The Maternal Lap and the Mental Health Trust

2018 ◽  
pp. 149-160
Author(s):  
Jo O’Reilly
Keyword(s):  
Mental Health ◽  
Clinical Management ◽  
State Of Mind ◽  
Health Trust

This chapter describes how patients requiring care from psychiatric teams need a receptive and containing response in order to feel understood and as a basis for recovery. This mirrors the sensitive attunement that the infant depends upon when held on the maternal lap. It introduces the idea of the Mental Health Trust as having the potential to act as a concave receptacle, able to absorb and process all that is communicated by those in a disturbed state of mind. In this concave or receptive state of mind clinical management can be based upon a deeper understanding of the patient’s difficulties and needs. In contrast, if clinical teams behave in what is described as a more convex state of mind they are unable to absorb or think about their patients’ disturbance, which can lead to harmful re-enactments of inadequate nurture or rejection. Clinical examples are used to illustrate these ideas and the importance of teams being able to reflect about their work is emphasized.

scholarly journals THERAPEUTIC ATTEMPTS IN THE APPROACH OF ALEXITHYMIA

2017 ◽  
Vol 64 (1) ◽  
pp. 71-76
Author(s):  
Rodica Mitrea ◽  
◽  
Luana Cezara Tudor ◽  
◽  
Keyword(s):  
Risk Factor ◽  
Emotional Distress ◽  
Clinical Management ◽  
Psychosomatic Disorders ◽  
Study Results ◽  
State Of Mind ◽  
Before And After ◽  
Psychotherapeutic Techniques ◽  
Scale Test ◽  
Age Range

Summary. The study aims to highlight the importance of psychotherapy in the clinical management of patients with psychosomatic alexithymia. Recent research in the psychomedical field concluded that alexithymia presents a risk factor of the psychosocial type, with implications in the appearance of the psychosomatic disorders. This is possible because alexithymic people are unable to fully and properly identify their own emotions and communicate, thus causing a negative emotional tension. Therefore this tension accumulated during negative emotional distress, has a negative reflection in the psychosomatic sphere. Objectives. The objectives set are to increase the capabilities of integrative ego by reducing alexithymia. Methods and materials. They consist in using a cluster of psychotherapeutic techniques of integrative psychotherapy. The techniques role is to help identify their emotions and their verbally externalization, in order to reduce psychological stress. The use of the Toronto alexitymia scale test (TAS) to identify alexithymia in psychosomatic patients is quite helpful in this study. The study was conducted on a sample of 58 people (women and men), in the age range 25-65 years old, with psychosomatic disorders and alexithymia. Results. Study results (shown în graphic) will express differences obtained from Toronto Alexithymia test before and after psychotherapy sessions. Also it will highlight a improved state of mind of the patients who participated in psychotherapy sessions.

scholarly journals The impact of first COVID-19 peak on patient referrals to Liaison Psychiatry Service and staff perception about service provision in Birmingham and Solihull Mental Health Trust Birmingham - a service evaluation project

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S329-S329
Author(s):  
Saima Jehanzeb ◽  
Muhammad Suleman ◽  
Ella Tumelty ◽  
Joanne Okusanya ◽  
Laxsan Karunanithy ◽  
...  
Keyword(s):  
Mental Health ◽  
Focus Groups ◽  
Quantitative Methods ◽  
Service Evaluation ◽  
Psychotic Symptoms ◽  
Healthcare Provision ◽  
Liaison Psychiatry ◽  
Clinical Databases ◽  
The Impact ◽  
Health Trust

AimsBased on recommendations from the Royal College of Psychiatrists, this project aimed to evaluate the impact of the first peak of the COVID-19 pandemic on referral patterns to the Queen Elizabeth Hospital Birmingham (QEHB) Liaison Psychiatry (LP) service. Additionally, we aimed to explore staff experiences in LP services across Birmingham and Solihull Mental Health Trust (BSMHFT) in order to generate Trust recommendations promoting optimal healthcare provision amidst the on-going pandemic.MethodA mixed method service evaluation was conducted using quantitative and qualitative analysis. Quantitative methods involved reviewing referrals made to the QEHB LP service from March to June 2020, compared with the equivalent time period in 2019. Data were retrospectively extracted from the electronic clinical databases RIO and PICS, and subsequently analysed using Microsoft Office. The number of, and reasons for referrals to LP were identified, whilst focus groups were conducted to explore the subjective experiences of staff working across BSMHFT LP services.ResultBetween 1st March and 30th June 2020, 984 referrals were made to the QEHB LP service, compared to 1020 referrals in 2019, representing a 3.5% reduction. From 2019 to 2020, referrals due to psychotic symptoms and deliberate self-harm rose by 12.8% and 14.1% respectively, whilst referrals for drug and alcohol-related causes reduced by 28.3%. A significant increase (150%) in referrals for medication or management advice was seen. Focus groups indicated that staff perceived an initial reduction in number of referrals, but an increase in the acuity of patient presentations.Staff reported anxiety around contracting and transmitting SARS-Cov-2, exacerbated by uncertainty around patients’ COVID-19 status. In QEHB, sixty-five of the 984 referrals (7%) had a positive SARS-Cov-2 PCR swab, with the remaining 919 referrals being either negative (68%) or unknown (25%). Ninety-six percent of consultations were conducted face-to-face in QEHB. There were conflicting views amongst staff regarding whether more consultations could have been conducted remotely. Furthermore, varying perceptions of support and communication from both the physical and mental health trust were reported.ConclusionQuantitative data indicates that COVID-19 impacted LP healthcare provision in BSMHFT. Whilst referral numbers remained similar between the equivalent period in 2019 and 2020, a change in the nature of referrals to LP at QEHB was seen. This was corroborated by qualitative data which highlighted a perceived change in acuity of referrals. These findings have been disseminated across the Trust and subsequent recommendations are being implemented during the on-going pandemic.

Assessment and Treatment of Older People with Depression in a Secondary Mental Health Trust

2012 ◽  
Vol 7 (3) ◽  
pp. 207-211
Author(s):  
Stephen Curran ◽  
Rebecca Spencer ◽  
Sonja Kruger ◽  
Andrew Byrne ◽  
Vijayalakshmi Saravanan ◽  
...  
Keyword(s):  
Mental Health ◽  
Older People ◽  
Assessment And Treatment ◽  
Health Trust

scholarly journals Seclusion and enforced medication in dealing with aggression: A prospective dynamic cohort study

2017 ◽  
Vol 39 ◽  
pp. 86-92 ◽  
Author(s):  
A.A. Verlinde ◽  
E.O. Noorthoorn ◽  
W. Snelleman ◽  
H. van den Berg ◽  
M. Snelleman – van der Plas ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Sequence Analysis ◽  
Marked Reduction ◽  
Catchment Area ◽  
Medication Use ◽  
Event Sequence ◽  
Coercive Measures ◽  
First Choice ◽  
Health Trust

AbstractBackgroundIn the Netherlands, seclusion is historically the measure of first choice in dealing with aggressive incidents. In 2010, the Mediant Mental Health Trust in Eastern Netherlands introduced a policy prioritising the use of enforced medication to manage aggressive incidents over seclusion. The main goal of the study was to investigate whether prioritising enforced medication over seclusion leads to a change of aggressive incidents and coercive measures.MethodsThe study was carried out with data from 2764 patients admitted between 2007 and 2013 to the hospital locations of the Mediant Mental Health Trust in Eastern Netherlands, with a catchment area of 500,000 inhabitants. Seclusion, restraint and enforced medications as well as other coercive measures were gathered systematically. Aggressive incidents were assessed with the SOAS-R. An event sequence analysis was preformed, to assess the whether seclusion, restraint or enforced medication were used or not before or after aggressive incidents.ResultsEnforced medication use went up by 363% from a very low baseline. There was a marked reduction of overall coercive measures by 44%. Seclusion hours went down by 62%. Aggression against staff or patients was reduced by 40%.ConclusionsWhen dealing with aggression, prioritising medication significantly reduces other coercive measures and aggression against staff, while within principles of subsidiarity, proportionality and expediency.

Incident infection during the first year of treatment – A comparison of clozapine and paliperidone palmitate long-acting injection

2022 ◽  
pp. 026988112110589
Author(s):  
Shubhra Mace ◽  
Olubanke Dzahini ◽  
Victoria Cornelius ◽  
Hadar Langerman ◽  
Ebenezer Oloyede ◽  
...  
Keyword(s):  
Mental Health ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Paliperidone Palmitate ◽  
First Year ◽  
Risk Of Infection ◽  
Long Acting ◽  
First Time ◽  
Health Trust ◽  
Incident Infection

Background: To examine the risk of infection in patients prescribed clozapine compared with patients prescribed paliperidone palmitate long-acting injection (PPLAI). Method: A retrospective, 1-year, cohort study conducted on events occurring in eligible patients beginning treatment for the first time with clozapine or PPLAI between June 2017 and June 2019 in a UK mental health trust providing in-patient and out-patient services. Results: The study included 64 patients starting clozapine and 120 patients starting PPLAI. Incidence of infection was greater in clozapine starters than in PPLAI starters (28% vs 6%; p = 0.001; adjusted odds ratio 5.82 (95% confidence interval (CI) = 2.15–15.76, p = 0.001). Infectious episodes in clozapine patients were not related to changes in neutrophil counts. Incident infection in the clozapine group was highest in the first 3 months of treatment. The most commonly reported infection in the clozapine group was chest infection; however, the majority of infections were non-chest-related. Conclusion: Patients starting clozapine showed a substantially increased likelihood of infection compared with patients starting PPLAI.

scholarly journals 14 Improving medical engagement in a large mental health trust

2018 ◽  
Author(s):  
Tiff Earle ◽  
Hayley Richards ◽  
Rebecca Eastley
Keyword(s):  
Mental Health ◽  
Health Trust
Sign in / Sign up

Export Citation Format

Share Document