Caseload factors and the psychological well-being of community mental health staff

2002 ◽  
Vol 11 (1) ◽  
pp. 67-78 ◽  
Author(s):  
Belinda Walsh ◽  
Sue Walsh
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Well Being ◽  
Health Staff ◽  
Mental Health Staff ◽  
Psychological Well Being

scholarly journals Perspectives of Trial Staff on the Barriers to Recruitment in a Digital Intervention for Psychosis and How to Work Around Them: Qualitative Study Within a Trial (Preprint)

2020 ◽  
Author(s):  
Stephanie Allan ◽  
Hamish Mcleod ◽  
Simon Bradstreet ◽  
Imogen Bell ◽  
Helen Whitehill ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Trials ◽  
Community Mental Health ◽  
Well Being ◽  
Point Of View ◽  
Feasibility Trial ◽  
Health Staff ◽  
Mental Health Staff ◽  
Trial Staff ◽  
Recruitment Barriers

BACKGROUND Recruitment processes for clinical trials of digital interventions for psychosis are seldom described in detail in the literature. Although trial staff have expertise in describing barriers to and facilitators of recruitment, a specific focus on understanding recruitment from the point of view of trial staff is rare, and because trial staff are responsible for meeting recruitment targets, a lack of research on their point of view is a key limitation. OBJECTIVE The primary aim of this study was to understand recruitment from the point of view of trial staff and discover what they consider important. METHODS We applied pluralistic ethnographic methods, including analysis of trial documents, observation, and focus groups, and explored the recruitment processes of the EMPOWER (Early Signs Monitoring to Prevent Relapse in Psychosis and Promote Well-being, Engagement, and Recovery) feasibility trial, which is a digital app–based intervention for people diagnosed with schizophrenia. RESULTS Recruitment barriers were categorized into 2 main themes: service characteristics (lack of time available for mental health staff to support recruitment, staff turnover, patient turnover [within Australia only], management styles of community mental health teams, and physical environment) and clinician expectations (filtering effects and resistance to research participation). Trial staff negotiated these barriers through strategies such as emotional labor (trial staff managing feelings and expressions to successfully recruit participants) and trying to build relationships with clinical staff working within community mental health teams. CONCLUSIONS Researchers in clinical trials for digital psychosis interventions face numerous recruitment barriers and do their best to work flexibly and to negotiate these barriers and meet recruitment targets. The recruitment process appeared to be enhanced by trial staff supporting each other throughout the recruitment stage of the trial.

scholarly journals Perspectives of Trial Staff on the Barriers to Recruitment in a Digital Intervention for Psychosis and How to Work Around Them: Qualitative Study Within a Trial

10.2196/24055 ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. e24055
Author(s):  
Stephanie Allan ◽  
Hamish Mcleod ◽  
Simon Bradstreet ◽  
Imogen Bell ◽  
Helen Whitehill ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Trials ◽  
Community Mental Health ◽  
Well Being ◽  
Point Of View ◽  
Feasibility Trial ◽  
Health Staff ◽  
Mental Health Staff ◽  
Trial Staff ◽  
Recruitment Barriers

Background Recruitment processes for clinical trials of digital interventions for psychosis are seldom described in detail in the literature. Although trial staff have expertise in describing barriers to and facilitators of recruitment, a specific focus on understanding recruitment from the point of view of trial staff is rare, and because trial staff are responsible for meeting recruitment targets, a lack of research on their point of view is a key limitation. Objective The primary aim of this study was to understand recruitment from the point of view of trial staff and discover what they consider important. Methods We applied pluralistic ethnographic methods, including analysis of trial documents, observation, and focus groups, and explored the recruitment processes of the EMPOWER (Early Signs Monitoring to Prevent Relapse in Psychosis and Promote Well-being, Engagement, and Recovery) feasibility trial, which is a digital app–based intervention for people diagnosed with schizophrenia. Results Recruitment barriers were categorized into 2 main themes: service characteristics (lack of time available for mental health staff to support recruitment, staff turnover, patient turnover [within Australia only], management styles of community mental health teams, and physical environment) and clinician expectations (filtering effects and resistance to research participation). Trial staff negotiated these barriers through strategies such as emotional labor (trial staff managing feelings and expressions to successfully recruit participants) and trying to build relationships with clinical staff working within community mental health teams. Conclusions Researchers in clinical trials for digital psychosis interventions face numerous recruitment barriers and do their best to work flexibly and to negotiate these barriers and meet recruitment targets. The recruitment process appeared to be enhanced by trial staff supporting each other throughout the recruitment stage of the trial.

Crisis assessment and management

2015 ◽  
Author(s):  
Reena Kapoor
Keyword(s):  
Mental Health ◽  
Video Recording ◽  
Well Being ◽  
Health Staff ◽  
Mental Health Crisis ◽  
Mental Health Staff ◽  
Health Crisis ◽  
Course Of Action ◽  
Correctional Settings ◽  
Many Sources

Crisis calls are a common occurrence in correctional settings. Psychiatrists are often called upon to triage and manage such events. Requests for urgent psychiatric evaluations can come from many sources, including security staff, non-psychiatric physicians, mental health staff, courts, attorneys, and family members. Psychiatrists responding to these requests for evaluation may feel tremendous pressure to reach a conclusion that is consistent with the opinions of the requesting party. However, maintaining an independent and therapeutic stance when conducting crisis evaluations is crucial. Some aspects of psychiatric evaluations in crisis situations are unique to the correctional environment: evaluations at cell-side, video recording, and leadership by security staff rather than medical professionals. Nonetheless, correctional psychiatrists should be guided by the same principles of medical ethics that apply to patient care in the community, placing the patient’s well-being above all other concerns. They should strive, when possible, to conduct a thorough assessment in a confidential setting. In considering how best to resolve the crisis and care for the patient, they should err on the side of caution and recommend placement in a safe and therapeutic setting, at least until a multidisciplinary team can consider other options. Finally, they should document the encounter carefully, articulating the rationale for the chosen course of action. This chapter reviews the pragmatics of evaluating and managing many common correctional events that lead to mental health crisis calls and discusses the range of concerns, the typical practices and procedures used in correctional settings, and the types of interventions that are best used.

Trial staff views on barriers recruitment in a digital intervention for psychosis and how to work around them: A qualitative study within a trial

2020 ◽  
Author(s):  
Stephanie Allan ◽  
Hamish Mcloed ◽  
Simon Bradstreet ◽  
Emma Morton ◽  
Imogen Bell ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Trials ◽  
Community Mental Health ◽  
Research Participation ◽  
Feasibility Trial ◽  
Health Staff ◽  
Mental Health Staff ◽  
Emotional Labour ◽  
Trial Staff ◽  
Recruitment Barriers

Abstract Background: Recruitment processes for clinical trials of digital interventions for psychosis are seldom described in detail within the literature. While trial staff have expertise in describing barriers and facilitators to recruitment a specific focus on understanding recruitment from the point of view of trial staff is rare.Methods: We applied pluralistic ethnographic methods including analysis of trial documents, observation and focus groups explored the recruitment processes of the EMPOWER feasibility trial (ISRCTN: 99559262).Results: Recruitment barriers fell into two main themes; service characteristics (lack of time available to mental health staff to support recruitment, staff turnover, patient turnover (within Australia only), management styles of community mental health teams, physical environment) and clinician expectations (filtering effects and resistance to research participation). Trial staff negotiated these barriers through strategies such as emotional labour (trial staff managing feelings and expressions in order to successfully recruit participants) and trying to build relationships with clinical staff working within community mental health teams.Conclusions: Researchers in clinical trials for digital psychosis interventions face numerous recruitment barriers and do their best to work flexibly negotiate these barriers and meet recruitment targets. The recruitment process appeared to be enhanced by trial staff supporting each other throughout the recruitment stage of the trial.Trial Registration: (ISRCTN: 99559262 registered 21/12/2015)

scholarly journals High levels of psychosocial distress among Australian frontline healthcare workers during the COVID-19 pandemic: a cross-sectional survey

2021 ◽  
Vol 34 (5) ◽  
pp. e100577
Author(s):  
Natasha Smallwood ◽  
Leila Karimi ◽  
Marie Bismark ◽  
Mark Putland ◽  
Douglas Johnson ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Healthcare Workers ◽  
Allied Health ◽  
Well Being ◽  
Health Staff ◽  
Mental Health Symptoms ◽  
Psychological Well Being ◽  
Health Symptoms ◽  
Frontline Healthcare Workers

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has had a profound and prolonged impact on healthcare services and healthcare workers.AimsThe Australian COVID-19 Frontline Healthcare Workers Study aimed to investigate the severity and prevalence of mental health issues, as well as the social, workplace and financial disruptions experienced by Australian healthcare workers during the COVID-19 pandemic.MethodsA nationwide, voluntary, anonymous, single timepoint, online survey was conducted between 27 August and 23 October 2020. Individuals self-identifying as frontline healthcare workers in secondary or primary care were invited to participate. Participants were recruited through health organisations, professional associations or colleges, universities, government contacts and national media. Demographics, home and work situation, health and psychological well-being data were collected.ResultsA total of 9518 survey responses were received; of the 9518 participants, 7846 (82.4%) participants reported complete data. With regard to age, 4110 (52.4%) participants were younger than 40 years; 6344 (80.9%) participants were women. Participants were nurses (n=3088, 39.4%), doctors (n=2436, 31.1%), allied health staff (n=1314, 16.7%) or in other roles (n=523, 6.7%). In addition, 1250 (15.9%) participants worked in primary care. Objectively measured mental health symptoms were common: mild to severe anxiety (n=4694, 59.8%), moderate to severe burnout (n=5458, 70.9%) and mild to severe depression (n=4495, 57.3%). Participants were highly resilient (mean (SD)=3.2 (0.66)). Predictors for worse outcomes on all scales included female gender; younger age; pre-existing psychiatric condition; experiencing relationship problems; nursing, allied health or other roles; frontline area; being worried about being blamed by colleagues and working with patients with COVID-19.ConclusionsThe COVID-19 pandemic is associated with significant mental health symptoms in frontline healthcare workers. Crisis preparedness together with policies and practices addressing psychological well-being are needed.

Survey of aggressive incidents experienced by community mental health staff

2002 ◽  
Vol 11 (2) ◽  
pp. 112-120 ◽  
Author(s):  
Anne J. Fry ◽  
Declan O'Riordan ◽  
Melissa Turner ◽  
Katherine L. Mills
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Staff ◽  
Mental Health Staff
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