scholarly journals P410 How NICE are we? A quality improvement project to improve compliance to mental health screening during clinical consultation of children with cerebral palsy according to the nice guidelines

2019 ◽  
Author(s):  
Catherine Breen ◽  
Ghia Harrison ◽  
Hilary Greaney
Keyword(s):  
Mental Health ◽  
Cerebral Palsy ◽  
Quality Improvement ◽  
Mental Health Screening ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Nice Guidelines ◽  
Clinical Consultation ◽  
Children With Cerebral Palsy ◽  
Improve Compliance

scholarly journals Mental Health in Children with Cerebral Palsy: Does Screening Capture the Complexity?

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
H. M. Bjorgaas ◽  
I. Elgen ◽  
T. Boe ◽  
M. Hysing
Keyword(s):  
Mental Health ◽  
Cerebral Palsy ◽  
Psychiatric Disorders ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Screening ◽  
Mental Health Screening ◽  
High Prevalence ◽  
Children With Cerebral Palsy ◽  
Bergen Child Study

Introduction. Children with cerebral palsy (CP), one of the most common childhood neurological disorders, often have associated medical and psychological symptoms. This study assesses mental health problems compared to population controls and the ability of a mental health screening tool to predict psychiatric disorders and to capture the complexity of coexisting symptoms.Methods. Children with CP (N=47) were assessed according to DSM-IV criteria using a psychiatric diagnostic instrument (Kiddie-SADS) and a mental health screening questionnaire (SDQ). Participants from the Bergen Child Study, a large epidemiological study, served as controls.Results. Children with CP had significantly higher means on all problem scores including impact scores. Two in three children scored above 90th percentile cutoff on Total Difficulties Score (TDS), and 57% met criteria for a psychiatric disorder, yielding a sensitivity of 0.85 and a specificity of 0.55. Mental health problems coexisted across symptom scales, and peer problems were highly prevalent in all groups of psychiatric disorders.Conclusion. A high prevalence of mental health problems and cooccurrence of symptoms were found in children with CP compared to controls. Screening with SDQ detects mental health problems, but does not predict specific disorders in children with CP. ADHD is common, but difficult to diagnose due to complexity of symptoms. Mental health services integrated in regular followup of children with CP are recommended due to high prevalence and considerable overlap of mental health symptoms.

A quality improvement project to reduce restrictive interventions in a mental health service

2021 ◽  
pp. 1-12
Author(s):  
Darren Savarimuthu ◽  
Katja Jung
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Positive Impact ◽  
Essential Elements ◽  
Quality Improvement Project ◽  
Psychiatric Ward ◽  
Quality Improvement Initiative ◽  
Successful Implementation ◽  
Evidence Based ◽  
Improvement Project

Background/aims This article describes a quality improvement project that aimed to reduce restrictive interventions on an acute psychiatric ward. In light of a service level agreement and based on a trust-wide target, the purpose of the project was to reduce restrictive interventions by 20% within a period of 6 months. It was also anticipated that a least restrictive environment could have a positive impact on patient experience. Methods Three evidence-based interventions were introduced to the ward during the quality improvement project. These included positive behaviour support, the Safewards model and the productive ward initiative. Results There was a 63% reduction in restrictive interventions over a 6-month period through the successful implementation of a series of evidence-based interventions to manage behaviours that challenge on the mental health ward. Conclusions The project identified collaborative team working, staff training and adequate resources as essential elements in the success of the quality improvement initiative. However, co-production was found to be crucially significant in bringing sustainable changes in ward environment and in addressing restrictive practices.

scholarly journals Outcomes of a quality improvement project integrating mental health into primary care

2007 ◽  
Vol 16 (5) ◽  
pp. 378-381 ◽  
Author(s):  
B. V Watts ◽  
B. Shiner ◽  
A. Pomerantz ◽  
P. Stender ◽  
W. B Weeks
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Quality Improvement ◽  
Quality Improvement Project ◽  
Improvement Project

scholarly journals Minor Head Injury: Quality Improvement Project

2021 ◽  
Vol 19 (2) ◽  
Author(s):  
Shabana Shaheen ◽  
Muhammad Hameed ◽  
Yousef Essam Hassan Qabeel
Keyword(s):  
Quality Improvement ◽  
Head Injury ◽  
Key Words ◽  
Head Injuries ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Nice Guidelines ◽  
Salient Points ◽  
Nice Guidance ◽  
Quality Improvement Tool

The aim of this paper was to provide a Quality Improvement Tool for head injury patients.Using NICE guidance on head injury (Jan 2014), 9 salient points in history and 8 in examination were chosen to be audited and given a tabulated form. Key words: Quality Improvement, Head Injuries, NICE Guidelines

scholarly journals Improving the utilisation of bilingual counsellors within a public sector mentalhealth service

2000 ◽  
Vol 23 (2) ◽  
pp. 190 ◽  
Author(s):  
Margaret Tobin ◽  
Luxin Chen ◽  
Julie L. Edwards
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Public Sector ◽  
Health Program ◽  
Mental Health Program ◽  
Quality Improvement Project ◽  
Improvement Project

An urban, public sector Area Mental Health Program reviewed its own bilingual counsellor programas part of an Area-wide quality improvement project, and found that the counsellors' roles needed tobe better defined; that mainstream staff needed to have more access to their expertise as culturalconsultants; and that their function as an Area team, rather than as service based staff, needed to beencouraged. The bilingual counsellors decided to take up this challenge, and with the support of theArea Director of Mental Health, worked together to redefine their roles.

scholarly journals Perception of junior doctors about local induction in Birmingham and Solihull Mental Health Foundation Trust - A quality improvement project

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S198-S198
Author(s):  
Saima Jehanzeb ◽  
Kozara Nader ◽  
Ruth Scally
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
General Medical Council ◽  
Quality Improvement Project ◽  
Electronic Prescribing ◽  
Junior Doctors ◽  
Medical Council ◽  
Record System ◽  
Improvement Project ◽  
Mental Health Foundation

AimsA quality improvement project was undertaken to understand the perception of trainees about the quality of the local induction delivered by Birmingham and Solihull Mental Health Foundation Trust (BSMHFT). The primary aim was to evaluate the current local induction programme, following concerns raised by previous trainees in National Training Survey (General Medical Council) and local inspection. Our secondary aim was to devise a revised induction programme based on the trainees’ identified needs.MethodTwo anonymised questionnaire surveys were emailed to all Foundation Year Trainees, Core Psychiatry Trainees and General Practice Speciality Trainees working in BSMHFT, in December 2019 and March 2020, using trust survey monkey.ResultThe overall response to survey was 60 percent. 44.44 percent of the responses came from Core Psychiatry Trainees, with 27.78 percent responses each from Foundation Year Trainees and GP Speciality Trainees. Local induction was defined as induction specific to place of work (47.06%), trust based induction (41.18%) or all of the above options (11.76%) by trainees. 83.33% of all trainees had received local induction, whereas 16.67% did not have any local induction at the start of their post. 11.12% trainees were very satisfied and 44.44% were satisfied with local induction. 72.22 percent of the trainees were informed about of the local induction, prior to starting the post.33.3% trainees had a paper version, 22.22% had an electronic version of local induction pack, whereas 44.44% had no induction pack. 55.55% of those trainees who had an induction pack, 43.75% found it very helpful and 56.25% did not find it helpful.88.89% thought having a local induction would be helpful, whereas 11.11 percent did not feel it would help. 94.44% of the trainees completed a local orientation checklist with their consultants. Some of the trainees experienced difficulty in gaining access to electronic prescribing, electronic patient record system (RIO), and identity badges (ID) at the beginning of their post.Conclusion11.12% trainees were very satisfied, 44.44% were satisfied, 22.22 % were neither satisfied nor dissatisfied and 22 % were dissatisfied, with local induction. 88.89% of the trainees thought having a local induction pack would be helpful. Based on the trainees identified needs we developed a template for local induction pack for each post. Clinical supervisors have agreed to take the lead in preparing the local induction pack specific to their post with trainees.We aim to repeat the survey after implementing the changes identified by trainees based on their training needs.

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