Step 6: Talking More About Confidentiality: Educating Each Other and the Public

2013 ◽  
pp. 123-136
Author(s):  
Mary Alice Fisher
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Teaching Staff ◽  
Clinical Settings ◽  
The Public ◽  
Training And Supervision ◽  
Shared Language ◽  
Student Training

Chapter 9 is about the importance of creating conversations, how therapists’ policies about confidentiality are not confidential, and that the dilemmas therapists face in upholding their policies can be talked about, with each other and with others, as long as patients are not identified. It also discusses the shared language that all mental health professionals can use for creating clearer conversations with each other about this difficult aspect of practice, and that can be helpful for structuring student training and supervision about confidentiality, for teaching staff and employees in clinical settings, and for writing on the topic in academic and clinical journals, as well as for educating attorneys, judges, legislators, and the public.

Technology in the Supervision of Mental Health Professionals

2011 ◽  
pp. 114-131
Author(s):  
James R. Stefurak ◽  
Daniel W. Surry ◽  
Richard L. Hayes
Keyword(s):  
Mental Health ◽  
Clinical Supervision ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Research Literature ◽  
Supervisory Relationship ◽  
Training And Supervision ◽  
Technology Platforms ◽  
Negative Impacts ◽  
Constructivist Epistemology

As communication technology is increasingly applied to the training and supervision of mental health professionals, a more robust analysis of how such approaches fundamentally change the relationship between supervisor and supervisee and how these approaches both enhance and limit the outcomes of supervision is sorely needed. In this chapter clinical supervision is defined and discussed and the various technology platforms that have been used to conduct supervision at-a-distance are reviewed along with the supervision outcomes observed in the research literature with each method. The potential for technology to reduce geographic and financial barriers to the provision of quality supervision is discussed. However, the chapter also outlines the potential negative impacts technology might have to the supervisory relationship, the ethical dilemmas posed by technology-mediated supervision, and the ways in which technology-mediated supervision may place limits upon the elements of supervision that rely upon a constructivist epistemology.

scholarly journals It is ethical to diagnose a public figure one has not personally examined

2018 ◽  
Vol 213 (5) ◽  
pp. 633-637 ◽  
Author(s):  
John Gartner ◽  
Alex Langford ◽  
Aileen O'Brien
Keyword(s):  
Mental Health ◽  
Social Media ◽  
British Journal ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Public Figure ◽  
Duty To Warn ◽  
The Public ◽  
Public Figures ◽  
The Press

SummaryShould psychiatrists be able to speculate in the press or social media about their theories? John Gartner argues the risk to warn the public of concerns about public figures overrides the duty of confidentiality; whereas Alex Langford suggests this is beyond the ethical remit of psychiatric practice.Declaration of interestA.O'B is joint debates and analysis Editor of the British Journal of Psychiatry. J.G. is the founder of Duty To Warn, an association of mental health professionals who advocate the president's removal under the 25th Amendment on the grounds that he is psychologically unfit and dangerous.

Violence Risk Assessment

2017 ◽  
Author(s):  
Jennifer L. Piel ◽  
Ronald Schouten
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Clinical Settings ◽  
Violence Risk ◽  
Mental Health Clinicians ◽  
The Public ◽  
Core Skill ◽  
Health Practitioners ◽  
Violent Acts ◽  
Single Standard

The problem of violence in our society has received increasing attention from the public and mental health professions in recent years, and assessing the risk of violence has become a core skill for mental health clinicians and forensic specialists alike. In fact, mental health practitioners in all clinical settings are tasked with assessing and managing their patients’ risk of violence. Although research on the nature of violence and factors that increase the likelihood that a person will commit violent acts has grown in the past several decades, there is no single standard protocol or tool for assessing the risk of violence. This chapter reviews the key risk factors for violence that are supported by research, examines the relationship between mental disorders and violence, and describes approaches that mental health professionals can use to assess the risk of violence.

The Public's Ability to Recognize Mental Disorders and their Beliefs about Treatment: Changes in Australia Over 8 Years

2006 ◽  
Vol 40 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Anthony F. Jorm ◽  
Helen Christensen ◽  
Kathleen M. Griffiths
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Health Professionals ◽  
National Survey ◽  
Health Professionals ◽  
Psychiatric Ward ◽  
Treatment Beliefs ◽  
The Public ◽  
Low Level ◽  
Treatment Changes

Objective: A national survey of Australian adults in 1995 showed a low level of recognition of mental disorders and beliefs about treatment that were often discordant with those of professionals. The present study aimed to find out whether recognition and treatment beliefs have changed over 8 years. Method: A national survey of 2001 adults in 2003–2004 included the same questions as the 1995 survey. These interview questions were based on a vignette of a person with either depression or schizophrenia. Results: Over the 8 years, the public showed better recognition of depression and schizophrenia and gave more positive ratings to a range of interventions, including help from mental health professionals, medications, psychotherapy and psychiatric ward admission. Conclusions: The Australian public's beliefs have changed over 8 years to be more like those of mental health professionals. This change may have positive implications for helpseeking and treatment concordance.

Mapping mental health professionals’ perspectives and practices regarding the implementation of Digital Mental Health: a qualitative study (Preprint)

2021 ◽  
Author(s):  
Cristina Mendes-Santos ◽  
Francisco Nunes ◽  
Elisabete Weiderpass ◽  
Rui Santana ◽  
Gerhard Andersson
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mental Healthcare ◽  
Cost Effective ◽  
Clinical Settings ◽  
Structured Interviews ◽  
Intervention Delivery ◽  
Training Programmes

BACKGROUND Despite Digital Mental Health’s potential to provide cost-effective mental healthcare, its adoption in clinical settings is limited and little is known about the perspectives and practices of mental health professionals regarding its implementation or the factors influencing such perspectives and practices. OBJECTIVE The current study aimed at characterizing in-depth the perspectives and practices of mental health professionals regarding the implementation of Digital Mental Health and exploring the factors impacting such perspectives and practices. METHODS A qualitative study using in-depth semi-structured interviews with Portuguese mental health professionals (N=13) - psychologists and psychiatrists – was conducted. Transcribed interviews were thematically analysed. RESULTS Mental health professionals deemed important or engaged in the following practices during the implementation of Digital Mental Health: i) Indication evaluation; ii) Therapeutic contract negotiation; iii) Digital psychological assessment; iv) Technology setup and management; and v) Intervention delivery and follow-up. Low threshold accessibility and professionals' perceived duty to provide support to their clients facilitated the implementation of Digital Mental Health. Conversely, the lack of structured intervention frameworks; the unavailability of usable, validated, and affordable technology; and the absence of structured training programmes, inhibited Digital Mental Health’s implementation by mental health professionals. CONCLUSIONS The publication of practice frameworks, the development of evidence-based technology, and the delivery of structured training seem key to expedite implementation and encourage the sustained adoption of Digital Mental Health by mental health professionals.

What to do about depression? Help-seeking and treatment recommendations of the public

2011 ◽  
Vol 20 (2) ◽  
pp. 163-169 ◽  
Author(s):  
A. Holzinger ◽  
H. Matschinger ◽  
M.C. Angermeyer
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Help Seeking ◽  
Treatment Options ◽  
Antidepressant Medication ◽  
Structured Interview ◽  
First Century ◽  
The Public ◽  
Treatment Of Depression

Aims.Several population studies on beliefs about depression carried out in western countries during the 1990s have shown that the public clearly favors psychotherapy over antidepressant medication. The present study examines whether this phenomenon still exists at the end of the first decade of the twenty-first century.Materials and Methods.In 2009, a telephone survey was conducted among the population of Vienna aged 16 years and older (n = 1205). A fully structured interview was administered which began with the presentation of a vignette depicting a case of depression fulfilling the diagnostic criteria of DSM-IV for a moderate depressive episode.Results.Psychotherapists were most frequently endorsed as source of professional help. Antidepressant medication still was more frequently advised against than recommended. Respondents familiar with the treatment of depression tended to be more ready to recommend to seek help from mental health professionals and to endorse various treatment options, particularly medication.Conclusion.At the end of the first decade of this century, there still exists a large gap between the public's beliefs and what mental health professionals consider appropriate for the treatment of depression. Therefore, further effort to improve the public's mental health literacy seems necessary.

scholarly journals Sexual harassment of staff by patients in mental health units

1995 ◽  
Vol 19 (3) ◽  
pp. 168-169
Author(s):  
Maria B. Tomé de la Granja
Keyword(s):  
Mental Health ◽  
Sexual Harassment ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Physical Violence ◽  
Common Law ◽  
Health And Safety ◽  
Verbal Abuse ◽  
The Public ◽  
The Common

The Health and Safety Executive (1992) defines violence against staff as “any incident in which an employee is threatened or assaulted by a member of the public in circumstances arising out of the course of his or her employment”. Verbal abuse and threats are, as the Health and Safety Executive notes, the most common types of incidents, and staff have the common-law right to be protected from such incidents in the course of their work. While the literature on physical violence against mental health professionals is quite large and expanding (see, for example, Health and Safety Commission, 1987; Shepherd, 1994; Wykes, 1994), comparatively little emphasis has been placed on verbal assaults, although these may be extremely distressing.

Expanding Tarasoff: Protecting Patients and the Public by Keeping Subsequent Caregivers Informed

1997 ◽  
Vol 25 (3) ◽  
pp. 365-375
Author(s):  
Charles J. Meyers
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
The Public ◽  
Identifiable Victims

A California appellate decision uses a Tarasoff analysis to remind mental health professionals that they have a duty to communicate serious threats and known dangers not only to their patients' readily identifiable victims but also to their patients' subsequent caregivers. It also serves notice that the Tarasoff duty can be extended to threats of suicide. Positing a hierarchy of threats and duties implied in the laws that make therapists responsible for intervening to prevent their patients from doing harm, the author suggests courses of action for each step of the hierarchy. The more dangerous the patient, the more aggressive is the expected intervention on the part of the therapist.

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