COVID-19 triage in general adult in-patient psychiatry: perspectives from clinicians on a novel triage ward during the pandemic

2021 ◽  
pp. 1-3
Author(s):  
Ryan Williams ◽  
Joanna Cranshaw ◽  
Mariana Pinto da Costa
Keyword(s):  
Healthcare Provider ◽  
Service Providers ◽  
Mental Healthcare ◽  
Model Of Care ◽  
The Uk ◽  
Patient Service ◽  
And Training ◽  
Hospital Transmission

SUMMARY Intra-hospital transmission of COVID-19 is a major concern. To mitigate this risk, ‘COVID-triage’ psychiatric wards were implemented by some in-patient service providers in the UK. Although the effectiveness of this model has not been investigated, there are questions about the benefits and detriments of this model of care for patients and staff. This reflection draws from the experiences of clinicians who were redeployed from their planned clinical posts (and training rotations, in the case of trainees) to staff a newly established COVID-triage ward at a large urban mental healthcare provider, between August 2020 and March 2021.

scholarly journals A human right to be detained? Mental healthcare after ‘Savage’ and ‘Rabone'

2013 ◽  
Vol 37 (9) ◽  
pp. 294-296 ◽  
Author(s):  
Mohammad Shaiyan Rahman ◽  
Nadya Wolferstan
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Service Providers ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Case Law ◽  
Human Right ◽  
Health Service Providers ◽  
The Uk ◽  
Suicidal Patients

SummaryThe UK courts have recently considered the management of suicidal patients in the cases of Savage and Rabone. As a result of these judgments, the case law has extended significantly the responsibilities of mental healthcare providers. In this article we discuss the repercussions of these landmark decisions which are likely to have significant consequences for mental health service providers in the UK.

scholarly journals Two consultants for one patient: service users' and service providers' views on ‘New Ways’

2010 ◽  
Vol 34 (5) ◽  
pp. 181-186 ◽  
Author(s):  
Ankush Singhal ◽  
Deepak Garg ◽  
Alok Kumar Rana ◽  
Miriam Naheed
Keyword(s):  
Service Providers ◽  
Clinical Implications ◽  
Service Users ◽  
Community Settings ◽  
Patients Satisfaction ◽  
Qualitative Survey ◽  
Level Of Satisfaction ◽  
Patient Service ◽  
The Impact ◽  
And Training

Aims and methodTo investigate, through a semi-qualitative survey at three geographical sites, health professionals' and service users' opinion about the impact of providing separate consultants for in-patient and community settings. It looked at the perceived affect on various issues such as the course of the illness, service delivery, patients' satisfaction as well as the skills and training of psychiatrists.ResultsOpinion was divided about the level of satisfaction, advantages, consultants' skills and success of this model. The most consistent theme related to the problems with the continuation of care and therapeutic relationship. Most of the respondents were not fully informed about this change. An overwhelming majority believed that in-patient psychiatry is not a separate specialty.Clinical implicationsCommunication and the sharing of information between the two consultants is the key to success in this model.

scholarly journals Unlocking the potential for digital mental health technologies in the UK: a Delphi exercise

BJPsych Open ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Clare Murphy ◽  
Lucy Thorpe ◽  
Harriet Trefusis ◽  
Antonis Kousoulis
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Service Providers ◽  
Systems Of Care ◽  
Small And Medium Enterprises ◽  
Mental Healthcare ◽  
Health Technologies ◽  
Treatment And Prevention ◽  
Delphi Exercise ◽  
The Uk

Background Digitally enabled services can contribute to the support, treatment and prevention of mental health difficulties; however, questions remain regarding how we can most usefully harness such technology in primary and secondary mental healthcare settings. Aims To identify barriers and facilitators to enable the potential of digital mental health in England, Scotland, Wales and Northern Ireland. Method A three-round Delphi exercise was carried out online with 16 participants from across the four nations of the UK representing the following stakeholder groups: service providers, health professionals, policymakers, lived experience, small and medium enterprises and academics. Qualitative data were collected in the first round (80 fragments) that were then coded to produce a 26-item round-two questionnaire for participant rating. Participants were given the opportunity to reconsider their scores in light of the group responses in round three. Results Eight statements under the following five themes reached consensus with median scores between 8 and 10 (i.e. important/very important): co-production; the human element; data security; funding; and regulation. Conclusions The Delphi process allowed consensus to be achieved regarding the factors that experts consider important for harnessing technology in primary and secondary mental healthcare. Knowledge of these factors can help users and providers of mental health services negotiate how best to move forward with digitally enabled systems of care.

scholarly journals Exploring staff conceptions of prevention and management practices in encounters with staff-directed aggression in supported housing following education and training

2020 ◽  
Author(s):  
Erlend Rinke Maagerø-Bangstad ◽  
Knut Tore Sælør ◽  
Ole Greger Lillevik ◽  
Ottar Ness
Keyword(s):  
Mental Health ◽  
Management Practices ◽  
Mental Health Problems ◽  
Service Providers ◽  
Expert Knowledge ◽  
Mental Healthcare ◽  
Education And Training ◽  
Supported Housing ◽  
Research Approach ◽  
And Training

Abstract Background: Staff-directed aggression is a concern for service providers in mental healthcare, frequently affecting both the quality of services and staff wellbeing. This also applies to supported housing services for people with mental health problems. Staff themselves consider training to be an important route to improve the prevention and management of staff-directed aggression. The aims of this study are to explore how staff in community supported housing conceptualize practice in prevention and management of aggression and how these conceptions develop following a local education and training endeavor in disempowerment-sensitive, de-escalating and knowledge-based risk assessment and management. Method: Phenomenography, a qualitative research approach, was adopted to pursue the study aims. The data consisted of two interviews with 13 participants from five different municipal housing facilities in Oslo, Norway. Results: The analysis led to the development of six qualitatively different, yet logically interrelated, categories of description regarding practice in encounters with staff-directed aggression: 1) Observation, alertness and awareness , 2) Established understanding and knowledge of service users , 3) Team-based risk management and deliberation , 4) Adaption of own dispositions and behaviors , 5) Reflexivity, sensitivity and care and 6) Involvement and dialogue . These conceptions were found to vary in meaning and focus; they ranged from implementing safeguarding and protective measures, to drawing on what was portrayed in terms of staff’s expert knowledge, to increasingly allowing for, and committing to, tenant perspectives in designing practice. The results indicate a moderate, yet beneficial, effect of the course on conceptual change in the participants. Conclusion: This study shows that practice in encounters with staff-directed aggression is conceptualized as complex and multifaceted by staff in community mental health services and that the various conceptions will have different consequences for the way staff-directed aggression is mitigated individually and collectively. Our findings also suggest that it is beneficial to take conceptual variation regarding practice into consideration when devising education and training to enhance staff knowledge, skills and practices.

The Duties of Doctors In Medical Education: A Letter To The Editor (Preprint)

2019 ◽  
Author(s):  
Sneha Barai
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Role Models ◽  
Role Model ◽  
General Medical Council ◽  
Future Generations ◽  
Medical Council ◽  
Positive Role ◽  
The Uk ◽  
And Training

UNSTRUCTURED The UK General Medical Council (GMC) explicitly states doctors have a duty to ‘contribute to teaching and training…by acting as a positive role model’. However, recent studies suggest some are not fulfilling this, which is impacting medical students' experiences and attitudes during their training. As such, doctors have a duty to act as role models and teachers, as specified by the GMC, which it seems are not currently being fulfilled. This would improve the medical students’ learning experiences and demonstrate good professional values for them to emulate. Therefore, these duties should be as important as patient care, since this will influence future generations.

Recovery Star: validating user recovery

2012 ◽  
Vol 36 (2) ◽  
pp. 45-50 ◽  
Author(s):  
Geoff Dickens ◽  
Judy Weleminsky ◽  
Yetunde Onifade ◽  
Philip Sugarman
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Internal Consistency ◽  
Mental Health Problems ◽  
Service Providers ◽  
Mental Health Recovery ◽  
Addictive Behaviour ◽  
Health Service Providers ◽  
The Uk

Aims and methodMental Health Recovery Star is a multifaceted 10-item outcomes measure and key-working tool that has been widely adopted by service providers in the UK. We aimed to explore its factorial validity, internal consistency and responsiveness. Recovery Star readings were conducted twice with 203 working-age adults with moderate to severe mental health problems attending a range of mental health services, and a third time with 113 of these individuals.ResultsMental Health Recovery Star had high internal consistency and appeared to measure an underlying recovery-oriented construct. Results supported a valid two-factor structure which explained 48% of variance in Recovery Star ratings data. Two Recovery Star items (‘relationships’ and ‘addictive behaviour’) did not load onto either factor. There was good statistically significant item responsiveness, and no obvious item redundancy. Data for a small number of variables were not normally distributed and the implications of this are discussed.Clinical implicationsRecovery Star has been received enthusiastically by both mental health service providers and service users. This study provides further evidence for its adoption in recovery-focused mental health services and indicates that items relating to addictive behaviour, responsibilities and work could be further developed in future.

Evolution of the deployed medical director role in an era of contingency operations: reflections from a United Nations operation

2021 ◽  
pp. bmjmilitary-2020-001690
Author(s):  
Giles Nordmann ◽  
J Ralph ◽  
J E Smith
Keyword(s):  
United Nations ◽  
Selection Process ◽  
Memory Loss ◽  
Medical Director ◽  
Corporate Memory ◽  
Individual Memory ◽  
Treatment Facilities ◽  
The Uk ◽  
The Military ◽  
And Training

This paper examines the development and evolution of the deployed medical director (DMD) role and argues for the re-establishment of a formal selection process and training pathway. Recent deployments into new areas of operations, deployment of smaller medical treatment facilities (MTFs), the reduced numbers of deployments for clinicians, working with various multinational partners and both military and civilian organisations all pose specific problems for DMDs. The initial and then continued deployment of a secondary care role 2 MTF as part of the United Nations Mission in South Sudan illustrated some of these challenges. Although a novel operation, the broad categories of these new challenges were similar to the historical challenges facing the first DMDs in Afghanistan. Corporate memory loss may be unavoidable to some degree due to rapid turnover in appointments, particularly in single service and joint headquarters. However, individual memory and experience remains extant within the military medical deployable workforce. After the cessation of UK military deployed hospital care involvement in Afghanistan, the UK DMD formal training pathway ended. This paper argues for the re-establishment of a more formal DMD selection process and training pathway to ensure that organisational learning is optimised.

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