promoting recovery from depression. Nursing Standard. 26 (47), pp. 35-40.

Understanding depression through a 'coming out' framework
Ridge, Damien T. and Ziebland, S. 2012. Understanding depression through a 'coming out' framework. Sociology of Health and Illness. 34 (5), pp. 730-745. https://doi.org/10.1111/j.1467-9566.2011.01409.x

The placebo response in migraine treatment
Peters, D. 2012. The placebo response in migraine treatment. in: Fernández-de-las-Peñas, C., Chaitow, L. and Schoenen, J. (ed.) Multidisciplinary management of migraine: pharmacological, manual, and other therapies Sudbury, Maryland Jones & Bartlett Learning. pp. 313-326

Constructing the placebo effect in the placebo wars: What is the way ahead?
Foot, D. and Ridge, Damien T. 2012. Constructing the placebo effect in the placebo wars: What is the way ahead? Health Sociology Review. 21 (3).

Evaluation of the experience led commissioning in end of life care project
Cheshire, A. and Ridge, Damien T. 2012. Evaluation of the experience led commissioning in end of life care project. University of Westminster. https://doi.org/London

Editorial: Healthy ageing: a question of sustainability
Peters, D. 2012. Editorial: Healthy ageing: a question of sustainability. Journal of Holistic Healthcare. 9 (2), p. 2.

Compassion: a call to action
Peters, D. 2011. Compassion: a call to action. Journal of Holistic Healthcare. 8 (3), p. 2.

Medicine at the tipping point
Peters, D. 2011. Medicine at the tipping point. Journal of Holistic Healthcare. 8 (2), p. 2.

Working at the (double-) edge
Peters, D. 2011. Working at the (double-) edge. Journal of Holistic Healthcare. 8 (1), p. 2.

Theorising men and distress: What’s on the horizon for research and scholarship?
Ridge, Damien T., Emslie, C. and White, A. 2011. Theorising men and distress: What’s on the horizon for research and scholarship? International Society of Critical Health Psychology, 7th Biennial Conference. Adelaide, Australia 18 - 20 Apr 2011

GPs make the NICE 2009 back pain guidelines work for patients in difficult financial times?
Rankine, S., Peters, D. and Ridge, Damien T. 2011. GPs make the NICE 2009 back pain guidelines work for patients in difficult financial times? College of Medicine Annual Conference. Mansion House, London 19 May 2011

Men behaving well? Journeys towards constructive engagement with well-being through meditation
Lomas, T., Cartwright, T., Edginton, T.L. and Ridge, Damien T. 2011. Men behaving well? Journeys towards constructive engagement with well-being through meditation. BSA Medical Sociology Group 43rd Annual Conference 2011. University of Chester 14 - 16 Sep 2011

Men behaving well? Journeys towards constructive engagement with well-being through meditation
Lomas, T., Cartwright, T., Edginton, T.L. and Ridge, Damien T. 2011. Men behaving well? Journeys towards constructive engagement with well-being through meditation. 7th Biennial Conference of the International Society of Critical Health Psychology (ISCHP). Adelaide, South Australia 18 -20 Apr 2011

Is it feasible and effective to provide osteopathy and acupuncture for patients with musculoskeletal problems in a GP setting? A service evaluation
Cheshire, A., Polley, M.J., Peters, D. and Ridge, Damien T. 2011. Is it feasible and effective to provide osteopathy and acupuncture for patients with musculoskeletal problems in a GP setting? A service evaluation. BMC Family Practice. 12 (49), p. 1. https://doi.org/10.1186/1471-2296-12-49

Understanding how men experience, express and cope with mental distress: where next?
Ridge, Damien T., Emslie, C. and White, A. 2011. Understanding how men experience, express and cope with mental distress: where next? Sociology of Health & Illness. 33 (1), pp. 145-159. https://doi.org/10.1111/j.1467-9566.2010.01266.x

Transforming medicine by integrating – what?
Peters, D. 2010. Transforming medicine by integrating – what? Journal of Holistic Healthcare. 7 (3), p. 2.

Soft skills and added value
Peters, D. 2010. Soft skills and added value. Journal of Holistic Healthcare. 7 (2), p. 2.

Coping using positive reinterpretation in parents of children with cerebral palsy
Cheshire, A., Barlow, J.A. and Powell, L.A. 2010. Coping using positive reinterpretation in parents of children with cerebral palsy. Journal of Health Psychology. 15 (6), pp. 801-810. https://doi.org/10.1177/1359105310369993

Men behaving well? Journeys towards constructive engagement with well-being through meditation
Lomas, T., Cartwright, T., Edginton, T.L. and Ridge, Damien T. 2010. Men behaving well? Journeys towards constructive engagement with well-being through meditation. Psychology & Health. 25 (S1), p. 265. https://doi.org/10.1080/08870446.2010.502762

The art and science of wellbeing: creating the new politics of health
Peters, D. 2010. The art and science of wellbeing: creating the new politics of health. Journal of Holistic Healthcare. 7 (1), p. 2.

A preliminary evaluation of a massage program for children who have been sexually abused and their non-abusing mothers
Powell, L.A. and Cheshire, A. 2010. A preliminary evaluation of a massage program for children who have been sexually abused and their non-abusing mothers. Journal of Child Sexual Abuse. 19 (2), pp. 141-155. https://doi.org/10.1080/10538711003627256

Children's experiences of their participation in a training and support programme involving massage
Powell, L.A., Cheshire, A. and Swaby, L. 2010. Children's experiences of their participation in a training and support programme involving massage. Complementary Therapies in Clinical Practice. 16 (1), pp. 47-51. https://doi.org/10.1016/j.ctcp.2009.06.013

Opening up male subjectivity: where are we heading?
Ridge, Damien T. 2010. Opening up male subjectivity: where are we heading? "Self-health": a workshop on the new forms of patients’ narratives, subjectivities & ethics in healthcare. London School of Economics and Political Science 18 June 2010

Men, distress and performativity
Ridge, Damien T. 2010. Men, distress and performativity. in: The 8th biennial international Qualitative Research Conference, Bournemouth, 6-8th September 2010 Bournemouth University. pp. 45

The psychosocial well-being of parents of children with cerebral palsy: a comparison study
Cheshire, A., Barlow, J.A. and Powell, L.A. 2010. The psychosocial well-being of parents of children with cerebral palsy: a comparison study. Disability and Rehabilitation. 32 (20), pp. 1673-1677. https://doi.org/10.3109/09638281003649920

Closing the evidence gap in integrative medicine
MacPherson, H., Peters, D. and Zollman, C. 2009. Closing the evidence gap in integrative medicine. British Medical Journal. 339, p. b3335. https://doi.org/10.1136/bmj.b3335

CAM: doing more good than harm
Peters, D. 2009. CAM: doing more good than harm. Focus on Alternative and Complementary Therapies. 14 (3), pp. 176-178. https://doi.org/10.1211/fact.14.3.0006

Integration, long term disease and creating a sustainable NHS
Peters, D. 2009. Integration, long term disease and creating a sustainable NHS. Journal of Holistic Healthcare. 6 (1), pp. 29-31.

Gatekeepers and the gateway: a mixed-methods inquiry into practitioners’ referral behaviour to the Gateway Clinic
Unwin, J. and Peters, D. 2009. Gatekeepers and the gateway: a mixed-methods inquiry into practitioners’ referral behaviour to the Gateway Clinic. Acupuncture in Medicine. 27 (1), pp. 21-25. https://doi.org/10.1136/aim.2008.000083

Mind and body management strategies for chronic pain & rheumatoid arthritis: strategies in search of wellbeing
Shariff, F., Carter, J., Dow, C., Polley, M.J., Salinas, M. and Ridge, Damien T. 2009. Mind and body management strategies for chronic pain & rheumatoid arthritis: strategies in search of wellbeing. Qualitative Health Research. 19 (8), pp. 1037-1049. https://doi.org/10.1177/1049732309341189

Postcards from the edge: HIV positive narratives of sex and relationship breakdown among gay men
Ridge, Damien T. and Wright, R. 2009. Postcards from the edge: HIV positive narratives of sex and relationship breakdown among gay men. in: Hammack, P.L. and Cohler, B.J. (ed.) The story of sexual identity: narrative perspectives on the gay and lesbian life course Oxford Oxford University Press. pp. 251-274

Mind and body strategies for chronic pain and rheumatoid arthritis: strategies in search of wellbeing
Ridge, Damien T., Shariff, F., Carter, J., Dow, C., Polley, M.J. and Salinas, M. 2009. Mind and body strategies for chronic pain and rheumatoid arthritis: strategies in search of wellbeing. Medical Sociology Group 41st Annual Conference 2009. University of Manchester 03 - 05 Sep 2009 pp. 99

Recovery from depression using the narrative approach: a guide for doctors, complementary therapists, and mental health professionals
Ridge, Damien T. 2009. Recovery from depression using the narrative approach: a guide for doctors, complementary therapists, and mental health professionals. London, UK Jessica Kingsley Publishers.

Book review: Lifting the weight, Praeger, New York
Ridge, Damien T. 2009. Book review: Lifting the weight, Praeger, New York. International Journal of Men's Health. 8 (2), pp. 182-184. https://doi.org/10.3149/jmh.0802_178

On becoming a 'recovery ally' for people with depression (editorial)
Ridge, Damien T. 2009. On becoming a 'recovery ally' for people with depression (editorial). Journal of Holistic Healthcare. 6 (1), pp. 38-41.

Editorial: Integrated medicine: putting people first
Peters, D. 2009. Editorial: Integrated medicine: putting people first. Journal of Holistic Healthcare. 6 (1), p. 2.

Editorial: Integrated self-care: developing individual and communal wellbeing
Peters, D. 2009. Editorial: Integrated self-care: developing individual and communal wellbeing. Journal of Holistic Healthcare. 6 (2), p. 2.

Editorial: Eco-psychology: re-enchanting the mind and the world
Peters, D. 2009. Editorial: Eco-psychology: re-enchanting the mind and the world. Journal of Holistic Healthcare. 6 (3), p. 2.

‘Energy medicine’, and the gulf between body and spirit
Peters, D. 2008. ‘Energy medicine’, and the gulf between body and spirit. Journal of Holistic Healthcare. 5 (4), p. 2.

If you want to sell the solution, sell the problem first
Peters, D. 2008. If you want to sell the solution, sell the problem first. Journal of Holistic Healthcare. 5 (3), p. 2.

Building bridges to health
Peters, D. 2008. Building bridges to health. Times Higher Education.

Healing spaces?
Peters, D. 2008. Healing spaces? Journal of Holistic Healthcare. 5 (2), pp. 2-3.

Like a prayer: the role of spirituality and religion for people living with HIV in the UK
Ridge, Damien T., Williams, J., Anderson, I. and Elford, J. 2008. Like a prayer: the role of spirituality and religion for people living with HIV in the UK. Sociology of Health and Illness. 30 (3), pp. 413-428. https://doi.org/10.1111/j.1467-9566.2007.01062.x

Climate change and chronic disease: public health writ large
Peters, D. 2008. Climate change and chronic disease: public health writ large. Journal of Holistic Healthcare. 5 (1), p. 2.

"New skills and abilities to enable me to support my pupils in a forward thinking positive way": a Self-Discovery Programme for teachers in mainstream school
Powell, L.A. and Cheshire, A. 2008. "New skills and abilities to enable me to support my pupils in a forward thinking positive way": a Self-Discovery Programme for teachers in mainstream school. International Journal of Special Education. 23 (2), pp. 56-87.

Complementary therapies in the NHS: some thoughts and three cases
Peters, D. 2008. Complementary therapies in the NHS: some thoughts and three cases. London Journal of Primary Care. 2008 (2), pp. 108-111.

Positive prevention: contemporary issues facing HIV positive people negotiating sex in the UK
Ridge, Damien T., Ziebland, S., Williams, J., Anderson, I. and Elford, J. 2007. Positive prevention: contemporary issues facing HIV positive people negotiating sex in the UK. Social Science & Medicine. 65 (4), pp. 755-770. https://doi.org/10.1016/j.socscimed.2007.03.049

Exploring men's and women's experiences of depression and engagement with health professionals: more similarities than differences? A qualitative interview study
Emslie, C., Ridge, Damien T., Ziebland, S. and Hunt, K. 2007. Exploring men's and women's experiences of depression and engagement with health professionals: more similarities than differences? A qualitative interview study. BMC Family Practice. 8 (43). https://doi.org/10.1186/1471-2296-8-43

What criteria do police officers' use to measure the success of an interview with a child witness?
Wright, R., Powell, M.B. and Ridge, Damien T. 2007. What criteria do police officers' use to measure the success of an interview with a child witness? Psychology, Crime and Law. 13 (4), pp. 395-404. https://doi.org/10.1080/10683160601060754

Remaking the masculine self and coping in the liminal world of the gay 'scene'
Ridge, Damien T., Plummer, D. and Peasley, D. 2006. Remaking the masculine self and coping in the liminal world of the gay 'scene'. Culture, Health & Sexuality. 8 (6), pp. 501-514. https://doi.org/10.1080/13691050600879524

"Who thinks I need a perfect body?" perceptions and internal dialogue among adolescents about their bodies
McCabe, M.P., Ricciardelli, L.A. and Ridge, Damien T. 2006. "Who thinks I need a perfect body?" perceptions and internal dialogue among adolescents about their bodies. Sex Roles. 55 (5-6), pp. 409-419. https://doi.org/10.1007/s11199-006-9093-0

"The old me could never have done that": how people give meaning to recovery following depression
Ridge, Damien T. and Ziebland, S. 2006. "The old me could never have done that": how people give meaning to recovery following depression. Qualitative Health Research. 16 (8), pp. 1038-1053. https://doi.org/10.1177/1049732306292132

Doctor's resilience: can physicians heal themselves?
Peters, D. 2006. Doctor's resilience: can physicians heal themselves? Journal of Holistic Healthcare. 3 (1), pp. 3-6.

The construction of the adolescent male body through sport
Ricciardelli, L.A., McCabe, M.P. and Ridge, Damien T. 2006. The construction of the adolescent male body through sport. Journal of Health Psychology. 11 (4), pp. 577-587. https://doi.org/10.1177/1359105306065018

Men's accounts of depression: reconstructing or resisting hegemonic masculinity?
Emslie, C., Ridge, Damien T., Ziebland, S. and Hunt, K. 2006. Men's accounts of depression: reconstructing or resisting hegemonic masculinity? Social Science & Medicine. 62 (9), pp. 2246-2257. https://doi.org/10.1016/j.socscimed.2005.10.017

Child abuse investigation: an in-depth analysis of how police officers perceive and cope with daily work challenges
Wright, R., Powell, M.B. and Ridge, Damien T. 2006. Child abuse investigation: an in-depth analysis of how police officers perceive and cope with daily work challenges. Policing: an International Journal of Police Strategies & Management. 29 (3), pp. 498-512. https://doi.org/10.1108/13639510610684728

Editorial: doctor's resilience: a cause for concern
Peters, D. 2006. Editorial: doctor's resilience: a cause for concern. Journal of Holistic Healthcare. 3 (1), p. 2.

Editorial: art puts the whole in holism
Peters, D. 2006. Editorial: art puts the whole in holism. Journal of Holistic Healthcare. 3 (2), p. 2.

Users' experiences of heroin and methadone treatment
Gourlay, J., Ricciardelli, L.A. and Ridge, Damien T. 2005. Users' experiences of heroin and methadone treatment. Substance Use & Misuse. 40 (12), pp. 1875-1882. https://doi.org/10.1080/10826080500259497

Mothers reframing physical activity: family oriented politicism, transgression and contested expertise in Australia
Lewis, B. and Ridge, Damien T. 2005. Mothers reframing physical activity: family oriented politicism, transgression and contested expertise in Australia. Social Science & Medicine. 60 (10), pp. 2295-2306. https://doi.org/10.1016/j.socscimed.2004.10.011

Why we need a new model for 21st century healthcare
Peters, D. 2005. Why we need a new model for 21st century healthcare. Journal of Holistic Healthcare. 2 (1), pp. 11-15.

Editorial: bio-medicine in crisis: cost, cure, compassion and commitment
Peters, D. 2005. Editorial: bio-medicine in crisis: cost, cure, compassion and commitment. Journal of Holistic Healthcare. 2 (1), p. 2.

Editorial: squaring the circle: nursing and the future of holism
Peters, D. 2005. Editorial: squaring the circle: nursing and the future of holism. Journal of Holistic Healthcare. 2 (2), p. 2.

Editorial: spirituality and healthcare practice
Peters, D. 2005. Editorial: spirituality and healthcare practice. Journal of Holistic Healthcare. 2 (3), p. 2.

Editorial: holism, mental health and mental wealth
Peters, D. 2005. Editorial: holism, mental health and mental wealth. Journal of Holistic Healthcare. 2 (4), p. 2.

'It was an incredible thrill': the social meanings and dynamics of younger gay men's experiences of barebacking in Melbourne
Ridge, Damien T. 2004. 'It was an incredible thrill': the social meanings and dynamics of younger gay men's experiences of barebacking in Melbourne. Sexualities. 7 (3), pp. 259-279. https://doi.org/10.1177/1363460704040138

Research in primary care complementary and alternative medicine provision: an integral part of NHS clinical governance activity
Wilkinson, J. and Peters, D. 2004. Research in primary care complementary and alternative medicine provision: an integral part of NHS clinical governance activity. Clinical Research Focus. 15 (3), pp. 18-26.

Clinical governance for complementary and alternative medicine
Wilkinson, J., Peters, D. and Donaldson, J. 2004. Clinical governance for complementary and alternative medicine. University of Westminster.

"You become really close...You talk about the silly things you did and we laugh": the role of binge drinking in secondary students' lives
Sheehan, M. and Ridge, Damien T. 2004. "You become really close...You talk about the silly things you did and we laugh": the role of binge drinking in secondary students' lives. in: Palacios, W.R. (ed.) Cocktails and dreams: perspectives on drug and alcohol use New Jersey Prentice Hall.

Social determinants of mental health for young same-sex attracted men
Ridge, Damien T. 2004. Social determinants of mental health for young same-sex attracted men. in: Keleher, H. and Murphy, B. (ed.) Understanding health: a determinants approach Oxford Oxford University Press.

Book review: The new public health (2nd ed.), Oxford University Press
Ridge, Damien T. 2004. Book review: The new public health (2nd ed.), Oxford University Press. Australian Journal of Primary Health. 10.

Why we need integrated health care
Peters, D. 2004. Why we need integrated health care. Focus on Alternative and Complementary Therapies. 9 (3), pp. 193-195.

Editorial: on remembering our roots
Peters, D. 2004. Editorial: on remembering our roots. Journal of Holistic Healthcare. 1 (1), pp. 2-3.

Editorial: in praise of visionary scepticism
Peters, D. 2004. Editorial: in praise of visionary scepticism. Journal of Holistic Healthcare. 1 (2), p. 2.

Editorial: neurophysiology, culture and the pensions crisis
Peters, D. 2004. Editorial: neurophysiology, culture and the pensions crisis. Journal of Holistic Healthcare. 1 (3), pp. 2-3.

"Most useful": a rapid qualitative approach to mapping young peoples issues and programs in Vietnam
Ridge, Damien T. 2003. "Most useful": a rapid qualitative approach to mapping young peoples issues and programs in Vietnam. Development Bulletin. 62, pp. 70-74.

Complementary medicine: evidence base, competence to practice and regulation
Lewith, G.T., Breen, A., Filshie, J., Fisher, P., McIntyre, M., Mathie, R.T. and Peters, D. 2003. Complementary medicine: evidence base, competence to practice and regulation. Clinical Medicine. 3 (3), pp. 235-240. https://doi.org/10.7861/clinmedicine.3-3-235

Being there: how teachers of students facing adversity promote positive relationships
Ridge, Damien T., Sheehan, M., Marshall, B., Maher, S. and Carlisle, R. 2003. Being there: how teachers of students facing adversity promote positive relationships. Qualitative Research Journal. 3 (2), pp. 5-21.

The health of young gays and lesbians
Ridge, Damien T. 2003. The health of young gays and lesbians. in: Liamputtong, P. and Gardner, H. (ed.) Health, social change & communities Melbourne Oxford University Press.

The construction of the adolescent male body through sports
Ricciardelli, L.A., McCabe, M.P. and Ridge, Damien T. 2003. The construction of the adolescent male body through sports. in: Australian Journal of Psychology. Combined abstracts of 2003 Australian Psychological Conferences Australia Australian Psychological Society Ltd.. pp. 207

Time for a new approach for reporting herbal medicine adverse events?
Peters, D., Donaldson, J., Chaussalet, T.J., Toffa, S.E., Whitehouse, J., Carroll, D. and Barry, P. 2003. Time for a new approach for reporting herbal medicine adverse events? Journal of Alternative & Complementary Medicine. 9 (5), pp. 607-609.

Vitalism, holism and homeostasis: the need for a new language of health and living
Peters, D. 2003. Vitalism, holism and homeostasis: the need for a new language of health and living. Sacred Space. 3 (3), pp. 30-36.

Clinical update: complementary medicine
Peters, D. 2003. Clinical update: complementary medicine. in: Royal College of General Practitioners members' reference book London, UK Campden Publishing.

The need for a new language of health and healing
Peters, D. 2002. The need for a new language of health and healing. Spirituality and Health International. 3 (3), pp. 30-36. https://doi.org/10.1002/shi.102

Finding a place for health in the schooling process: a challenge for education
Ridge, Damien T., Northfield, J., St Leger, L., Marshall, B., Sheehan, M. and Maher, S. 2002. Finding a place for health in the schooling process: a challenge for education. Australian Journal of Education. 46 (1), pp. 19-33.

JBMT/University of Westminster conference report: integrative bodywork: towards unifying principles, London October 2001
Peters, D. 2002. JBMT/University of Westminster conference report: integrative bodywork: towards unifying principles, London October 2001. Journal of Bodywork & Movement Therapies. 6 (2), pp. 89-93. https://doi.org/10.1054/jbmt.2002.0283

School health polices and practices in Victoria – a comparison involving socio-economic status and school geographical location
St Leger, L., Maher, S., Ridge, Damien T., Marshall, B., Sheehan, M. and Gibbons, C. 2002. School health polices and practices in Victoria – a comparison involving socio-economic status and school geographical location. Health Promotion Journal of Australia. 13 (3), pp. 201-204.

'This was a great project!': Reflections on a mental health promotion project in a remote indigenous school
Sheehan, M., Ridge, Damien T. and Marshall, B. 2002. 'This was a great project!': Reflections on a mental health promotion project in a remote indigenous school. Health Promotion Journal of Australia. 13 (3), pp. 201-204.

The value of asthma camps for young people in Victoria, Australia
Lord, A., St Leger, L., Ridge, Damien T. and Elisha, D. 2001. The value of asthma camps for young people in Victoria, Australia. Contemporary Nurse. 11 (2-3), pp. 133-141.

"I will start treatment when I think the time is right": HIV-positive gay men talk about their decision not to access antiretroviral therapy
Gold, R.S. and Ridge, Damien T. 2001. "I will start treatment when I think the time is right": HIV-positive gay men talk about their decision not to access antiretroviral therapy. AIDS Care. 13 (6), pp. 693-708. https://doi.org/10.1080/09540120120076869

"You become really close... you talk about the silly things you did, and we laugh": the role of binge drinking in female secondary students' lives
Sheehan, M. and Ridge, Damien T. 2001. "You become really close... you talk about the silly things you did, and we laugh": the role of binge drinking in female secondary students' lives. Substance Use & Misuse. 36 (3), pp. 347-372. https://doi.org/10.1081/JA-100102630

The mutual entanglement of strangers in the human world
Swantz, M.L., Robertson, J., Peters, D. and Torbert, B. 2001. The mutual entanglement of strangers in the human world. ReVision. 23 (3), pp. 33-41.

Erasing the margins: youth marginalisation round table (YMaRT), building relationships and youth directed initiatives: a report from the round table
Ridge, Damien T. 2001. Erasing the margins: youth marginalisation round table (YMaRT), building relationships and youth directed initiatives: a report from the round table. Health Promotion Journal of Australia. 12 (3), pp. 196-198.

Building relations and youth directed initiatives in research and services
Ridge, Damien T. 2001. Building relations and youth directed initiatives in research and services. Health Promotion Journal of Australia. 12 (3), pp. 6-8.

Listening to one another's lives and disciplines
Peters, D., Tarnas, R. and Gablik, S. 2001. Listening to one another's lives and disciplines. ReVision. 23 (3), pp. 14-19.

A place for complementary therapies in the new NHS
Peters, D. and Gilliam, S. 2001. A place for complementary therapies in the new NHS. Health Services Management.

Integrating complementary therapies in primary care: a practical guide for health professionals
Peters, D., Chaitow, L., Harris, G. and Morrison, S. 2001. Integrating complementary therapies in primary care: a practical guide for health professionals. Edinburgh, UK Churchill Livingstone.

Understanding the placebo effect in complementary medicine: theory, practice and research
Peters, D. 2001. Understanding the placebo effect in complementary medicine: theory, practice and research. Edinburgh, UK Churchill Livingstone.

The participatory worldview in healthcare
Peters, D. 2001. The participatory worldview in healthcare. ReVision. 24 (1).

The new NHS: will complementary therapies fit in?
Peters, D. 2001. The new NHS: will complementary therapies fit in? British Journal of Health Care Management. 7 (8), pp. 330-331.

The need for a new language of health and healing
Peters, D. 2001. The need for a new language of health and healing. Sacred Space. 3.

Participate, collaborate, integrate: modern medicine's crisis and the search for stories to live by
Peters, D. 2001. Participate, collaborate, integrate: modern medicine's crisis and the search for stories to live by. ReVision. 23 (4), pp. 31-37.

Are CT models useful in headache research and treatment?
Peters, D. 2001. Are CT models useful in headache research and treatment? 10th Congress of the International Headache Society (IHC 2001). New York, USA 29 Jun - 02 Jul 2001

Book review: Vitalism revisited
Peters, D. 2001. Book review: Vitalism revisited. Journal of Bodywork and Movement Therapies. 5 (3), pp. 198-204. https://doi.org/10.1054/jbmt.2001.0231

Using a computer-based clinical management system to improve effectiveness of a homeopathic service in a fundholding general practice
Peters, D., Pinto, G.J. and Harris, G. 2000. Using a computer-based clinical management system to improve effectiveness of a homeopathic service in a fundholding general practice. British Homoeopathic Journal. 89 (Supplement 1), pp. S14-S19. https://doi.org/10.1054/homp.1999.0373

From holism to integration: is there a future for complementary therapies in the NHS?
Peters, D. 2000. From holism to integration: is there a future for complementary therapies in the NHS? Complementary Therapies in Nursing and Midwifery. 6 (2), pp. 59-60. https://doi.org/10.1054/ctnm.2000.0470

Jump rope for heart: evaluating a cardiovascular health programme for primary school students
Thistlewaite, K., St Leger, L., Ridge, Damien T. and Maher, S. 2000. Jump rope for heart: evaluating a cardiovascular health programme for primary school students. ACHPER Austalia Healthy Lifestyles Journal. 47 (2), pp. 5-8.

"Asian" men on the scene: challenges to "gay communities"
Ridge, Damien T., Hee, A. and Minichiello, V. 1999. "Asian" men on the scene: challenges to "gay communities". Journal of Homosexuality. 36 (3/4), pp. 43-68. https://doi.org/10.1300/J082v36n03_03

Being 'real' in suicide prevention evaluation: the role of the ethnographer's emotions under traumatic conditions
Ridge, Damien T., Hee, A. and Aroni, R. 1999. Being 'real' in suicide prevention evaluation: the role of the ethnographer's emotions under traumatic conditions. Australian Journal of Primary Health. 5 (3), pp. 21-31. https://doi.org/10.1071/PY99030

Asian men on the scene: challenges to 'gay communities'
Ridge, Damien T., Hee, A. and Minichiello, V. 1998. Asian men on the scene: challenges to 'gay communities'. in: Jackson, P.A. and Sullivan, G. (ed.) Multicultural queer: Australian narratives New York Haworth Press.

Update on complementary medicine
Peters, D. 1998. Update on complementary medicine. in: Royal College of General Practitioners yearbook London, UK Royal College of General Practitioners.

From pharmaceuticals to alternative treatments for HIV/AIDS: what is the potential?
Ridge, Damien T. and Arachne, J. 1997. From pharmaceuticals to alternative treatments for HIV/AIDS: what is the potential? Health Care Analysis. 5 (4), pp. 275-282. https://doi.org/10.1007/BF02678525

Queer connections: community, the scene and an epidemic
Ridge, Damien T., Minichiello, V. and Plummer, D. 1997. Queer connections: community, the scene and an epidemic. Journal of Contemporary Ethnography. 26 (23), pp. 146-181. https://doi.org/10.1177/089124197026002002

Religiosity, sexual behaviour and safe sex practices: further evidence
Minichiello, V., Paxton, S., Cowling, V., Cross, G., Savage, J. and Ridge, Damien T. 1996. Religiosity, sexual behaviour and safe sex practices: further evidence. Australian and New Zealand Journal of Public Health. 20 (3), pp. 321-323. https://doi.org/10.1111/j.1467-842X.1996.tb01037.x

Negotiated safety: not negotiable or safe?
Ridge, Damien T. 1996. Negotiated safety: not negotiable or safe? Venereology. 9 (2), pp. 98-100.

Knowledge and practice of sexual safety in Melbourne gay men in the nineties
Ridge, Damien T., Plummer, D. and Minichiello, V. 1994. Knowledge and practice of sexual safety in Melbourne gay men in the nineties. Australian Journal of Public Health. 18 (3), pp. 319-325. https://doi.org/10.1111/j.1753-6405.1994.tb00252.x

Young gay men and HIV: running the risk?
Ridge, Damien T., Plummer, D. and Minichiello, V. 1994. Young gay men and HIV: running the risk? AIDS Care. 6 (4), pp. 371-378. https://doi.org/10.1080/09540129408258651

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