scholarly journals Reducing the risk of violence to junior psychiatrists

1995 ◽  
Vol 19 (1) ◽  
pp. 24-27 ◽  
Author(s):  
Alan Lillywhite ◽  
Neil Morgan ◽  
Elizabeth Walter
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Care Services ◽  
Safety Issue ◽  
Health And Safety ◽  
Care Services ◽  
Safety Features ◽  
Physical Layout ◽  
And Training

As mental health care services move increasingly into the community with staff working in more isolated settings, violence against staff is becoming an increasing health and safety issue. Education and training of staff to cope with potentially violent situations is a priority, equally important is the design and physical layout of the room in which potentially violent patients are seen. This audit looked at the safety features present in consulting rooms used daily, for interviewing patients, by mental health professionals. The study identified rooms which were judged unsuitable for interviewing potentially aggressive patients in, and as a result, several recommendations for safety improvements to these rooms were made.

In Graduate School, I Learned What I Need to Know About Running a Successful Practice

2019 ◽  
pp. 3-6
Author(s):  
Jeffrey E. Barnett ◽  
Jeffrey Zimmerman
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Graduate School ◽  
Health Professionals ◽  
Private Practice ◽  
Clinical Skills ◽  
Early Career ◽  
Key Issues ◽  
Financial Issues ◽  
And Training

Although most mental health professionals receive excellent education and training that helps them to become competent and highly effective clinicians, graduate school tends not to provide training in the business side of practice that is needed for success in private practice. Many trainees and early-career clinicians may think they learned in graduate school all they need to know to be successful in the business of practice. Unfortunately, this is generally not true and many of those who enter private practice are poorly prepared for planning, establishing, and running a successful private practice. This chapter addresses the key issues every mental health clinician should know about when contemplating opening a private practice. Business and financial issues are addressed, including developing a business plan and utilizing various consultants. This chapter addresses the myth that excellent clinical skills are sufficient for success in the business of private mental health practice.

Leaving Lake Wobegon: firearm-related education and training for medical and mental health professionals is an essential competence

2019 ◽  
Vol 11 (2) ◽  
pp. 78-87 ◽  
Author(s):  
Gianni Pirelli ◽  
Liza Gold
Keyword(s):  
Mental Health ◽  
Cultural Competence ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Education And Training ◽  
Gun Violence ◽  
Self Report ◽  
Average Effect ◽  
Content Type ◽  
And Training

Purpose Firearm-involved violence and suicide in the USA, often collectively referred to as “gun violence,” has been labeled a public health problem and an epidemic, and even an endemic by some. Many lawmakers, community groups, mainstream media outlets and professional organizations regularly address gun-related issues and frequently associate firearm violence with mental health. As a result, these groups often set forth positions, engage in discussions and promote policies that are at least partially based on the widely held but incorrect assumption that medical and mental health professionals are either inherently equipped or professionally trained to intervene with their patients and reduce gun deaths. The paper aims to discuss this issue. Design/methodology/approach Furthermore, notable proportions of medical and mental health professionals self-report a level of comfort engaging in firearm-specific interventions that is often disproportionate to their actual education and training in the area. This type of overconfidence bias has been referred to as the Lake Wobegon Effect, illusory superiority, the above average effect, the better-than average effect or the false uniqueness bias. While medical and mental health professionals need to serve on the front line of firearm-involved violence and suicide prevention initiatives, the vast majority have not actually received systematic, formal training on firearm-specific issues. Findings Therefore, many lack the professional and cultural competence to meet current and potential future in regard to addressing gun violence. In this paper, the authors discuss empirical studies that illustrate this reality and a novel model (i.e. the Know, Ask, Do framework) that medical and mental health professionals can use when firearm-related issues arise. In addition, the authors set forth considerations for clinicians to develop and maintain their professional and cultural competence related to firearms and firearm-related subcultures. Originality/value This paper provides empirical and conceptual support for medical and mental health programs to develop formal education and training related to guns, gun safety and gun culture. A framework is provided that can also assist medical and mental health professionals to develop and maintain their own professional and cultural competence.

Ethics Issues Regarding Supervision and Consultation in Private Practice

2017 ◽  
pp. 443-458
Author(s):  
Rodney K. Goodyear ◽  
Carol A. Falender ◽  
Tony Rousmaniere
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Private Practice ◽  
Conflicts Of Interest ◽  
Ethical Dilemmas ◽  
Multiple Relationships ◽  
Ethical Challenges ◽  
Supervision And Training ◽  
And Training

This chapter describes key ethical challenges confronting mental health professionals who provide supervision and consultation in private practice settings. Essential features of supervision and consultation are explained. The value and content of a supervision or consultation contract are discussed. Demands and challenges of the gatekeeping role for supervisors are considered. Types of competence and implications for supervision and consultation are presented. Guidance is provided in managing multiple relationships in supervision and consultation and in avoiding conflicts of interest. Competence, security, and confidentiality in using technology for supervision and training are considered. The chapter concludes with a discussion of nine common ethical dilemmas for supervisors and consultants in private practice settings.

Values and ethics in mental-health education and training: a different perspective

2015 ◽  
Vol 10 (3) ◽  
pp. 189-204 ◽  
Author(s):  
Riya Elizabeth George ◽  
Nisha Dogra ◽  
Bill Fulford
Keyword(s):  
Mental Health ◽  
Health Education ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Clinical Decision Making ◽  
Diversity Training ◽  
Education And Training ◽  
Mental Health Education ◽  
Content Type ◽  
And Training

Purpose – The purpose of this paper is to review the challenges of teaching values and ethics in mental-health, explore the differing perspectives of the key stakeholders and stimulate further questions for debate in this area; leading to a proposal of an alternative approach to educating mental-health professionals on values and ethics. Originality/value – In current mental-health care settings, very few professionals work with homogeneous populations. It is imperative that mental-health education and training ensures health professionals are competent to practice in diverse settings; where ethics and values are bound to differ. Establishing professional practice not only involves considering concepts such as values and ethics, but also equality, diversity and culture. Incorporating values-based practice and cultural diversity training holds promise to education and training, that is truly reflective of the complexity of clinical decision making in mental-health. Further research is needed as to how these two frameworks can be unified and taught.

scholarly journals Sexual harassment of staff by patients in mental health units

1995 ◽  
Vol 19 (3) ◽  
pp. 168-169
Author(s):  
Maria B. Tomé de la Granja
Keyword(s):  
Mental Health ◽  
Sexual Harassment ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Physical Violence ◽  
Common Law ◽  
Health And Safety ◽  
Verbal Abuse ◽  
The Public ◽  
The Common

The Health and Safety Executive (1992) defines violence against staff as “any incident in which an employee is threatened or assaulted by a member of the public in circumstances arising out of the course of his or her employment”. Verbal abuse and threats are, as the Health and Safety Executive notes, the most common types of incidents, and staff have the common-law right to be protected from such incidents in the course of their work. While the literature on physical violence against mental health professionals is quite large and expanding (see, for example, Health and Safety Commission, 1987; Shepherd, 1994; Wykes, 1994), comparatively little emphasis has been placed on verbal assaults, although these may be extremely distressing.

scholarly journals ANZAED practice and training standards for dietitians providing eating disorder treatment

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Gabriella Heruc ◽  
Susan Hart ◽  
Garalynne Stiles ◽  
Kate Fleming ◽  
Anjanette Casey ◽  
...  
Keyword(s):  
Mental Health ◽  
Eating Disorder ◽  
Clinical Practice ◽  
Clinical Supervision ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Eating Disorder Treatment ◽  
Training Standards ◽  
Disorder Treatment ◽  
And Training

Abstract Introduction Dietitians involved in eating disorder treatment are viewed as important members of the multidisciplinary team. However, the skills and knowledge that they require are not well characterised. Therefore, as part of a broader project to identify the key principles and clinical practice and training standards for mental health professionals and dietitians providing eating disorder treatment, the Australia & New Zealand Academy for Eating Disorders (ANZAED) sought to identify the key practice and training standards specific to dietitians. An expert working group of dietitians was convened to draft the initial dietetic standards. After expert review, feedback on the revised standards was then provided by 100 health professionals working within the eating disorder sector. This was collated into a revised version made available online for public consultation, with input received from treatment professionals, professional bodies and consumer/carer organisations. Recommendations Dietitians providing treatment to individuals with an eating disorder should follow ANZAED’s general principles and clinical practice standards for mental health professionals and dietitians. In addition, they should also be competent in the present eating disorder-specific standards based around the core dietetic skills of screening, professional responsibility, assessment, nutrition diagnosis, intervention, monitoring and evaluation. Conclusions These standards provide guidance on the expectations of dietetic management to ensure the safe and effective treatment of individuals with an eating disorder. Implications for professional development content and training providers are discussed, as well as the importance of clinical supervision to support professional self-care and evidence-informed and safe practice for individuals with an eating disorder.

scholarly journals Focus on psychiatry in Singapore

2004 ◽  
Vol 185 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Ee Heok Kua
Keyword(s):  
Mental Health Professionals ◽  
Health Care Services ◽  
Psychiatric Research ◽  
Ageing Population ◽  
Health Seeking ◽  
Traditional Family ◽  
Care Services ◽  
People With Mental Illness ◽  
The City ◽  
And Training

This is an overview of the historical development of psychiatric services and the progress of psychiatric research and training in Singapore. With a population of 4 million, the city is evolving from developing to developed status and the concomitant social implications pose enormous challenges for mental health professionals. The demographic changes in recent years, with an ageing population and with more women (the traditional family caregivers) in the workforce, have had profound consequences for the delivery of health care services. In this cosmopolitan city of Chinese, Indians and Malays, myriad cultures and beliefs influence the health-seeking behaviour and the care of people with mental illness.

Benzodiazepines Intake at Youth–Experience from Adolescent Consultation at Centro Hospitalar Lisboa Norte

2017 ◽  
Vol 41 (S1) ◽  
pp. S120-S121
Author(s):  
C. Almeida ◽  
S. Paulino ◽  
M. Croca ◽  
N. Santos
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Care Services ◽  
Well Being ◽  
Community Initiatives ◽  
Care Services ◽  
Competing Interest ◽  
Microsoft Office ◽  
Psychiatric Department ◽  
Alcohol And Other Drugs

IntroductionThe increasing intake of psychotropic medication by children and adolescents is a reality that worries many mental health professionals. Recently, european school survey project on alcohol and other drugs showed that tranquillizers and sedatives were mainly consumed by Portuguese youth, without medical prescription, bringing this topic to medical and health stakeholders’ attention.ObjectivesCharacterize benzodiazepine prescription in the youth population followed in a psychiatric consultation at centro hospitalar Lisboa Norte psychiatric department.AimsDiscuss Portuguese trends in mental health among youths.MethodsAnalysis of 127 adolescents, seen for the first time from January to December of 2015, using Microsoft office excel.ResultsOur sample is comprised by adolescents from 12 to 20 years old, 81 female and 46 male. Only 16% of the adolescents were medicated with benzodiazepines, although low neuroleptic doses were often required, and 30% carried out psychotherapy. Sixty-five per cent of the diagnosis corresponds to anxiety, depressive and impulse control disorders.ConclusionAlthough trends in Portuguese youth mental health seem to be encouraging, as highlighted by local reports, European Union Joint Action on Mental Health and Well-Being recommends community and school active roles in primary and secondary prevention. Our experience shows that benzodiazepines’ use is rarely necessary and symptoms as anxiety, impulsivity and insomnia decreased with other strategies. Coping strategies must be discussed with the adolescents, in formal psychotherapy or in a supportive and containing therapeutic relationship, as well as discussed in family interventions. Community initiatives promotion and increased mental health care services accessibility should be priorities.Disclosure of interestThe authors have not supplied their declaration of competing interest.

A Primer on Rational Suicide and Other Forms of Hastened Death

2000 ◽  
Vol 28 (4) ◽  
pp. 511-539 ◽  
Author(s):  
James L. Werth ◽  
Daniel J. Holdwick
Keyword(s):  
Mental Health ◽  
Empirical Research ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Issues ◽  
Rational Suicide ◽  
Mental Health Issues ◽  
Hastened Death ◽  
And Training ◽  
Counseling Psychologists

This article provides an overview of the major mental health issues involved in the debate over rational suicide and other forms of hastened death. In doing so, it covers the arguments for including counseling psychologists and other mental health professionals in discussions about hastened death; highlights the relevant empirical research associated with the topic, with special attention given to the studies involving psychologists and areas needing more investigation; and reviews the implications for practice and training and provides direction for those counseling psychologists who are working with persons who may be rational in their decisions to hasten death.

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