scholarly journals Improving multidisciplinary clinical discussion on an inpatient mental health ward

2016 ◽  
Vol 21 (2) ◽  
pp. 107-118 ◽  
Author(s):  
Sian Dallimore ◽  
Katharine Christie ◽  
Maria Loades
Keyword(s):  
Mental Health ◽  
Clinical Supervision ◽  
Good Practice ◽  
Future Research ◽  
Content Type ◽  
Inpatient Mental Health ◽  
Team Supervision ◽  
Group Outcomes ◽  
Working Together ◽  
Effective Supervision

Purpose – Multidisciplinary team (MDT) clinical supervision is being used in many mental health services but at present has not received adequate attention by researchers in order to generate evidence-based approaches. The purpose of this paper is to explore the utility and staff perspectives of an MDT model of clinical supervision in the form of a “Clinical Discussion Group” (CDG) on an acute inpatient mental health ward within the context of the current literature on the components of effective supervision in order to make recommendations for practice. Design/methodology/approach – In total, 12 members of staff working on the ward were interviewed to gather their perspective on attendance, helpful aspects, outcomes, unhelpful aspects, and changes. Interview transcripts were analysed using thematic analysis. Findings – In total, 11 themes were identified, three within “The Group and how it operates” (attendance, discussion topics and facilitation), five within “Impact and Usefulness” (valued by staff, understanding a case, emotional benefit, learning and working together as a team) and three within “Changes to the Group” (organisation, discussion topic and group outcomes). Originality/value – This paper explores the benefits and challenges of a CDG from the perspective of the staff who attend. It presents some recommendations for good practice which should be of use to managers and supervisors who wish to use team supervision to improve patient outcomes and also makes suggestions for future research in this field.

Homocide co-victims: confidence in the criminal justice system

2019 ◽  
Vol 5 (3) ◽  
pp. 240-252
Author(s):  
Elaine Brown ◽  
Jonathan Crego
Keyword(s):  
Criminal Justice ◽  
Criminal Justice System ◽  
Justice System ◽  
Interpersonal Relations ◽  
Good Practice ◽  
Future Research ◽  
Content Type ◽  
Working Together ◽  
Court Proceedings ◽  
Preventative Interventions

Purpose The purpose of this paper is to address the phenomenology of family members of homicide victims; known as “co-victims”. In particular, co-victims experiences of the criminal justice system (CJS) in England and Wales. Design/methodology/approach In 2018, 10 kV methodology facilitated an electronic-focus group. Anonymously, volunteers from families of homicide victims responded to key questions in a session entitled “a conversation which matters: confidence”. The thematic analysis presents the responses to three questions around “what works” and “what does not” in CJS practice. Findings The responses indicate four themes in relation to confidence building: communication and information; outcome; honesty and fairness; and family support. Responses indicate three themes in relation to what the CJS does well: family liaison officers, homicide detectives and court services. Responses indicate three themes in relation to what is not working: court proceedings, police budget cuts and preventative interventions. Research limitations/implications The research considers benefits and limitations of methodology and makes suggestions for how these facets could be addressed by future research. Practical implications The research findings reveal good practice and points for attention to support confidence building in the CJS. Amongst other considerations, the work advances CJS practical good practice principles from the perspective of co-victims: education, interpersonal relations, working together, communication and justice. Originality/value Findings are of value to CJS policy makers, training and education for co-victim support, police and academics.

scholarly journals Informal mental health patients: what are they told of their legal rights?

2017 ◽  
Vol 22 (1) ◽  
pp. 51-62
Author(s):  
Russell Ashmore ◽  
Neil Carver
Keyword(s):  
Mental Health ◽  
Good Practice ◽  
Public Access ◽  
Legal Rights ◽  
Freedom Of Information ◽  
Freedom Of Information Act ◽  
Content Type ◽  
Freedom Of Movement ◽  
Information Leaflets ◽  
Written Information

Purpose The purpose of this paper is to determine what written information is given to informally admitted patients in England and Wales regarding their legal rights in relation to freedom of movement and treatment. Design/methodology/approach Information leaflets were obtained by a search of all National Health Service mental health trust websites in England and health boards in Wales and via a Freedom of Information Act 2000 request. Data were analysed using content analysis. Findings Of the 61 organisations providing inpatient care, 27 provided written information in the form of a leaflet. Six provided public access to the information leaflets via their website prior to admission. Although the majority of leaflets were accurate the breadth and depth of the information varied considerably. Despite a common legal background there was confusion and inconsistency in the use of the terms informal and voluntary as well as inconsistency regarding freedom of movement, the right to refuse treatment and discharge against medical advice. Research limitations/implications The research has demonstrated the value of Freedom of Information Act 2000 requests in obtaining data. Further research should explore the effectiveness of informing patients of their rights from their perspective. Practical implications Work should be undertaken to establish a consensus of good practice in this area. Information should be consistent, accurate and understandable. Originality/value This is the only research reporting on the availability and content of written information given to informal patients about their legal rights.

scholarly journals Investigating the barriers and facilitators to implementing mental health first aid in the workplace: a qualitative study

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Melanie Jay Narayanasamy ◽  
Louise Thomson ◽  
Carol Coole ◽  
Fiona Nouri ◽  
Avril Drummond
Keyword(s):  
Mental Health ◽  
Good Practice ◽  
First Aid ◽  
Barriers And Facilitators ◽  
Successful Implementation ◽  
Mental Health First Aid ◽  
Structured Interviews ◽  
Content Type ◽  
Factors Affecting ◽  
Employee Characteristics

Purpose There has been little research into the use and efficacy of Mental Health First Aid (MHFA) across UK workplaces. This paper aims to investigate the implementation of MHFA across six UK organisations, identifying key barriers and facilitators. Design/methodology/approach Twenty-seven workplace representatives were recruited from six organisations through purposive sampling and took part in semi-structured interviews exploring their experiences of workplace MHFA. The data underwent thematic analysis, identifying key themes around implementation. Findings Implementation varied across organisations, including different reasons for initial interest in the programme, and variable ways that MHFA-trained employees operated post-training. Key barriers to successful implementation included negative attitudes around mental health, the perception that MHFA roles were onerous, and employees’ reluctance to engage in the MHFA programme. Successful implementation was perceived to be based on individual qualities of MHFA instructors and good practice demonstrated by trained individuals in the workplace. The role of the inner organisational setting and employee characteristics were further highlighted as barriers and facilitators to effective implementation. Research limitations/implications MHFA is a complex intervention, presenting in different ways when implemented into complex workplace settings. As such, traditional evaluation methods may not be appropriate for gaining insights into its effectiveness. Future evaluations of workplace MHFA must consider the complexity of implementing and operationalising this intervention in the workplace. Originality/value This study is the first to highlight the factors affecting successful implementation of MHFA across a range of UK workplaces.

scholarly journals The impact of a night confinement policy on patients in a UK high secure inpatient mental health service

2015 ◽  
Vol 17 (1) ◽  
pp. 21-30 ◽  
Author(s):  
Simon Chu ◽  
Kimberley McNeill ◽  
Karen M. Wright ◽  
Anthony Hague ◽  
Tracy Wilkins
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Negative Impact ◽  
Sleep Hygiene ◽  
Content Type ◽  
Inpatient Mental Health ◽  
The Impact

Purpose – From 2012, all high-secure forensic mental health services in England began operating a policy of confining patients to their locked bedrooms overnight to increase service efficiency and reduce costs. The purpose of this paper is to assess the views of staff and patients concerning the policy and examine the specific impact of the policy on patients. Design/methodology/approach – Measures of patients’ sleep hygiene, patients’ behaviour, ward atmosphere, engagement with therapy and adverse incidents were taken both before and after the night confinement (NC) policy was implemented. Both patients and staff also expressed their views of the impact of the NC policy. Findings – Results provide converging evidence that the impact of the NC policy on patients is negligible. There were no consistent negative effects of confining patients overnight. Rather, patients and staff were broadly positive about the impact that the practice had on patients. Practical implications – Confining patients to locked bedrooms overnight does not exert any consistent influence, positive or negative, on patients’ sleep hygiene, behaviour or engagement with therapy, and patients expressed a broadly positive view of the practice of NC. Thus, a NC policy may have a contribution to make to the provision an effective high-secure mental health service. Originality/value – The study provides convincing evidence that secure inpatient mental health services that are considering the adoption of a NC policy may do so without fear of a negative impact on patients.

Stress and productivity in workers of textile companies

2019 ◽  
Vol 23 (1) ◽  
pp. 17-29
Author(s):  
Carlos Ramos-Galarza ◽  
Pamela Acosta-Rodas
Keyword(s):  
Mental Health ◽  
Occupational Stress ◽  
Negative Impact ◽  
Psychological Intervention ◽  
Psychological Treatment ◽  
Economic Losses ◽  
Future Research ◽  
Quantitative Methodology ◽  
Textile Production ◽  
Content Type

Purpose The purpose of this paper is to analyze the relationship between two psychological factors which are occupation stress and productivity, that influence workers immerse into textile production labor context. Design/methodology/approach This study has a quantitative methodology, is cross-sectional, nonexperimental and with an explicative scope. Findings The results of this research allow to identify that occupational stress levels cause a negative impact on worker’s productivity in the textile production area. Research limitations/implications There are two limitations in this study, first is the participant’s subjectivity when filling the questionnaires because it was self-reported and the second limitation is that the sample is specifically from a city of a South American country. Practical implications The results of this investigation show as an evidence the need for psychological intervention within companies for occupational stress, because it will impact in a negative way the textile production of a company, which will guide future research making possible to develop and apply psychological treatment programs pro employee’s mental health. Social implications A textile company with low productivity will bring strong economic losses and even bankruptcy, although, thanks to this study it was possible to identify that occupational stress will have a negative impact in productivity, drawing an important based line to future research, looking to improve worker’s performance and hence, companies’ profits contributing to social economic processes. Originality/value In general, companies of textile industry (as many others from capitalist economic system), make substantial investments in technology instruments, specialized workers, machines’ maintenance and reparation, marketing, etc. to improve their production standards, however, there is a low investment on worker’s mental health, as it has been found in this study it generates a strong negative impact on its productivity.

scholarly journals The impact of COVID-19 pandemic on conventional work settings

2020 ◽  
Vol 40 (9/10) ◽  
pp. 909-927
Author(s):  
Randa Diab-Bahman ◽  
Abrar Al-Enzi
Keyword(s):  
Working Conditions ◽  
Good Practice ◽  
Data Gathering ◽  
Phenomenological Approach ◽  
Future Research ◽  
Crowd Sourcing ◽  
Policy Makers ◽  
Content Type ◽  
The Impact ◽  
Insight Into

PurposeTo give insight into human resource (HR) policy makers of the impact of the abrupt change in working conditions as reported from their primary stakeholders – the employees.Design/methodology/approachReported from a first-person point of view, 192 employees from Kuwait who are currently working from home were surveyed as to how the lockdown circumstances have impacted their conventional work expectations. The study compares the old working conditions (OWC) to the current working conditions (CWC) to give insight into the overall sentiments of the abrupt changes to the workplace.FindingsIt was found that most employees agreed that OWC need to be reviewed, and that the general sentiment was almost equally split on the efficiency of CWC in comparison to OWC, yet the majority was enjoying the flexible conditions. Moreover, the majority of respondents found that overall conventional work elements either remained the same or had been impacted positively rather than negatively. Also, if given an option of a hybrid model inclusive of partly working remotely and partly working on-site, a considerable majority reported that they are able to efficiently conduct atleast 80% of their work expectation. Finally, it was found that employee expectation is changing as they consider post COVID-19 conditions.Research limitations/implicationsThis research was conducted using virtual crowd-sourcing methods to administer the survey and may have been enhanced should other methods have been integrated for data gathering. Also, a more comprehensive phenomenological approach could have been incorporated to add a qualitative method to the investigation. This could have freed the results of answer limitation and experience bias. Moreover, it is good practice to involve both quantitative and qualitative elements to any research when possible. Finally, future research can benefit from a bigger pool of participants so as to gain a clearer picture.Originality/valueThis research will give policy makers a look at what needs to be reviewed/changed for a successful roll-out of remote work in accordance with their original strategies.

Mental capacity legislation and its impact on parents with learning difficulties involved in childcare and family law proceedings assessments in England and Wales

2018 ◽  
Vol 20 (1) ◽  
pp. 17-32
Author(s):  
Daniel T. Wilcox ◽  
Leam A. Craig ◽  
Marguerite L. Donathy ◽  
Peter MacDonald
Keyword(s):  
Mental Health ◽  
Family Law ◽  
Good Practice ◽  
Learning Difficulties ◽  
Mental Capacity ◽  
Mental Health Practitioners ◽  
England And Wales ◽  
Content Type ◽  
Health Practitioners ◽  
The Impact

Purpose The purpose of this paper is to consider the impact of mental capacity legislation when applied to parents with learning difficulties who lack capacity within childcare and family law proceedings in England and Wales. Design/methodology/approach The paper relies on a range of material including reports published by independent mental health foundations, official inquiries and other public bodies. It also refers to academic and practitioner material in journals and government guidance. Findings The paper critically reviews the application of the guidance when assessing mental capacity legislation as applied in England and Wales and offers by way of illustration several case examples where psychological assessments, and the enhancement of capacity, have assisted parents who were involved in childcare and family law proceedings. Research limitations/implications There has been little published research or governmental reports on the number of cases when parents involved in childcare and family law proceedings have been found to lack capacity. No published prevalence data are available on the times when enhancing capacity has resulted in a change of outcome in childcare and family law proceedings. Practical implications The duty is on the mental health practitioners assessing mental capacity that they do so in a structured and supportive role adhering to good practice guidance and follow the guiding principles of mental capacity legislation assuming that the individual has capacity unless it is established that they lack capacity. Guidance and training is needed to ensure that the interpretation of the Mental Capacity Act (MCA) and its application is applied consistently. Social implications For those who are considered to lack mental capacity to make specific decisions, particularly within childcare and family law proceedings, safeguards are in place to better support such individuals and enhance their capacity in order that they can participate more fully in proceedings. Originality/value While the MCA legislation has now been enacted for over ten years, there is very little analysis of the implications of capacity assessments on parents involved in childcare and family law proceedings. This paper presents an overview and, in places, a critical analysis of the new safeguarding duties of mental health practitioners when assessing for, and enhancing capacity in parents.

A spatial analysis of suicide rates in Tennessee

2017 ◽  
Vol 44 (12) ◽  
pp. 2325-2335 ◽  
Author(s):  
Ferdinand Gabriel Difurio ◽  
Willis Lewis
Keyword(s):  
Mental Health ◽  
Spatial Analysis ◽  
Socioeconomic Factors ◽  
Spillover Effects ◽  
Future Research ◽  
County Level ◽  
Health Issues ◽  
Content Type ◽  
Suicide Rates ◽  
National Norms

Purpose Suicide rates at the county level may be influenced by various macro-level factors emanating from surrounding communities. The purpose of this paper is to measure the extent of geographic spillover effects from socioeconomic factors on suicide rates. Design/methodology/approach Using county level, panel data over the years 2002-2007, a spatial dependence function is applied to measure how socioeconomic factors within surrounding counties may influence suicide rates in neighboring, adjacent counties in the state of TN. Findings A negative correlation is identified between divorce and suicide rates within each county, which seems to contradict traditional beliefs that these variables move together. Also contrary to expectations, unemployment and suicide are not significantly related within counties. When the analysis measures the spillover effects of surrounding communities, county-level variables such as income, crime, and church density are significant. And although the signs on income and crime are consistent with past findings, church density counters research expectations. Practical implications These results suggest that certain socioeconomic factors influence suicide in surrounding communities, while others do not. Incorporating spatial analysis into future research on suicide and mental health may assist practitioners with suicide prevention. Appropriate prevention policies should be designed and implemented at the local or regional level. Regional differences make broad policies based on national data inappropriate for local areas that differ from national norms. Originality/value Studies on the external links to suicide and suicide rates have made significant contributions to raise the understanding about mental health issues. Very few, however, have directly employed research methods to capture spillover effects when the study encompasses spatial elements.

Predictors of mental health among Angolan migrants living in Portugal

2018 ◽  
Vol 14 (2) ◽  
pp. 146-159 ◽  
Author(s):  
Félix Neto ◽  
Tharina Guse
Keyword(s):  
Mental Health ◽  
Predictive Factors ◽  
Mental Health Problems ◽  
Perceived Discrimination ◽  
Demographic Factors ◽  
Psychosocial Interventions ◽  
Health Problems ◽  
Future Research ◽  
Sociocultural Adaptation ◽  
Content Type

Purpose The purpose of this paper is to examine the determinants of mental health among Angolan migrants living in Portugal. Three research questions guided this work: What is the influence of demographic factors on the mental health of Angolan migrants? What is the influence of acculturation factors on their mental health? What is the influence of adaptation factors on their mental health? Design/methodology/approach The sample consisted of 252 Angolan migrants living in Portugal (50.8 percent females) with a mean age of 36 years. The mean duration of stay in Portugal was 21 years. Findings The predictive factors – demographic, acculturation and adaptation factors – were significantly associated with Angolan migrants’ mental health. However, acculturation and adaptation factors accounted for a larger proportion of the explained variance in mental health problems than demographic factors. The major predictors of mental health problems were sociocultural adaptation, perceived discrimination and loneliness. Implications of the findings for future research and psychosocial interventions are discussed. Originality/value This study shed some light on the predictive factors of mental health problems among adult Angolan immigrants in Portugal, a previously neglected group of migrants in the research literature. Adding to existing knowledge on the mental health outcomes of migration, the findings suggest that, for this group, sociocultural adaptation, perceived discrimination and loneliness were the main predictors of psychological problems, rather than demographic factors. This evidence may be useful in the development of psychosocial interventions and policy to support Angolan migrants in their adaptation to Portuguese culture.

Financing social marketing programs through sponsorship: implications for evaluation

2014 ◽  
Vol 4 (1) ◽  
pp. 22-37 ◽  
Author(s):  
Judith Madill ◽  
Norm O'Reilly ◽  
John Nadeau
Keyword(s):  
Mental Health ◽  
Social Marketing ◽  
Social Needs ◽  
Future Research ◽  
Content Type ◽  
Marketing Campaign ◽  
Social Marketing Campaign ◽  
The Social ◽  
Mental Health Association ◽  
The Impact

Purpose – The purpose of this paper is to report on research designed to assess the impact of sponsorship financing of social marketing initiatives on the evaluation of those social marketing programs. Design/methodology/approach – The research utilizes an in-depth, multi-method case study of the Canadian Mental Health Association Calgary Region (CMHA-CR) who carried out a social marketing campaign concerning mental health behaviors that was largely financed by sponsors. Findings – The sponsorship of the CMHA-CR social marketing program was complex with a total of 15 stakeholders involved as sponsors, partners and grantors. The research reveals that while there is considerable sharing of objectives among the stakeholders in this sponsorship, not all objectives are shared between sponsors and sponsees, and not all objectives are shared between the public and private sector sponsors of the program. Practical implications – The research showed that because sponsors and sponsees share in many of the objectives of the social marketing campaign, the evaluation of the social marketing campaign, particularly its ability to achieve the social marketing-specific objectives, is of interest to all the stakeholder parties, and effective social marketing evaluation must also incorporate evaluation of the non-shared objectives of all sponsorship stakeholders. Originality/value – Increasing social needs, accompanied by reduced government funding and increased competition amongst not-for-profit (NFP) organizations for that funding, are driving NFPs to seek innovative approaches to financing their social programs. The research reports initial findings critical in this environment, as well as raises issues and questions related to future research.

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