World psychiatric association task force on best practice in working with service users and carers

2011 ◽  
Vol 26 (S2) ◽  
pp. 2103-2103
Author(s):  
H. Herrman
Keyword(s):  
Mental Health ◽  
Best Practice ◽  
Task Force ◽  
Action Plan ◽  
Clinical Care ◽  
Service Users ◽  
Standing Committee ◽  
Health Community ◽  
Extensive Consultation ◽  
Essential Contribution

The WPA has invited service users and family carers to join in its work as members of a taskforce, recognising their essential contribution to improving mental health in any country. WPA President Prof. Mario Maj established the project within the WPA Action Plan 2008 to 2011. The taskforce has prepared recommendations for the international mental health community on best practices in working with service users and carers. It has also worked with the WPA Standing Committee on Ethics to prepare a new paragraph for the WPA Declaration of Madrid. The WHO Department of Mental Health has offered its experience and advice.Ten recommendations are ready for dissemination after extensive consultation. Each country will need specific guidelines to apply these recommendations. The recommendations begin by declaration that respecting human rights is the basis of successful partnerships for mental health. The second recommendation is that legislation, policy and clinical practice relevant to the lives and care of people with mental disorders need to be developed in collaboration with users and carers. The series continues with a recommendation that the best clinical care of any person in acute or rehabilitation situations is done in collaboration between the user, the carers and the clinicians. Education, research and quality improvement in mental health care also require this collaboration. The next step is developing a series of projects to apply these broad principles in each country and local communities. The WPA hopes to support partnership and participatory developments worldwide, and learn from these experiences.

scholarly journals International Interprofessional Collaborative Office Rounds (iiCOR): Addressing Children's Developmental, Behavioral, and Emotional Health Using Distance Technology

2021 ◽  
Vol 9 ◽  
Author(s):  
Jennifer S. H. Kiing ◽  
Heidi M. Feldman ◽  
Chris Ladish ◽  
Roopa Srinivasan ◽  
Craig L. Donnelly ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Services ◽  
Best Practice ◽  
Emotional Health ◽  
Clinical Care ◽  
Learning Technology ◽  
Cultural Variation ◽  
Co Morbidity

Developmental, behavioral, and emotional issues are highly prevalent among children across the globe. Among children living in low- and middle-income countries, these conditions are leading contributors to the global burden of disease. A lack of skilled professionals limits developmental and mental health care services to affected children globally. Collaborative Office Rounds are interprofessional groups that meet regularly to discuss actual cases from the participants' practices using a non-hierarchical, peer-mentoring approach. In 2017, International Interprofessional Collaborative Office Rounds was launched with several goals: to improve the knowledge and skills of practicing child health professionals in high and low resourced settings regarding developmental and mental health care, to support trainees and clinicians in caring for these children, and to promote best practice in diagnosis and management of these conditions. Five nodes, each comprised of 3–4 different sites with an interprofessional team, from 8 countries in North America, Africa, Asia, and South America met monthly via videoconferencing. This report describes and evaluates the first 2 years' experience. Baseline surveys from participants (N = 141) found that 13 disciplines were represented. Qualitative analysis of 51 discussed cases, revealed that all cases were highly complex. More than half of the cases (N = 26) discussed children with autism or traits of autism and almost all (N = 49) had three or more themes discussed. Frequently occurring themes included social determinants of health (N = 31), psychiatric co-morbidity (N = 31), aggression and self-injury (N = 25), differences with the healthcare provider (N = 17), cultural variation in accepting diagnosis or treatment (N = 19), and guidance on gender and sexuality issues (N = 8). Participants generally sought recommendations on next steps in clinical care or management. A survey of participants after year 1 (N = 47) revealed that 87% (N = 41) had expectations that were completely or mostly met by the program. Our experience of regular meetings of interprofessional groups from different countries using distance-learning technology allowed participants to share on overlapping challenges, meet continuing educational needs while learning about different approaches in high- and low-resourced settings. International Interprofessional Collaborative Office Rounds may prove a useful strategy for increasing the work force capacity for addressing developmental, behavioral, and emotional conditions worldwide. More systematic studies are needed.

scholarly journals Clinical practice guidelines: the priorities

1996 ◽  
Vol 20 (1) ◽  
pp. 40-42 ◽  
Author(s):  
Claire Palmer
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Royal College ◽  
Guideline Development ◽  
Service Users ◽  
Department Of Health ◽  
Health Community ◽  
Self Harm

The Clinical Practice Guidelines (CPG) Steering Group commissioned a survey to find out which areas of clinical practice the mental health community view as priority for the development of clinical practice guidelines (CPGs). Fifty per cent of all professionals and service users surveyed considered the assessment of risk and management of deliberate self-harm and dangerousness' a priority area for guideline development. These findings provided the basis for a successful bid to the Department of Health for the development of The Royal College of Psychiatrists' first CPG.

scholarly journals Epidemiology of loneliness in a cohort of UK mental health community crisis service users

2019 ◽  
Vol 55 (7) ◽  
pp. 811-822 ◽  
Author(s):  
Jingyi Wang ◽  
Brynmor Lloyd-Evans ◽  
Louise Marston ◽  
Ruimin Ma ◽  
Farhana Mann ◽  
...  
Keyword(s):  
Mental Health ◽  
Service Users ◽  
Health Community ◽  
Community Crisis

scholarly journals Service-users’ experiences of interpreters in psychological therapy: a pilot study

2014 ◽  
Vol 10 (4) ◽  
pp. 231-244 ◽  
Author(s):  
Beverley Costa ◽  
Stephen Briggs
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Best Practice ◽  
Therapeutic Process ◽  
Clinical Approach ◽  
Service Users ◽  
Content Type ◽  
Psychological Therapies ◽  
Triangular Relationships ◽  
Negative Impacts

Purpose – Working across languages is playing an increasingly important role in the delivery of mental health services, notably through psychotherapy and psychological therapies. Growing awareness of the complex processes that ensue in working across languages, including the presence and role of an interpreter, is generating new conceptualisations of practice, but there is a need now to evidence how these impact on service users. The paper aims to discuss these issues. Design/methodology/approach – This paper discusses the model for working with interpretation developed by Mothertongue multi-ethnic counselling service, which conceptualises the therapeutic process as working within triangular relationships consisting of service user, therapist and interpreter. Second, the paper discusses the qualitative, practice-near methods applied in, and findings from a pilot study to evaluate the interpreter's role. Findings – Three patterns of response to interpreters were identified: negative impacts on the therapy, the interpreter as conduit for therapy and the therapist and interpreter jointly demonstrating a shared enterprise. It is concluded that the method and findings of the pilot justify a larger study that will further evaluate the experiences of service users and continue to develop and test conceptualisations for best practice. Originality/value – Working across languages is now recognised as an increasingly important aspect of therapy in contexts where migration has created new demographics. This paper contributes to the discussion of working therapeutically with people with mental health difficulties across languages. Its originality lies, first, in the discussion of a new clinical approach to working with interpreters, and second in the methods used to access the views of service users about their experiences of interpreters.

scholarly journals ‘Med 3’ rock and blues band to Trieste

1995 ◽  
Vol 19 (8) ◽  
pp. 509-510
Author(s):  
Rod Bale
Keyword(s):  
Mental Health ◽  
Social Service ◽  
Task Force ◽  
Service Users ◽  
Wide Audience ◽  
Medical Certificate ◽  
The Arts ◽  
The Social ◽  
The Uk ◽  
The City

On a recent visit to the UK, Dr Guiseppe Dell Acqua, a leading exponent of the Italian psychiatric reforms, heard the ‘Med 3’ band play and extended an invitation to visit Trieste and give a concert. ‘Med 3’, the name being an allusion to the medical certificate, were formed in 1992. A Mental Health Week was held in the City of Portsmouth that year. In association with the Arts Connection, a local organisation promoting the arts to a wide audience, and the Portsmouth Care Consortium who were organising the event, artists in many fields ran workshops for mental health service users. Guy and Emma Heape, session musicians, ran a workshop at the Social Service Mental Health Day Centre and it was so successful it led to a band being formed. The band achieved recognition by winning a Mental Health Task Force award in 1993. An invitation to accompany the band to Trieste was readily accepted.

scholarly journals Experiences of user involvement in mental health research: exploring reflections from a service user researcher using auto-ethnography

2020 ◽  
Vol 25 (3) ◽  
pp. 281-294
Author(s):  
Joanna Fox
Keyword(s):  
Mental Health ◽  
Health Research ◽  
Service User ◽  
Best Practice ◽  
User Involvement ◽  
Mental Health Research ◽  
Power Sharing ◽  
Service Users ◽  
Content Type ◽  
Auto Ethnography

Purpose User involvement in research is entering the mainstream of traditional mental health research. In practice, there are diverse ways in which the process of involvement is experienced by mental health service user researchers. This paper aims to explore two diverse experiences of involvement by the researcher. Design/methodology/approach Auto-ethnography is the research methodology used in this study; it combines a process of reflective writing and critical analysis which enables the author to explore experiences of being both a service user and academic researcher. Two accounts of the author’s involvement in mental health research are presented: one which builds on a consultation model and the other based on co-production principles. Findings Experiences of power-sharing and collaborative decision-making, alongside disempowerment, are discussed, leading to exploration of the theoretical and practical processes for promoting participation of users in research. Research limitations/implications The research is limited because it is undertaken by one individual in a local setting, and is therefore is not generalisable; however, it provides useful insights into the diverse processes of involvement that many service users experience. Practical implications Recommendations are presented to support the involvement of service users in research, with final remarks offered considering the possible future implementation of this still emerging tradition. Originality/value This paper reflects on the experiences of one service user academic involved in research and highlights diverse experiences of both empowering and disempowering involvement, providing recommendations for best practice.

scholarly journals Experience of support time and recovery workers in promoting WRAP

2010 ◽  
Vol 34 (7) ◽  
pp. 279-284 ◽  
Author(s):  
Laura Hill ◽  
Glenn Roberts ◽  
Wilson Igbrude
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Personal Experience ◽  
Mental Health Problems ◽  
Action Plan ◽  
Self Management ◽  
Clinical Implications ◽  
Service Users ◽  
Ongoing Training ◽  
Support Time

Aims and methodSupporting self-management is a core ambition of progressive mental health services, but little is known about how to achieve this. Support time and recovery (STaR) workers are routinely taught the Wellness Recovery Action Plan (WRAP). This study explores their capacity to support self-management using WRAP.ResultsThe audited STaR trainees had introduced an average of nine service users each to WRAP. There was a trend for those with personal experience of mental illness to introduce more clients to WRAP and even more so for those who had used WRAP themselves. Qualitative analysis suggested a range of factors that may mediate whether people engage with self-management or not.Clinical implicationsThe capacity of STaR workers and others to support people in self-management may depend on more than knowledge of self-management methods and having personal experience of mental health problems and services. Important factors may also include specific experience of the methods introduced, ongoing training, accountability and supervision.

Alberta’s Strategic Clinical Networks: A roadmap for the future

2019 ◽  
Vol 32 (6) ◽  
pp. 313-322
Author(s):  
Braden J. Manns ◽  
Allison Strilchuk ◽  
Mikie Mork ◽  
Tracy Wasylak
Keyword(s):  
Health Outcomes ◽  
Health System ◽  
Action Plan ◽  
Clinical Care ◽  
Transformational Change ◽  
Quality Improvements ◽  
Clinical Networks ◽  
Health Community ◽  
Wide Scale ◽  
Improve Health

Clinical networks are groups of clinicians, patients, operational leaders, and other stakeholders who work together to solve health challenges, translate evidence into practice, and improve health outcomes and clinical care. Networks enable health, community, and academic partners to align their efforts, address priority issues, and advance quality improvements, health innovation, and transformational change on a local and system-wide scale. Clinical networks have existed in some countries for nearly 20 years. Alberta first implemented clinical networks in 2012 in specific areas of health. There are now 16 Strategic Clinical Networks (SCNs) in Alberta, embedded within a province-wide health system. The SCNs have developed an action plan that builds on their experience and identifies common areas of focus. This article describes the SCNs, their impact to date, and the objectives, areas of focus, and processes Alberta’s SCNs will use to improve health outcomes and health system performance over the next 5 years.

Reasons for Use Package: Outcomes From a Case Comparison Evaluation

2020 ◽  
Vol 30 (7) ◽  
pp. 783-790
Author(s):  
Kevan Myers ◽  
Simon Kroes ◽  
Sarah O’Connor ◽  
Melissa Petrakis
Keyword(s):  
Mental Health ◽  
Dual Diagnosis ◽  
Service User ◽  
Community Services ◽  
Service Users ◽  
Health Community ◽  
Case Comparison ◽  
Goal Planning ◽  
State Case ◽  
Reasons For Use

The objective was to explore the efficacy of a dual diagnosis resource—the Reasons For Use Package (RFUP)—to build staff capacity to work with service users and explore service user experiences. A two-state case comparison evaluation was conducted employing a mixed methods action research design, utilizing staff and service user surveys combined with focus groups involving staff trained and mentored in use of the RFUP. Results were that both staff and service users responded positively to the RFUP. Staff self-reported improvements in knowledge and confidence, and service users reported the RFUP assisted them with reflecting on interactions between their mental health and substance use; this assisted them with goal planning and improved their working relationship with staff. Implications were that training and mentoring in the RFUP can contribute to building staff knowledge and confidence in dual diagnosis interventions in mental health community services, and benefit service users.

scholarly journals A participatory discourse analysis of service users’ accounts of meeting places in Norwegian community mental health care

2018 ◽  
Vol 9 ◽  
Author(s):  
Lill Susann Ynnesdal Haugen ◽  
Andreas Andreas Envy ◽  
Tor-Johan Ekeland ◽  
Marit Borg ◽  
Norman Anderssen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Civil Society ◽  
Discourse Analysis ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Action Plan ◽  
Service Users ◽  
Community Mental Health Care ◽  
Human Beings

Since the 1960s, deinstitutionalisation has been salient in mental health reforms across the West. In Norway, this culminated in the National Action Plan for Mental Health (1999-2008), where meeting places in community mental health care were deemed a prioritised strategy to counter social isolation among people in psychosocial hardships. However, during the same period in England, meeting places were beginning to be contested for contributing to social exclusion. This is an inquiry of meeting places in Norway guided by the following research question: How do service users discuss their encounters with the spaces and people of meeting places? Situated in community psychology and participatory research traditions, we engaged in a participatory discourse analysis of four focus group discussions with 22 service users from meeting places. We detail and discuss four central discursive constructions of meeting places against the backdrop of a civil society identified as fraught with sanism that stigmatises and excludes service users: a compensatory public welfare arrangement positioning service users as citizens with social rights; a peer community positioning service users as peers who share common identities and interests; spaces of compassion validating service users as fellow human beings who are precious in their own right; and greenhouses facilitating service users to expand their horizons of possibility. This inquiry implies that meeting places could mean everything to the people who attend them by facilitating opportunities considered less accessible elsewhere in their everyday lives in a sanist civil society.

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