scholarly journals The one-day census in clinical audit

1992 ◽  
Vol 16 (10) ◽  
pp. 614-615 ◽  
Author(s):  
Paul Lelliott ◽  
Geraldine Strathdee
Keyword(s):  
Social Services ◽  
Psychiatric Care ◽  
Occupational Therapists ◽  
Psychiatric Nurses ◽  
Hospital Nurses ◽  
Community Based ◽  
Community Psychiatric ◽  
Wide Range ◽  
Day Hospitals ◽  
The One

Psychiatric care is delivered by a wide range of workers (psychiatrists, hospital nurses, community psychiatric nurses, occupational therapists, psychologists, social workers, counsellors and general practitioners) who work as teams with some patients and as individuals with others. Health authority resources for psychiatric care are widely distributed among facilities both hospital-based (wards, day hospitals, out-patient departments, social work departments, occupational therapy departments) and community-based (community psychiatric nursing departments, community mental health centres and facilities funded jointly with social services and voluntary agencies).

scholarly journals Community mental healthcare for people with severe personality disorder: narrative review

2010 ◽  
Vol 34 (1) ◽  
pp. 24-30 ◽  
Author(s):  
Bauke Koekkoek ◽  
Berno van Meijel ◽  
Giel Hutschemaekers
Keyword(s):  
Personality Disorder ◽  
Meta Analysis ◽  
Mental Healthcare ◽  
Occupational Therapists ◽  
Formal Structure ◽  
Psychiatric Nurses ◽  
Community Based ◽  
Community Psychiatric ◽  
Severe Personality Disorder

Aims and methodTo assess the contents and the theoretical and empirical base of community mental healthcare (CMHC) for people with severe personality disorder. Medline and PsycINFO databases and handbooks were searched from 1980, as well as a recent meta-analysis and systematic review of trials in which CMHC served as the control condition.ResultsCommunity mental healthcare is a long-term community-based treatment within a supportive atmosphere, aimed at stability rather than change. Mostly offered by community psychiatric nurses, occupational therapists and social workers, it lacks a formal structure, as well as theoretical underpinnings that guide interventions.Clinical implicationsCommunity mental healthcare might profit from a more systematic application of effective ingredients from other treatments.

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.

Investigation into Telephone Enquiries Made to the Leeds Disabled Living Center

1988 ◽  
Vol 51 (8) ◽  
pp. 270-272 ◽  
Author(s):  
Janet Stowe
Keyword(s):  
Social Services ◽  
Occupational Therapists ◽  
Initial Contact ◽  
Disabled People ◽  
Paramedical Staff ◽  
Wide Range ◽  
Telephone Calls ◽  
The Uk ◽  
Source Of Information ◽  
Valuable Service

Disabled Living Centres (DLCs), of which there are 23 in the UK, provide a valuable service of information for those involved in all aspects of life of disabled people. Most initial contact with the Leeds DLC is made by telephone. All incoming telephone calls were monitored over a 3-month period during 1986–87, with the aim of discovering who was telephoning the centre, for what purpose and from where they had heard of the centre. 145 calls were received: 33 from disabled people, 25 from their carers, 60 from medical and paramedical staff and 27 from others. The source of information covered a wide range, including hospitals (17), occupational therapists and physiotherapists (17), and social services (11). Nearly half of the reasons for calling were for information about equipment. Few (8%) disabled callers and their carers had discussed their problem with their GP. Information about such resource centres must be readily available to both disabled people and those involved in their care.

Care of Chronic Neurotic Out-patients by Community Psychiatric Nurses

1991 ◽  
Vol 158 (5) ◽  
pp. 685-690 ◽  
Author(s):  
Tom Burns ◽  
E. S. Paykel ◽  
A. Ezekiel ◽  
S. Lemon
Keyword(s):  
Psychiatric Care ◽  
Controlled Trial ◽  
Psychiatric Service ◽  
Treatment Patterns ◽  
Original Study ◽  
Psychiatric Nurses ◽  
Social Disability ◽  
Community Psychiatric ◽  
Care Patterns

Ninety-nine neurotic patients from a controlled trial of CPN v. psychiatric out-patient aftercare were followed up seven years later. Of the 92 survivors, 76 were successfully interviewed. Few differences were found between the groups. Chronic mild symptoms and moderate social disability persisted, and tended to worsen a little. Treatment patterns persisted for one to two years beyond the original study; the CPN group had more CPN contacts, fewer psychiatric out-patient contacts and less psychiatric care. Thereafter, more out-patients were discharged from psychiatric care and care patterns for the two groups became similar. Out-patients attended more non-psychiatric out-patient clinics than the CPN group, but it is possible that this reflected pre-existing differences. About a third of patients remained in contact with the psychiatric service during follow-up.

scholarly journals The future of community psychiatric nursing: some research findings

1990 ◽  
Vol 14 (9) ◽  
pp. 550-551 ◽  
Author(s):  
Peter Tyrer ◽  
Michael Gelder
Keyword(s):  
General Practitioner ◽  
Daily Living ◽  
Psychiatric Care ◽  
Psychiatric Nursing ◽  
Psychiatric Nurses ◽  
Research Committee ◽  
Community Psychiatric ◽  
Recent Developments ◽  
Research Findings ◽  
Working Practices

A workshop organised by the Research Committee of the College took place on 20 November 1989, in which 14 invited delegates from nursing, psychiatry and general practice presented and discussed the implications of recent research developments in community psychiatric nursing. Papers were given by Helen Hally, Chairman of the Community Psychiatric Nurses Association, on recent developments in the workload of community psychiatric nurses. Dr Joseph Connolly presented the preliminary findings of the ‘Daily Living Project’ at the Maudsley Hospital in which comprehensive community care is given primarily by community psychiatric nurses. Professor Brandon outlined some of the difficulties in obtaining data on the working practices of community psychiatric nurses arising from a study in Leicester and this was followed by an account by Dr Alastair Wright, a general practitioner in Glenrothes, Fife, of the typical psychiatric workload of a general practitioner and the ways in which community psychiatric nurses may be of value in treating this without the necessity of referral to psychiatric care.

scholarly journals Patient, client or service user? A survey of patient preferences of dress and address of six mental health professions

2003 ◽  
Vol 27 (8) ◽  
pp. 305-308 ◽  
Author(s):  
Rebecca Mcguire-Snieckus ◽  
Rosemarie Mccabe ◽  
Stefan Priebe
Keyword(s):  
Therapeutic Relationship ◽  
General Practitioners ◽  
Community Care ◽  
Occupational Therapists ◽  
Demographic Characteristics ◽  
Psychiatric Nurses ◽  
Clinical Implications ◽  
Professional Background ◽  
Community Psychiatric ◽  
Significant Difference

Aims and MethodA positive therapeutic relationship is essential to psychiatry and should take into account patients' preferences. Preferences of 133 community care patients were surveyed regarding dress and forms of address of six professions. Participants' sex, age, ethnicity and diagnosis were recorded.ResultsNinety-eight per cent of participants expressed a preference. While most preferred to be called ‘patients' by general practitioners (75%) and psychiatrists (67%), there was no statistically significant difference in preference for the term ‘patient’ or ‘client’ when used by community psychiatric nurses, occupational therapists, psychologists or social workers. Participants over the age of 40 preferred the term ‘client’. Asymmetrical relationships were preferred with general practitioners and psychiatrists, evidenced by a preference to be addressed by first name (71% and 68%, respectively), to address the professional by title (81% and 80%, respectively), and the professional to be ‘smartly’ dressed (67% and 66%, respectively).Clinical ImplicationsA more differentiated approach may be suggested by taking professional background and some demographic characteristics into consideration.

National and International Adaptations of the Children’s Aid Society Model

2005 ◽  
Author(s):  
Janice Chu-Zhu
Keyword(s):  
New York ◽  
Technical Assistance ◽  
The United States ◽  
Culturally Sensitive ◽  
Community Schools ◽  
Community Based ◽  
Program Fidelity ◽  
Wide Range ◽  
Core Components ◽  
The One

When the CAS community schools first opened in New York City in 1992, they attracted many visitors interested in learning about and adapting our model. In response CAS created its National Technical Assistance Center for Community Schools (NTACCS) in 1994 to handle the increasing number of requests for information, coordinate the large number of visitors to the schools, and provide technical assistance in the process and operations involved in creating a community school. People who wish to adapt our model can now tour the various components of our program and meet with our staff to ask questions and learn about the implementation of our program. This chapter will explore the core components of the CAS model and how adaptation sites in the United States and other countries have been able to incorporate elements that represent their signature style and reflect the needs of their individual communities. An immediate dilemma occurs when program planners seek to learn from the experience of others—should they try to replicate the model precisely or should they try to adapt it to their own local circumstances? Replicators often speak of the importance of “program fidelity,” while adaptors talk about differing needs among various communities and populations. The National Institute of Mental Health (NIMH) astutely assesses the dilemma: “While individual tailoring may account for success at a given location, there is pressing need for theoretically grounded interventions that will be effective in a wide range of communities. Therein lies a challenge. On the one hand, ‘replication’ implies fidelity to the original while, on the other hand, ‘community-based and culturally sensitive’ implies expectation of variation and sensitivity to that variation. The need to vary interventions is widely accepted, but systematically developed and articulated only occasionally.” The NIMH study found two key components that improved the effectiveness of HIV prevention programs as they were implemented in multiple sites around the country. One component was that they were “community-based,” designed with the input and skills of the particular communities in which they were implemented. The second was that the programs were “culturally sensitive”—that is, they reflected the needs and cultures of the individuals expected to participate in the intervention and used media and messages relevant to those individuals and their lives.

Financial Management and Elderly People with Dementia in the U.K.: As Much a Question of Confusion as Abuse?

1996 ◽  
Vol 16 (3) ◽  
pp. 287-314 ◽  
Author(s):  
Joan Langan ◽  
Robin Means
Keyword(s):  
Elderly People ◽  
Social Services ◽  
Financial Management ◽  
Financial Abuse ◽  
The North ◽  
People With Dementia ◽  
Personal Finances ◽  
Wide Range ◽  
The One ◽  
To Receive

ABSTRACTThis article explores a range of issues relating to financial management and elderly people with dementia. The law relating to personal finances for those who lack capacity is outlined and discussed with a stress upon its complexity and the key gaps in present coverage. The article goes on to outline findings from research on these issues carried out within a social services authority in the north of England. Professionals were found to have a wide range of anxieties relating to what they felt was the financial abuse of their elderly clients with dementia, as well as more general concern about how best to deal with financial issues for this group on a day to day basis. The financial abuse of elderly people does occur, but the article concludes by arguing that the issues raised by the research are wider for three main reasons. First, relatives and professionals are often ignorant or confused by the options available to them rather than being intent on defrauding elderly people. Second, the desire to hand down and to receive money from the one generation to the next is a powerful force in society and elderly people with dementia may wish their children rather than the state to have their money. And third, fee assessment and collection for this group raise real practical challenges to social services.

scholarly journals Community treatment orders in New Zealand

2009 ◽  
Vol 6 (3) ◽  
pp. 59-60 ◽  
Author(s):  
John Dawson
Keyword(s):  
New Zealand ◽  
Psychiatric Care ◽  
Mental Healthcare ◽  
Community Treatment ◽  
Community Treatment Orders ◽  
Community Based ◽  
Community Psychiatric ◽  
Conditional Discharge ◽  
Treatment Order ◽  
Community Treatment Order

Many legal mechanisms can be used to authorise compulsory community mental healthcare: leave or conditional discharge for compulsory in-patients; adult guardianship (or incapacity) legislation; treatment as a condition of a community-based criminal sentence, like probation, or of parole from imprisonment; or a full-fledged community treatment order (CTO) scheme. It is the specific mix of mechanisms employed in a particular jurisdiction that will characterise how that legal system manages the delivery of compulsory (or quasi-consensual) community psychiatric care.

scholarly journals Psychiatric clinics in homeless hostels – your flexible friend

1992 ◽  
Vol 16 (11) ◽  
pp. 683-684 ◽  
Author(s):  
B. Ferguson ◽  
Ruth Dixon
Keyword(s):  
Mental Disorder ◽  
Social Services ◽  
Psychiatric Nurses ◽  
Salvation Army ◽  
Psychiatric History ◽  
History Taking ◽  
House Of Commons ◽  
Disadvantaged Group ◽  
Community Psychiatric

The increasing awareness that serious mental disorder is common among men residing in homeless hostels has acted as a fillip towards providing new services for this disadvantaged group. Conventional psychiatry frequently fails to meet their needs, not least because of the formality and inaccessibility of the contact. Detailed psychiatric history taking, for example, is often perceived as a barrier to communication with no intrinsic benefit for the homeless. Indeed psychiatrists often appear distant to hostel staff. The Salvation Army have gone so far as to suggest to the House of Commons Social Services Committee that community psychiatric nurses are effective because of their ability to mediate with consultant psychiatrists.

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