The Practice of Community Psychiatric Nursing and Mental Health Social Work in Salford Some Implications for Community Care

1988 ◽  
Vol 152 (6) ◽  
pp. 783-792 ◽  
Author(s):  
K. Wooff ◽  
D. P. Goldberg ◽  
T. Fryers
Keyword(s):  
Mental Health ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Psychiatric Nurses ◽  
Health Staff ◽  
Mental Health Staff ◽  
Term Care ◽  
Community Psychiatric ◽  
Wide Range

The context and content of work undertaken with individual clients by community psychiatric nurses (CPNs) and mental health social workers (MHSWs) in Salford were found to be significantly different. Although there were some areas of overlap, the ways in which the two professions worked were quite distinct. MHSWs discussed a wide range of topics and were as concerned with clients' interactions with family and community networks as they were with symptoms. Their interviews with schizophrenic clients followed a similar pattern to those with other groups, and they worked closely with psychiatrists and other mental health staff. CPNs, on the other hand, focused mainly on psychiatric symptoms, treatment arrangements, and medications, and spent significantly less time with individual psychotic clients than they did with patients suffering from neuroses. They were as likely to be in contact with general practitioners as they were with psychiatrists, and had fewer contacts with other mental health staff than the MHSWs. There was evidence that the long-term care of chronic psychiatric patients living outside hospital required more co-ordinated long-term multidisciplinary input.

Contrasting Views and Experiences of Health Professionals on the Management of Comorbid Substance Misuse and Mental Disorders

2000 ◽  
Vol 34 (2) ◽  
pp. 279-289 ◽  
Author(s):  
David J. Kavanagh ◽  
Lea Greenaway ◽  
Linda Jenner ◽  
John B. Saunders ◽  
Angela White ◽  
...  
Keyword(s):  
Mental Health ◽  
Support Groups ◽  
Dual Diagnosis ◽  
Health Professionals ◽  
Substance Misuse ◽  
Health Staff ◽  
Management Problem ◽  
Mental Health Staff ◽  
Rehabilitation Programs ◽  
Wide Range

Objectives: To determine opinions and experiences of health professionals concerning the management of people with comorbid substance misuse and mental health disorders. Method: We conducted a survey of staff from mental health services and alcohol and drug services across Queensland. Survey items on problems and potential solutions had been generated by focus groups. Results: We analysed responses from 112 staff of alcohol and drug services and 380 mental health staff, representing a return of 79%% and 42%% respectively of the distributed surveys. One or more issues presented a substantial clinical management problem for 98%% of respondents. Needs for increased facilities or services for dual disorder clients figured prominently. These included accommodation or respite care, work and rehabilitation programs, and support groups and resource materials for families. Needs for adolescent dual diagnosis services and after-hours alcohol and drug consultations were also reported. Each of these issues raised substantial problems for over 70%% of staff. Another set of problems involved coordination of client care across mental health and alcohol and drug services, including disputes over duty of care. Difficulties with intersectoral liaison were more pronounced for alcohol and drug staff than for mental health. A majority of survey respondents identified 13 solutions as practical. These included routine screening for dual diagnosis at intake, and a range of proposals for closer intersectoral communication such as exchanging client information, developing shared treatment plans, conducting joint case conferences and offering consultation facilities. Conclusions: A wide range of problems for the management of comorbid disorders were identified. While solution of some problems will require resource allocation, many may be addressed by closer liaison between existing services.

scholarly journals Development of a training programme for primary care mental health staff to support management of depression and anxiety in long-term conditions

2018 ◽  
Vol 20 ◽  
Author(s):  
Kate Hamilton-Westa ◽  
Amanda Batesb ◽  
Sarah Hothamc ◽  
Patricia Wilsond
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Physical Health ◽  
Online Training ◽  
Training Programme ◽  
Health Staff ◽  
Mental Health Staff ◽  
Evaluation Questionnaire ◽  
Primary Care Mental Health

AbstractAimWe aimed to develop, deliver and evaluate a brief training programme for primary care mental health staff in NW London focussing on long-term physical health conditions (LTCs). The objective was to improve participants’ knowledge, understanding and confidence (self-efficacy) in providing effective support to people with LTCs. The second objective was to develop an online version to be made available more widely.BackgroundThe project was commissioned by NW London Collaboration of Clinical Commissioning Groups as part of a strategy to develop more joined up care and support for people with mental health needs. Training was developed by a team of experts, with input from commissioners, service users, clinicians and service managers.MethodsTraining was delivered via two-day interactive workshops providing: (i) key facts (informed by a review of published research and publically available health information); (ii) opportunity to engage with the ‘lived experience’ of people with LTCs (via videos, role plays, case studies and group discussion); (iii) skills-based training (in specific assessment and intervention methods). Knowledge, understanding and confidence (with respect to supporting people with LTCs) were assessed at the start and end of the training. An online training programme (with embedded evaluation questionnaire) was also developed, covering the same themes as the workshop.FindingsMental health staff (n=60) reported limited knowledge, understanding and confidence before the workshop, underlining the need for training. Knowledge of LTCs improved significantly following training (P<0.0001), along with awareness of the impact of poor psychological wellbeing on physical health (P<0.05) and the role of psychological therapies in supporting people with LTCs (P<0.0001). Self-efficacy also improved (P<0.001). Online training was accessed by 894 participants in the first six months and 187 provided feedback via the evaluation questionnaire. Responses indicated that participants found the training useful (88%), interesting (91%) and easy to understand (97%).

Severe Mental Illness and Cancer – A Program for Psychiatric Patients in a Cancer Center

2017 ◽  
Vol 41 (S1) ◽  
pp. S670-S670
Author(s):  
J. Graça ◽  
F. Silva Carvalho ◽  
R. Ramos Coutinho ◽  
A. Ribeiro ◽  
L. Monteiro
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Psychiatric Patients ◽  
Cancer Center ◽  
Health Staff ◽  
Mental Health Staff ◽  
Oncological Treatment ◽  
Increased Risk ◽  
Co Morbidity

IntroductionThe prevalence of severe mental illness (SMI) is estimated to be 4%. There are increased risk factors for cancer in SMI patients. People with SMI have deficient access and referral to routine cancer screening and psychiatric illness is often associated to late oncological diagnosis.ObjectivesCharacterize the population of SMI patients that undergoes oncological treatment; establish a comparison with the general population in terms of stage at the time of diagnosis and the type of follow-up that ensued; characterize the psychiatric care available to these patients; propose the necessary changes to ensure adequate healthcare for SMI patients.AimsTo assess and improve the quality of oncological care for SMI patients in our hospital.MethodsWe analyzed the data from SMI patients suffering from SMI observed by our group during a 12 month period.ResultsLow percentage of SMI patients being treated in our center regarding general rates; surprisingly high referral time to psychiatry unity; good compliance with treatments and appointments; have mostly been submitted to the standard oncological protocols of treatment.ConclusionIn spite of serious psychiatric co-morbidity and psychosocial deficits, our SMI patients are able for standard cancer treatment and present sufficient compliance. We value the help of family members and social workers. We have to insist in educational sessions and psychiatric screening procedures for oncological teams. It is also fundamental to implement educational programs for mental health centers in Lisbon in order to sensitize for cancer risks among SMI and alert for the pivotal role of mental health staff, namely the psychiatrists.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Smoking Ban in Psychiatric Inpatient Unit: An Iranian Study on the Views and Attitudes of the Mental Health Staff and Psychiatric Patients

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Narges Beyraghi ◽  
Azadeh Mazaheri Meybodi ◽  
Reyhaneh Sadat Jafarian Bahri
Keyword(s):  
Mental Health ◽  
Smoking Cessation ◽  
Positive Attitude ◽  
Psychiatric Patients ◽  
Psychiatric Inpatient ◽  
Smoking Ban ◽  
Health Staff ◽  
Successful Implementation ◽  
Mental Health Staff ◽  
Smoke Free Policy

Although the move to smoke-free mental health inpatient settings is an internationally common and popular trend, these policies are neither implemented nor supported by any national program in Iran. This study investigates the attitude of mental health staff and psychiatric patients toward smoking cessation in 2 psychiatric inpatient units (psychosomatic and adult general psychiatry) in the Taleghani general hospital in Tehran. One hundred and twenty participants of this cross-sectional study consist of 30 mental health staff and 90 psychiatric patients. An eight-item questionnaire was used for collecting information. Both staff and patients expressed a positive attitude towards smoking cessation. Patients favoured the implementation of these policies and expressed a more positive attitude towards the feasibility. Sixty-three percent of patients and 57% of staff were opposed to smoking in the units. Seventy percent of patients reported the smoke-free ban as a feasible policy compared to 45% of staff who did the same. The implementation of the smoke-free policy has more support in both staff and patients than the continuation of smoking in psychiatric units. There is a need for an ongoing education and training for mental health care providers, in order to have a successful implementation of smoke-free policy.

scholarly journals Survey of community mental health teams

1998 ◽  
Vol 22 (12) ◽  
pp. 733-739 ◽  
Author(s):  
Natasha Mauthner ◽  
Simon Naji ◽  
Jill Mollison
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Health Problems ◽  
Postal Questionnaire ◽  
Psychiatric Nurses ◽  
Team Size ◽  
Needs Assessments ◽  
Community Psychiatric ◽  
Patient Groups

Aims and methodThe aim of the study was to describe community mental health teams (CMHTs) working In Scotland. Interviews, a focus group, and a postal questionnaire survey of Identified CMHTs were carried out.ResultsOf the 53 teams identified, 42 (79%) completed questionnaires. The average team size was 11 people. Community psychiatric nurses were in all teams, social workers and psychiatrists were in most, but psychologists were in only half. Needs assessments occurred in only 17% of teams. Fifty-one per cent of teams had open referral systems, and 38% of referrals comprised people with long-term mental health problems. Fifteen per cent of referrals were considered by teams to be inappropriate.Clinical implicationsAmbiguities about appropriate structures, patient groups and interprofessional and inter-agency working require further consideration and evaluation if CMHT care is to be optimally effective.

scholarly journals Evaluating patients and healthcare professionals' understanding of voting rights for patients in government elections

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S301-S301
Author(s):  
Mark Winchester ◽  
Madiha Majid ◽  
Ashok Kumar
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Healthcare Professionals ◽  
Psychiatric Patients ◽  
Voting Rights ◽  
Health Staff ◽  
Mental Health Staff ◽  
Staff Members ◽  
Right To Vote

AimsTo understand whether mental health patients vote in government electionsTo ascertain the barriers that prevent them from doing soTo explore ways in which mental health services can support patients to voteTo determine whether mental health staff are aware of patients’ right to voteBackgroundMembers of Parliament (MPs) can influence decisions regarding the National Health Service (NHS) and mental health legislation. The general election on 12th December 2019 highlighted that many patients were not using their democratic right to vote. It also appeared that many staff members were not aware that patients under the Mental Health Act (MHA) were entitled to vote (except for those under ‘forensic’ sections of the MHA). We therefore conducted a survey to ascertain both patient and staff understanding of their democratic rights and to better understand how we could increase the rate of voting amongst psychiatric patients.MethodTwo questionnaires were produced, one for patients and the other for staff members. This was tested by the clinical governance team before approval was granted. Data were collected at the Coventry and Warwickshire Partnership NHS Trust in the form of paper forms or electronically through a survey website. Forty-two patients and twenty-five staff members responded.ResultNo staff members had received formal training with regards to patients’ right to vote. Over half of staff members incorrectly believed that patients under Section 2 or 3 of the MHA and those lacking capacity couldn't vote. More than half of the team members surveyed stated that they had not supported patients in registering or casting a vote. Roughly one third of healthcare professionals felt that it was their responsibility to promote patients’ right to vote, with one third disagreeing and the remaining third unsure.Over 75% of patients did not vote but less than one quarter of all patients surveyed felt support from mental health services would increase the likelihood of them voting. The main barriers to voting were being mentally unwell, hospital admission or a lack of knowledge on the candidates and election process.ConclusionBasic training is required to improve staff knowledge of patients’ voting rights, which should help improve their ability to support patients to vote. Trusts should have a clear protocol in place in the event of future elections, with information on who can vote, how to request a postal vote and the candidates in that area.

Attachment and Conduct Disorder: The Response Program

1993 ◽  
Vol 38 (6) ◽  
pp. 420-431 ◽  
Author(s):  
Roy Holland ◽  
Marlene M. Moretti ◽  
Vince Verlaan ◽  
Sherri Peterson
Keyword(s):  
Conduct Disorder ◽  
Peer Relations ◽  
Psychiatric Symptoms ◽  
Treatment Programs ◽  
Term Care ◽  
Common Diagnosis ◽  
Wide Range ◽  
Vocational Success

An increasing number of youths are being identified as suffering from behavioural problems that cause difficulties in their family and peer relations which in turn reduces their chances of academic and vocational success. There is growing concern regarding their level of aggressiveness. The common diagnosis given to these disaffiliated youths is conduct disorder. To date, most treatment programs for conduct disorder have been unsuccessful. A review of recent studies indicates that the disruption of attachment may be an important feature that underlies the wide range of symptoms that are typically found in youths with conduct disorder. A community-oriented program designed to ensure long term care for these youths is described in this paper, and the findings of a six month follow-up evaluation are presented. Results indicated that communities, caregivers, and youths responded positively to the program; caregivers reported significant reductions in a broad range of psychiatric symptoms in youths, and youths reported a significant reduction in symptoms of conduct disorder.

Patient-on-Staff Assaults: Perspectives of Mental Health Staff at an Acute Inpatient Psychiatric Teaching Hospital in the United States

2020 ◽  
pp. 084456212090462
Author(s):  
Ifeoma E. Ezeobele ◽  
Ardell Mock ◽  
Rachel McBride ◽  
Arslee Mackey-Godine ◽  
Dorothy Harris ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Patients ◽  
Psychiatric Hospitals ◽  
Psychological Trauma ◽  
Environmental Safety ◽  
The United States ◽  
Health Staff ◽  
Professional Lives ◽  
Mental Health Staff ◽  
Job Functions

Introduction Physical assaults perpetrated by patients in psychiatric hospitals against mental health staff (MHS) is a serious concern facing psychiatric hospitals. Assaulted staff reports physical and psychological trauma that affects their personal and professional lives. There is a dearth of literature exploring this phenomenon. Purpose To explore MHS perspectives of assault by psychiatric patients. Methods A transcendental phenomenological qualitative design was used to explore and analyze the perspectives of a purposeful sample of 120 MHS perspectives at an acute inpatient psychiatric hospital. Participants’ age ranged from 22 to 63 years (mean age = 32.4). Moustakas’ theoretical underpinnings guided the study. Results Two patterns, 8 themes, and 19 subthemes were identified: (a) Psychological impacts revealed four themes—increase of anxiety/fear level, helplessness and hopelessness, flashbacks/burnout, and doubting own competency. (b) Physiosocial impacts revealed four themes—unsupportive superiors, stigmatization of staff victim, failure to report the incident, and environmental safety. Discussion Participants verbalized that assaults by patients have instilled fear and trauma in them. Most of the assaults occurred when staff were performing their routine job functions and setting limits to patient’s behavior. Conclusion The study allowed MHS opportunities to narrate their lived experiences of being assaulted by patients and provided validation of their perspectives. Findings illuminated the phenomenon and may help to support policy changes in psychiatric hospitals.

scholarly journals Influence of Provider Characteristics on Geriatric Mental Health Workforce Training Needs

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 902-902
Author(s):  
Travis Mitchell ◽  
Kristen Sorocco ◽  
Mary Wyman ◽  
Andrea Vincent ◽  
Laura Wray ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Cognitive Disorders ◽  
Cognitive Disorder ◽  
Training Needs ◽  
Health Staff ◽  
Health Providers ◽  
Mental Health Staff ◽  
Provider Characteristics ◽  
Wide Range

Abstract Approximately half of VA users are 65 years of age or older, with a substantial subset having complex and interacting medical, neurocognitive, and behavioral disorders. The goal of the present study was to assess knowledge and training gaps of VA mental health staff using a Web-based training needs assessment developed specifically for VA personnel. Provider characteristics, confidence in working with older adults with and without cognitive disorder, and geriatric training needs were assessed. VA psychologists, psychiatrists, social workers, nurses, and peer support specialists (N=3313) were invited to participate via email. Respondents were 489 mental health providers, a response rate of 13.8 percent. Respondents reported less confidence in treating and assessing older adults with cognitive disorders then older adults in general. This did not differ by any of the examined provider characteristics, including age, gender, or professional experience. Training need endorsement was high across most of the training categories; however, a few differences according to provider characteristics were noted. Providers under the age of 50 endorsed a greater need for training in psychotherapy with older adults with cognitive disorder (p = .02). Female providers endorsed a greater need for training on providing psychoeducation about cognitive disorder, such as dementia, to older adults and their families (p = .02). In sum, VA MH providers in general reported strong interest in a wide range of geriatric MH training topics, indicating a need for universal geriatric-related staff education. For some topics, endorsing geriatric expertise predicted stronger interest in training.

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