Integrating a Patient-Controlled Admission Program Into Mental Health Hospital Service: A Multicenter Grounded Theory Study

2018 ◽  
Vol 28 (6) ◽  
pp. 888-899 ◽  
Author(s):  
Trine Ellegaard ◽  
Vibeke Bliksted ◽  
Mimi Mehlsen ◽  
Kirsten Lomborg
Keyword(s):  
Mental Health ◽  
Grounded Theory ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Hospital Service ◽  
Hospital Unit ◽  
Mental Health Patients ◽  
Constant Comparative Analysis ◽  
Mental Health Hospital ◽  
Health Hospital

Patient-controlled admissions (PCAs) enable mental health patients by means of a contract to initiate an admission at a mental health hospital unit without using traditional admission procedures. This study was part of a 3-year Danish multicenter project, and we explored how mental health professionals experienced and managed the implementation of a PCA program. The methodology was grounded theory and the sample included 26 participants. We performed a constant comparative analysis to explore the concerns, attitudes, and strategies of mental health professionals. We developed a model of how the mental health professionals strived to integrate PCA into clinical practice. The process was motivated by the idea of establishing a partnership with patients and involved two interrelated strategies to manage (a) the patient-related duties and (b) the admission contracts. The professionals moved from a phase of professional discomfort to a phase of professional awareness, and ended up with professional comprehension.

Managing Digital Identities: A Grounded Theory of Mental Health Professionals’ Participation in Online Social Networking

2021 ◽  
pp. 104438942110144
Author(s):  
Kara S. Lopez ◽  
Susan P. Robbins
Keyword(s):  
Mental Health ◽  
Grounded Theory ◽  
Social Networking ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Social Process ◽  
Main Concern ◽  
Research Interviews ◽  
Glaserian Grounded Theory ◽  
Digital Identities

Despite the meteoric rise of social media, little is known about how clinical social workers and other mental health professionals respond to this new form of communication. This study used classic (Glaserian) grounded theory methodology to explore the experiences and concerns of mental health professionals on social networking websites such as Facebook, Twitter, and LinkedIn. The main concern that emerged out of research interviews with 26 mental health professionals was a loss of control over others’ perceptions and the loss of ability to compartmentalize the different parts of identities associated with personal and professional selves. Participants resolved these concerns through the author-identified basic social process of “managing digital identities.” This study highlights practice implications for professionals as they manage online identity.

Description of the autolitic acts attended in a mental health unit in 2014

2016 ◽  
Vol 33 (S1) ◽  
pp. S595-S596
Author(s):  
A.M. Alvarez Montoya ◽  
C. Diago Labrador ◽  
T. Ruano Hernandez
Keyword(s):  
Mental Health ◽  
Population Based ◽  
Hospital Unit ◽  
Range Type ◽  
Dsm Iv ◽  
Competing Interest ◽  
Age Range ◽  
Mental Health Unit ◽  
Mental Health Hospital ◽  
Health Hospital

ObjectiveThe objective of the study is the analysis and the description of patients who committed autolitic acts and were attended in a mental health hospital unit in 2014.MethodWe analyze the patient registry for the attended emergencies in our mental health hospital unit, extracting the following variables: gender distribution, age range, type of method applied in the attempt and diagnosis based on DSM-IV TR.ResultsThe study reveals a larger share of autolitic acts in the feminine population between 14 and 69 years old. A total of 31 patients needed to be attended in an emergency hospital unit (11.74%). The most common method is the medical substance abuse (23 patients, 74.19% from the admitted patients in our Mental Health Hospitalary Unit). The diagnoses in order of frequency were; affective disorders (13 patients, 41.93%), personality disorders (8 patients, 25.80%), adaptative disorders (7 patients, 22.58%) and psychotics disorders (3 patients, 9.68%).ConclusionOur population-based sample confirms the epidemiologic data found in the consulted literature as well as in other population groups.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Influence of clinical and organizational changes in the use of mechanical restraint. Eight-year retrospective analysis in Mental Health Hospital Unit of Jerez de Frontera

2016 ◽  
Vol 33 (S1) ◽  
pp. S638-S638
Author(s):  
J. Pérez Revuelta ◽  
Y. Montero Beltran ◽  
L. Fernandez Cepillo ◽  
T. Molina Molina ◽  
R. Guerrero Vida ◽  
...  
Keyword(s):  
Mental Health ◽  
Retrospective Analysis ◽  
Oral Communication ◽  
Organizational Changes ◽  
Hospital Unit ◽  
Mechanical Restraint ◽  
Competing Interest ◽  
Mechanical Restraints ◽  
Mental Health Hospital ◽  
Health Hospital

IntroductionAggressiveness is a multidimensional phenomenon, characterized by many cognitive and emotional processes, which is often present in psychiatric disorders. Until the present time, mechanical restraint has been a tool used in order to avoid risks for patients or other people around them. It should be used as a last option, so new strategies to reduce the use of these measures favoring others are being developed.AimWe try to analyze the influence of clinical and organizational changes in the frequency and duration of mechanical restraints, in order to provide new data and built hypothesis for future intervention plans.MethodologyThis oral communication presents a retrospective analysis of mechanical restraints carried out in the Mental Health Hospital Unit of Jerez de la Frontera between 2007 and 2014, both inclusive, a sample of 950 episodes. Several variables will be analyzed and related to the different organizational events conducted in the Clinical Management Unit of Jerez de la Frontera.ResultsThere has been a gradual reduction in the duration of mechanical restraints carried out in the Mental Health Unit Hospital of Jerez de la Frontera over the eight years studied, specially after the implementation of the agitation protocol developed in 2011.ConclusionIn our experience, the implementation of a comprehensive clinical record, deep observation of the patient by the professionals and the development of protocols to regularize interventions performed during an episode of psychomotor agitation are useful strategies to reduce the duration of each mechanical restraint episode.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Mental Health Professionals’ Positions in Relation to Advance Statements: A Foucauldian Discourse Analysis

2021 ◽  
pp. 104973232110368
Author(s):  
Andrew Gumley ◽  
Angela Glasgow ◽  
Gordon McInnes ◽  
Calum Jackson
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Discourse Analysis ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mental Health Clinicians ◽  
Discursive Practices ◽  
Cultural Shift ◽  
Mental Health Patients ◽  
Advance Statements

Advance Statements enable mental health patients to have their preferences considered in treatment decisions in the event of losing capacity, but their uptake is poor. This is for complex and often conflicting reasons and factors related to service user, clinician, and institutional priorities, which influence clinical practice. A Foucauldian discourse analysis approach was used to explore how 13 mental health clinicians positioned their role in relation to Advance Statements. Five positions emerged from the data: taking account of peoples’ wishes, enabling people to have their say (to a point), we know what’s best, firefighting with risk, and leverage and liability. Discursive practices demonstrated and reinforced power relations between patients, clinicians, and wider systems. These findings highlight the challenge of legitimizing the knowledge of patients and need for a cultural shift at a systems level, which recognizes the ways Advance Statements meet the needs of all stakeholders.

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