scholarly journals Psychiatric Nursing — Quo Vadis?

1985 ◽  
Vol 9 (4) ◽  
pp. 70-72
Author(s):  
Charles Brooker ◽  
Paul Beard

In the last year or so the future of mental health services in this country has been intensively discussed. COHSE, MIND, and the Richmond Fellowship have produced their ‘blueprints', outlining details of the way they see services being organized. All variety of professional organizations have been busy presenting evidence to the House of Commons Social Services Committee which is specifically examining community care. The DHSS has committed more joint finance to ‘care in the community’ projects and Regional Health Authorities are examining the strategies to close large psychiatric hospitals. Consequently, District Health Authorities, in many cases, are planning the shape of a new mental health service which places increasingly less reliance on the large institution. The phrase ‘community care’ has now become so hackneyed in planning circles that for many it has lost whatever meaning it may have once had. However, despite all the rhetoric, and indeed all the planning activity, psychiatric nurses themselves have still to voice coherently their thoughts and fears about the shape of things to come.

1999 ◽  
Vol 175 (5) ◽  
pp. 402-406 ◽  
Author(s):  
Gyles Glover

The authors of the King's Fund report on London's mental health services (Johnson et al, 1997) argued that the formula used by the Department of Health to allocate resources to health authorities fails to meet the needs of inner cities. It is difficult to explore this issue because the principal allocation to district health authorities is set out as a single figure, with no subdivisions for separate clinical areas. This differs from local government finance, where annual allocations are itemised in a report detailing both major components (education, social services and road maintenance), and subdivisions of these (House of Commons, 1998). However, in the process used by the Department of Health to calculate health service allocations, several areas of clinical work, including the care of the mentally ill and learning disabled, receive distinct consideration. An annual publication sets out the detail (NHS Executive, 1998). Slight reworking allows the identification of implied allocations for the following clinical areas: general and acute; mental illness and learning disability; and other community care. This paper outlines the methodology and shows the allocations to health authorities in England for 1990–2000.


2021 ◽  
Author(s):  
Gunnar Ellingsen ◽  
Bente Christensen ◽  
Morten Hertzum

Large-scale electronic health record (EHR) suites have the potential to cover a broad range of use needs across various healthcare domains. However, a challenge that must be solved is the distributed governance structure of public healthcare: Regional health authorities regulate hospitals, municipalities are responsible for first-line healthcare services, and general practitioners (GPs) have an independent entrepreneurial role. In such settings, EHR program owners cannot enforce municipalities and GPs to come on board. Thus, we examine what tactics owners of large-scale EHR suite programs apply to persuade municipalities to participate, how strongly these tactics are enforced, and the consequences. Empirically, we focus on the Health Platform program in Central Norway where the goal is to implement the U.S. Epic EHR suite in 2022. Theoretically, the paper is positioned in the socio-technical literature.


1995 ◽  
Vol 19 (1) ◽  
pp. 28-32 ◽  
Author(s):  
Teresa Nemitz ◽  
Philip Bean

While conducting a study on the nature and extent of compulsory admissions to mental hospitals within the four London regional health authorities, discrepancies and inaccuracies were revealed in many of those mental hospital in-patient statistics. The nature and extent of some of these are examined. It is suggested that the value of such statistics for government planning must be questioned as is their value for research. It is recommended that a centralised system of collecting and collating such data be introduced as a matter of priority and that such a system be operated by the Mental Health Act Commission.


1986 ◽  
Vol 10 (10) ◽  
pp. 293
Author(s):  
Elizabeth Garrett

ESCATA, the enterprising and innovative organisation which specialises in training material for health and social services professionals, does not claim mainly to produce educational films but rather, what it terms ‘video assisted workshops’. This is an important distinction and should be borne in mind when viewing the ‘Tread Softly’ video which looks at the transition from large psychiatric hospitals to local community services and is intended for practitioners, planners, managers and members from both voluntary and statutory mental health services.


1996 ◽  
Vol 20 (3) ◽  
pp. 143-145 ◽  
Author(s):  
Phillip J. Vaughan

A postal survey was conducted within four regional Health Authorities to ascertain how widely the supervision register had been applied in its first year of operation in adult mental health. A 72% response rate was achieved. The results showed that the register has been absorbed organisationally but is less accepted professionally. One hundred and nineteen of the 367 consultants in the sample (32%) had no entries on the register at 31st March 1995. The provision of training on its use had a significant effect on compliance, although London-based services had marginally less registrations per consultant than their colleagues elsewhere. Very few outside agencies had required access to the register.


1995 ◽  
Vol 19 (4) ◽  
pp. 250-251
Author(s):  
John Wattis ◽  
Chris Thompson

The Mental Health Task Force was set up by the Secretary of State for Health under the leadership of David King to assist in the process of the closure of the large mental hospitals and to ensure adequate provision was made to replace their services. Its strategic objectives, to be accomplished by the end of 1994, were to map the replacement of the remaining large institutions by good quality services, ensuring that this happened effectively; to identify what makes a service good and find ways of ensuring that services possessed these qualities; and to develop a vision of the shape of the mental health market in years to come. To assist in this a wide support group of about 20 people was set up. This included representatives of the Department of Health, Research and Development in Psychiatry, carer organisations, users, social services, general practice, nursing and the Royal College of Psychiatrists. The authors represented the College.


1993 ◽  
Vol 17 (12) ◽  
pp. 726-726
Author(s):  
Christine Godfrey

The misuse of alcohol causes a range of health, legal, social and employment problems for the individual and the rest of society. Many agencies are involved in dealing with the consequences of alcohol misuse and providing services to those with problems. Sources of funds to finance interventions for drinkers whether from health authorities, social services, probation or other sources are very limited. Without some coordination there will be a tendency for each funder to shift responsibility and costs. These difficulties have been recognised and in 1989 a government health circular was issued emphasising the need for the development of local multi-agency alcohol misuse prevention strategies. Implementing policies such as community care and Health of the Nation also require multi-agency co-operation if they are to fulfil their aims. The survey of the development of local alcohol strategies reported in this paper (Wallace et al, 1993) is therefore of great interest.


2020 ◽  
Author(s):  
Shiva Raj Acharya ◽  
Deog Hwan Moon ◽  
Yong Chul Shin

UNSTRUCTURED Amid the COVID-19 pandemic, most of the people in the world are experiencing mental health problems. Nationwide lockdown had the negative consequences in many aspects of health of an individual in the community especially in mental health. This paper focuses on the suicides during the COVID-19 outbreak in Nepal. Current situation of COVID-19 pandemic is that cases are increasing in the high rate towards low income developing countries. With 9026 cases & 23 deaths due to COVID-19 in Nepal, suicide cases have shockingly high during corona outbreak. 875 cases of suicide have been reported till May 2020 relatively and will be increase in this COVID-19 pandemic period if no any effective & immediate response from the government and respective authorities. Long-term nationwide lockdown, fear & anxiety, economic crisis, weak corona outbreak control measures considered to be the factor beside the suicide. Mental health awareness program and modification on the nationwide lockdown based on the situation in the respective province should be addressed in order to promote the mental health of the citizens. All the health authorities, government, professionals & media need to come together to tackle suicide upsurge and prevention with effective management.


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