Lithium Maintenance: 1. A Standard Education Programme for Patients

1991 ◽  
Vol 158 (2) ◽  
pp. 197-200 ◽  
Author(s):  
Malcolm Peet ◽  
Norman S. Harvey
Keyword(s):  
Social Workers ◽  
Education Programme ◽  
Educational Programme ◽  
Psychiatric Nurses ◽  
Control Group ◽  
Patient Knowledge ◽  
Not Given ◽  
Factual Information ◽  
Community Psychiatric ◽  
Standard Education

A videotape lecture and written hand-out containing factual information about lithium were given to 30 attenders at a lithium clinic. A further 30 patients acted as a control group and were not given the programme until later in the study. The educational programme resulted in substantial and significant increases in patient knowledge about lithium, such that knowledge increased from a baseline comparable with that of social workers to a level similar to that of community psychiatric nurses. Patients' attitudes to lithium also became more favourable after education.

An Alternative to Group Homes

1978 ◽  
Vol 132 (4) ◽  
pp. 356-360 ◽  
Author(s):  
B. H. Anstee
Keyword(s):  
Social Workers ◽  
Group Homes ◽  
County Council ◽  
Psychiatric Nurses ◽  
Short Stay ◽  
Community Psychiatric ◽  
Statutory Duty

SummaryThis paper describes a supported lodgings scheme as an alternative to group homes. It is pointed out that the County Council has a statutory duty to finance supported lodgings and that schizophrenics are ideally suited to such a scheme. Some short-stay, the majority of the ‘new’ non-demented long-stay, and a large number of the ‘old’ long-stay patients have been discharged by this means. Aftercare facilities were important, as nearly half attended the day centre and over one third were regularly visited in their lodgings by the community psychiatric nurses and social workers.

A Controlled Study of Education About Drug Treatment in Schizophrenia

1996 ◽  
Vol 168 (6) ◽  
pp. 709-717 ◽  
Author(s):  
Rob Macpherson ◽  
Bill Jerrom ◽  
Anthony Hughes
Keyword(s):  
Strong Association ◽  
Significant Proportion ◽  
Educational Programme ◽  
Controlled Study ◽  
Control Group ◽  
Antipsychotic Treatment ◽  
Knowledge Gain ◽  
Standard Education ◽  
Schizophrenic Patients ◽  
Negative Syndrome

BackgroundVarious problems are associated with schizophrenia which may theoretically lead to impaired educability about treatment.MethodThe Understanding of Medication Questionnaire, designed to measure knowledge about treatment in schizophrenia, is described and presented. An educational programme based on a specially designed information booklet was developed. Sixty-four patients with DSM–III–R diagnosis schizophrenia were randomly allocated to groups receiving none (control), one session or three sessions of education.ResultsPre-intervention low levels of knowledge about illness and treatment increased significantly immediately after a standard education session. Three education sessions led to significantly greater knowledge gain than one session. There was no significant change in the control group. Only the PANSS negative syndrome score independently and consistently explained a significant proportion of the education effect. The influence on educability of attitudes to education, impaired insight, cognitive impairment and other variables were considered. Three sessions of education led to significantly increased insight, but no change in compliance.ConclusionsTechniques appropriate for educating schizophrenic patients were discussed, and the value of involving patients in education emphasised. A series of patient education sessions is needed to consolidate learning, rather than a single informing process. The strong association between impaired learning and more severe negative schizophrenic syndrome emphasises the need for responsible prescribing of antipsychotic treatment in schizophrenia.

scholarly journals Inner-city general practice population of people with schizophrenia

1998 ◽  
Vol 22 (4) ◽  
pp. 221-225 ◽  
Author(s):  
Grant Blair ◽  
Carl Deaney
Keyword(s):  
General Practice ◽  
Inner City ◽  
Information Sharing ◽  
Social Workers ◽  
Psychiatric Nurses ◽  
Care Plan ◽  
Limited Information ◽  
Social Disability ◽  
Community Psychiatric ◽  
Practice Population

A survey of people with schizophrenia in an inner-city general practice was undertaken to identify levels of social disability, service receipt and patterns of care received. Contacts with general practitioners, psychiatrists, community psychiatric nurses and social workers were quantified, and the nature of the contacts assessed. Overall social disability for the group was marked (mean Health of the Nation Outcome Scales (HoNOS) rating 55.5). There was a correlation coefficient of +0.899 between the numbers of agencies involved and the overall HoNOS scores suggesting appropriate targeting of care. While there were few differences in the HoNOS ratings of the various contact subsets, there were significant differences in the extent of agencies contact with patients, the greatest number of contacts being in general practice. Limited information sharing, the absence of a formal shared care plan and sectorisation of services are thought to obstruct more effective general practice involvement in care.

Further Observations on the Practice of Community Care in Salford

1988 ◽  
Vol 153 (1) ◽  
pp. 30-37 ◽  
Author(s):  
K. Wooff ◽  
D. P. Goldberg
Keyword(s):  
Mental Health ◽  
Social Workers ◽  
Mentally Ill ◽  
Community Care ◽  
Psychiatric Nurses ◽  
Supportive Supervision ◽  
Stable Case ◽  
Professional Managers ◽  
Community Psychiatric ◽  
Attached Community

Differences in the clinical characteristics of clients have not been found to account for the interprofessional differences in community psychiatric nurses' and mental health social workers' practice in Salford. We found the consultant-attached mental health social workers, who worked closely with the specialist psychiatric team and who received supportive supervision from their professional managers, maintained stable case-loads, but the primary-care attached community psychiatric nurses, who were isolated from the specialist psychiatric team, and who received little supportive supervision from their professional managers, carried case-loads of increasing size. Failure to improve the way in which services for the mentally ill in the community are co-ordinated is likely to perpetuate the worst characteristics of life in the old back wards into the era of ‘community care’.

scholarly journals Effectiveness of a brief cognitive–behavioural therapy intervention in the treatment of schizophrenia

2002 ◽  
Vol 180 (06) ◽  
pp. 523-527 ◽  
Author(s):  
Douglas Turkington ◽  
David Kingdon ◽  
Trevor Turner
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Community Sample ◽  
Randomised Trial ◽  
Behavioural Therapy ◽  
Psychiatric Nurses ◽  
Control Group ◽  
Number Needed To Treat ◽  
Treatment As Usual ◽  
Community Psychiatric ◽  
Cognitive Behavioural

BackgroundLittle evidence exists to indicate whether community psychiatric nurses can achieve the results reported by expert cognitive–behavioural therapists in patients with schizophrenia.AimsTo assess the effectiveness and safety of a brief cognitive- behavioural therapy (CBT) intervention in a representative community sample of patients with schizophrenia in secondary care settings.MethodA pragmatic randomised trial was performed involving 422 patients and carers to compare a brief CBT intervention against treatment as usual.ResultsPatients who received CBT (n=257) improved in overall symptomatology (P=0.015; number needed to treat [NNT]= 13), insight (P<0.001; NNT=10) and depression (P=0.003;NNT=9) compared with the control group (n=165). Insight was clinically significantly improved (risk ratio =1.15,95% C1 1.01-1.31).There was no increase in suicidal ideation.ConclusionsCommunity psychiatric nurses can safely and effectively deliver a brief CBT intervention to patients with schizophrenia and their carers.

scholarly journals Key workers in the Multi-disciplinary Team

1987 ◽  
Vol 11 (12) ◽  
pp. 419-419 ◽  
Author(s):  
Shaun Stevenson
Keyword(s):  
Social Workers ◽  
Occupational Therapists ◽  
Psychiatric Nurses ◽  
Team Approach ◽  
Community Psychiatric ◽  
Multi Disciplinary Team

Today the practice of psychiatry often involves a multi-disciplinary team comprising doctors, nurses, psychologists, social workers, occupational therapists, community psychiatric nurses and physiotherapists. Each discipline has its own contribution to make to the planning of care programmes for patients in the context of a team approach.

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