scholarly journals Psychoeducation for the Frontline: Ealing Liaison Psychiatry Service (ELPS) pilot training day for London Ambulance Service (LAS)

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S148-S148
Author(s):  
Emma McLean ◽  
Mariam Alexander
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Training Programme ◽  
Training Needs ◽  
Health Issues ◽  
Liaison Psychiatry ◽  
Mental Health Issues ◽  
Legal Frameworks ◽  
Almost All

AimsTo host the first ELPS training day specifically for LAS staff to improve their knowledge and understanding about mental health issues and the role of ELPS.On average 13,000 calls are received by LAS relating to mental health issues every month. Many patients seen by ELPS will have multiple interactions with LAS. ELPS has previously held training for the Emergency Department team but this innovative day was designed to extend this training commitment to pre-hospital cliniciansMethodLAS training needs were initially assessed by a bespoke questionnaire and ELPS attending another LAS training event held by the new mental health joint response car team.We then developed a training programme to match the identified training needs and which utilised the specific expertise of individual ELPS staff.14 members of the local LAS stations attended including both Paramedics and Emergency Ambulance Clinicians. The presentations covered mental state examination, suicide, risk assessment, substance misuse, legal frameworks and then a ‘challenging cases’ session to bring it all together.Pre and post course questionnaires were completed by participants, exploring attitudes and knowledge.ResultThere was a statistically significant improvement in the average self-ratings for all of the categories assessed including attitudes to mental health, confidence in assessment and knowledge relating to the process the patient will experience in the emergency department.The knowledge about the pathway and role of liaison psychiatry showed the greatest improvement with an average 4.25 increase in pre and post course rating.Almost all participants (9.2/10) would recommend this training day to a colleagueConclusionWe met our objective of improving LAS staff knowledge and understanding about mental health issues and the role of ELPS. We plan to build on this successful pilot and expand our training programme for LAS with the ultimate aim of improving patient care.

scholarly journals Care-Oriented Practice In At-Risk Units: Risks, Realities and the Role of Multi-Disciplinary Teams

2021 ◽  
Author(s):  
◽  
Alexis Harris
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Risk Management ◽  
Health Issues ◽  
Risk Behaviours ◽  
Mental Health Issues ◽  
Self Harm ◽  
Legal Frameworks ◽  
Management Priorities

<p>At-Risk Units (ARUs), which contain and prevent suicide and self-harm among prisoners, have been criticised for their isolating, non-therapeutic nature. This thesis explores the potential for care-oriented practice to develop in ARUs at two prisons, with a particular emphasis on the role that multi-disciplinary teams and an enhanced healthcare presence can play in achieving this goal. Adopting a qualitative framework, this research draws upon nineteen interviews with nursing, forensic and custodial ARU staff from Hawkes Bay Regional Prison (HBRP) and Rimutaka Prison (RP). This research found that while normative care-oriented operational safeguards and legal frameworks underpin current ARU policies, they can often become shaped, or in some cases inhibited, by managerial adherence to compliance, risk-management priorities, limited resourcing, staffing issues and a punitive prison culture. However, in instances where multi-disciplinary teams are well resourced, have open channels of communication and operate within health-focused ARU environments, as evidenced in the current workings of RP, positive care-oriented responses to ‘at-risk’ prisoners can be better provided. The thesis concludes by noting that incremental reforms to the current framework may be useful in enhancing care-oriented ARU practice. However, even with change, the question remains whether correctional ARUs can stem burgeoning mental health issues and ‘at-risk’ behaviours among prisoners.</p>

scholarly journals Care-Oriented Practice In At-Risk Units: Risks, Realities and the Role of Multi-Disciplinary Teams

2021 ◽  
Author(s):  
◽  
Alexis Harris
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Risk Management ◽  
Health Issues ◽  
Risk Behaviours ◽  
Mental Health Issues ◽  
Self Harm ◽  
Legal Frameworks ◽  
Management Priorities

<p>At-Risk Units (ARUs), which contain and prevent suicide and self-harm among prisoners, have been criticised for their isolating, non-therapeutic nature. This thesis explores the potential for care-oriented practice to develop in ARUs at two prisons, with a particular emphasis on the role that multi-disciplinary teams and an enhanced healthcare presence can play in achieving this goal. Adopting a qualitative framework, this research draws upon nineteen interviews with nursing, forensic and custodial ARU staff from Hawkes Bay Regional Prison (HBRP) and Rimutaka Prison (RP). This research found that while normative care-oriented operational safeguards and legal frameworks underpin current ARU policies, they can often become shaped, or in some cases inhibited, by managerial adherence to compliance, risk-management priorities, limited resourcing, staffing issues and a punitive prison culture. However, in instances where multi-disciplinary teams are well resourced, have open channels of communication and operate within health-focused ARU environments, as evidenced in the current workings of RP, positive care-oriented responses to ‘at-risk’ prisoners can be better provided. The thesis concludes by noting that incremental reforms to the current framework may be useful in enhancing care-oriented ARU practice. However, even with change, the question remains whether correctional ARUs can stem burgeoning mental health issues and ‘at-risk’ behaviours among prisoners.</p>

scholarly journals Emergency Department Visits for Mental Health Conditions Among US Children, 2001-2011

2014 ◽  
Vol 53 (14) ◽  
pp. 1359-1366 ◽  
Author(s):  
Alan E. Simon ◽  
Kenneth C. Schoendorf
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Emergency Department Visits ◽  
Health Issues ◽  
White Children ◽  
Mental Health Issues ◽  
Health Related ◽  
Care Survey ◽  
Ambulatory Medical Care ◽  
Us Children

We examined mental health–related visits to emergency departments (EDs) among children from 2001 to 2011. We used the National Hospital Ambulatory Medical Care Survey—Emergency Department, 2001-2011 to identify visits of children 6 to 20 years old with a reason-for-visit code or ICD-9-CM diagnosis code reflecting mental health issues. National percentages of total visits, visit counts, and population rates were calculated, overall and by race, age, and sex. Emergency department visits for mental health issues increased from 4.4% of all visits in 2001 to 7.2% in 2011. Counts increased 55 000 visits per year and rates increased from 13.6 visits/1000 population in 2001 to 25.3 visits/1000 in 2011 ( P < .01 for all trends). Black children (all ages) had higher visit rates than white children and 13- to 20-year-olds had higher visit rates than children 6 to 12 years old ( P < .01 for all comparisons). Differences between groups did not decline over time.

Romantic Relationships, Online Dating, and Mental Health Issues

2021 ◽  
pp. 94-102
Author(s):  
Tejaswini Bhave
Keyword(s):  
Mental Health ◽  
Romantic Relationships ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Romantic Relationship ◽  
Online Dating ◽  
Health Issues ◽  
Mental Health Issues ◽  
Potential Partner

This chapter attempts to present the overview of mental health issues associated with online dating and online romantic relationships with relevant research background. It briefly cautions about the possible risks involved in the world of online dating platforms and later delves into mental health concerns that can emerge out of experiences while selecting a potential partner online, developing a romantic relationship, and being involved in a romantic relationship online. It also discusses safety measures that need to be taken before and while being active on such online dating sites. The chapter draws attention to the specific role of mental health professionals that is needed while dealing with victims of online scams and abuse.

scholarly journals Women's Mental Health in the Time of Covid-19 Pandemic

2020 ◽  
Vol 1 ◽  
Author(s):  
Florence Thibaut ◽  
Patricia J. M. van Wijngaarden-Cremers
Keyword(s):  
Mental Health ◽  
Violence Against Women ◽  
Health Sector ◽  
Health Issues ◽  
Frontline Workers ◽  
Mental Health Issues ◽  
Increased Risk ◽  
The Subject ◽  
At Home

Even if the fatality rate has been twice higher for men than for women, the Covid-19 pandemic has affected women more than men, both as frontline workers and at home. The aim of our article was to analyze the differences observed in mental health and violence between men and women in the COVID outbreak. For this purpose, we have used all papers available in PubMed between January and July 2020 as well as data from non-governmental associations. We have thus successively analyzed the situation of pregnancy during the pandemic; the specific psychological and psychiatric risks faced by women both as patients and as workers in the health sector, the increased risk of violence against women at home and at workplace and, finally the risk run by children within their families. In conclusion, research on the subject of mental health issues during the Covid-19 pandemic is still scarce, especially in women. We hope that this pandemic will help to recognize the major role of women at home and at the workplace.

scholarly journals Transpersonal Gratitude, Emotional Intelligence, Life Contentment, and Mental Health Risk Among Adolescents and Young Adults

2020 ◽  
Author(s):  
Namood E-Sahar
Keyword(s):  
Mental Health ◽  
Emotional Intelligence ◽  
Young Adults ◽  
Health Risk ◽  
Mental Health Problems ◽  
Adolescents And Young Adults ◽  
Health Issues ◽  
Mental Health Issues ◽  
Drugs And Crime

World statistics demonstrate that around 970 million people around the globe suffer from mental health problems (Ritchie &amp; Roser, 2019), a major proportion of which comprised of adolescents and young adults (UNODC, 2018). Also, because of increased mental health issues the problems like substance use, suicide, depression, anxiety, and stress are also increasing (Armstrong, 2019; Bandelow &amp; Michaelis, 2015; Ritchie &amp; Roser, 2018; United Nations Office on Drugs and Crime [UNODC], 2019). It is thus a dire need to address the issue. The present coneptual paper proposed the role of transpersonal gratitude, emotional intelligence, and life contentment for reducing mental health risk among the adolescents and young adults.

Women: Overview

2013 ◽  
Author(s):  
Ruth A. Brandwein
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
Domestic Violence ◽  
Women In Politics ◽  
Health Issues ◽  
Demographic Information ◽  
Current Trends ◽  
Mental Health Issues ◽  
Poverty And Inequality

This overview entry introduces the topic of women, beginning with general demographic information. The section on poverty and inequality, which follows, describes the gender differences and delineates some reasons why women are poor and unequal. Issues of childcare, welfare, and education are explored. Domestic violence and sexual assault are discussed, followed by a discussion of health and mental health issues affecting women. The role of women in politics is briefly explored. The entry concludes with a discussion of current trends and challenges, including implications for social justice.

Mental Health Training Needs Analysis in Thailand, Indonesia, and Cambodia: Challenges and Opportunities

2021 ◽  
Vol 104 (11) ◽  
pp. 1739-1745
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Service Providers ◽  
Basic Skills ◽  
Training Needs ◽  
Needs Analysis ◽  
Professional Service ◽  
Health Issues ◽  
Mental Health Issues

Objective: Even though the number of health professionals is growing in many counties in Southeast Asia, the shortage of mental health professionals remains a challenge. The current model of professional training needs to be changed to foster cooperative and collaborative skills, through interprofessional and transprofessional education, so professionals as well as non-professional service providers and operational personnel are trained to be members of the health teams. However, training needs in each Southeast Asian country remains unknown. The present study surveyed these needs using Hennessy-Hick’s criteria and experts’ opinions. Materials and Methods: Fifteen representatives from Thailand, Cambodia, and Indonesia, mostly psychiatrists, nurses, and psychologists, attended the meeting and presented for 30 to 50 minutes on the condition of mental health services and training needs in their countries. All representatives were asked to complete an online-shared report of the adapted Hennessy-Hicks Training Analysis Questionnaires. Results: According to the Hennessy-Hick’s criteria, some teamwork tasks were required for Thailand, whereas most tasks were required for Indonesia and Cambodia. Training on special topics depended on the country’s necessity. Basic skills are needed in all ranges of mental health issues. Thailand and Indonesia expressed quite similar needs, while Thailand had identified itself as having ‘an aging society’, which ‘caring for patients with dementia and caregivers’ in their training needs were more urgent than Indonesia. Training non-psychiatric professionals, such as primary physicians and nurses, concerning mental health issues, might help to address current mental health needs in Thailand, while Cambodia was concerned about recruiting mental health professionals and focusing on providing sufficient services for the country rather than training non-professionals to deal with mental health issues. Conclusion: The training needs for mental health professionals centered on research, clinical tasks, and communication, while including nonprofessional mental health providers in training of basic skills such as communication and up-to-date technology are deemed important at the present. Keywords: Training Needs Analysis; Thailand; Cambodia; Indonesia; Mental Health

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2015 ◽  
Vol 17 (6) ◽  
pp. 54-56
Keyword(s):  
Mental Health ◽  
Early Childhood ◽  
Young Children ◽  
Physical Development ◽  
Early Years ◽  
Health Issues ◽  
Mental Health Issues ◽  
Challenging Behaviours ◽  
Early Childhood Settings
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