Engaging with religious beliefs within a medical model of mental health care

AbstractObjectives: Historical information is central to decision making in mental health care. Clinical information in the Irish mental health services is currently mostly paper based. Mental health care in Ireland has moved from an institutional medical model towards a community based multidisciplinary model in recent years. This change has resulted in a dispersal of information between multiple sites and professionals, rendering it less accessible, particularly in emergency settings.This study sought to find out if psychiatrists working in Ireland were experiencing information problems, their ideas about and attitudes towards electronic solutions to these problems, and their views as to what particular pieces of information are indispensable in emergency mental health assessments.Method: A questionnaire was designed to answer these questions and sent to a representative sample of 150 psychiatrists working in Ireland.Results: One hundred and nineteen questionnaires (79.3%) were returned complete. Of the 119 respondents 98(82.4%) stated that they had performed emergency mental health assessments within the past year without access to key information and 79(66.4%) said they would have made different decisions in some cases had they had all the available information. Information deficits were particularly apparent in liaison and forensic psychiatry.Of the respondents 110(92.4%) stated that they would welcome an electronic database designed to support emergency mental health assessments. Misgivings were expressed regarding forms of consent, data quality, breach of confidentiality, resources and much more. Risk factors (ie. self-harm potential), a high alert message and medication details were the data items thought to be most critical.Conclusions: A shareable set of essential pieces of information (a minimum data set) would offer a balance between patient safety, confidentiality and shareability. A wider debate about solutions to the information deficits in mental health care in Ireland needs to take place among all stakeholders so that this idea can be moved forward.

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A Just Assemblage in Mental Health Services—the Necessity of and Possibilities for Service Diversity

Frontiers in Psychology ◽

10.3389/fpsyg.2021.725385 ◽

2021 ◽

Vol 12 ◽

Author(s):

Rolf Sundet

Keyword(s):

Mental Health ◽

Health Care ◽

Welfare State ◽

Mental Health Care ◽

Social Services ◽

New Public Management ◽

Controlled Trial ◽

Medical Model ◽

Negative Consequences ◽

Equal Rights

Basic to the Norwegian welfare state is the principle of universality; every citizen has the right to equal health care and social services. Experiences from a family team in mental health care for children and adolescents exemplify challenges for mental health work in this welfare state. These experiences indicate an ongoing process of dismantling the welfare state, disguised as managerial changes and reorganizations. The argument is put forth that these changes and reorganizations that are claimed to benefit service users actually have negative consequences for many of them. These negative consequences are related to how psychological research on and knowledge of mental health and treatment are combined with organizational principles. The concept of an assemblage is introduced as a manner of describing the dominating relationships in health care between the medical model, the randomized controlled trial and new public management in order to provide responsible health care practices. Rooted in a supposition that how we look upon, describe and understand causation defines our views of science in general, how to produce knowledge, what kind of scientific knowledge is most productive, and how it should be implemented in practice, an alternative assemblage is suggested that better realizes the principle of universality. Here justice is about equal opportunities and equal rights to treatments and sets of practices that fit people as unique individuals. Such an assemblage would bring together diverse models of mental health care, a network of multiple research-based knowledges, and service organizations that include the differences and diversity of the population.

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An Empowering Medical Model of Mental Health Care

Psychiatric Services ◽

10.1176/appi.ps.56.8.901 ◽

2005 ◽

Vol 56 (8) ◽

pp. 901-901 ◽

Cited By ~ 1

Author(s):

Jonathan D. Prince ◽

Steven P. Segal

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Medical Model

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A Tribute to the Late William J. Curran

The Journal of Law Medicine & Ethics ◽

10.1017/s1073110500004058 ◽

1996 ◽

Vol 24 (3) ◽

pp. 274-275

Author(s):

O. Lawrence ◽

J.D. Gostin

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Illness ◽

United Nations ◽

Mental Health Care ◽

Harvard University ◽

Legal Medicine ◽

General Assembly ◽

International Institute ◽

University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

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Pediatricians' Mental Health Care Role Suggested

Pediatric News ◽

10.1016/s0031-398x(08)70425-9 ◽

2008 ◽

Vol 42 (9) ◽

pp. 18

Author(s):

DOUG BRUNK

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care

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Primary Care Collaboration on Mental Health Care Urged

Internal Medicine News ◽

10.1016/s1097-8690(05)72319-2 ◽

2005 ◽

Vol 38 (21) ◽

pp. 90

Author(s):

MARY ELLEN SCHNEIDER

Keyword(s):

Mental Health ◽

Primary Care ◽

Health Care ◽

Mental Health Care

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Handbook of Person-Centered Mental Health Care

10.1027/00568-000 ◽

2020 ◽

Author(s):

Nosheen Akhtar ◽

Cheryl Forchuk ◽

Katherine McKay ◽

Sandra Fisman ◽

Abraham Rudnick

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care

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Psychometric Properties of the German Version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR)

European Journal of Psychological Assessment ◽

10.1027/1015-5759/a000105 ◽

2012 ◽

Vol 28 (4) ◽

pp. 255-261 ◽

Cited By ~ 5

Author(s):

Sabine Loos ◽

Reinhold Kilian ◽

Thomas Becker ◽

Birgit Janssen ◽

Harald Freyberger ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Community Mental Health ◽

Mental Health Care ◽

Psychometric Properties ◽

Therapeutic Relationship ◽

Internal Consistency ◽

Convergent Validity ◽

Community Mental Health Care ◽

German Version

Objective: There are presently no instruments available in German language to assess the therapeutic relationship in psychiatric care. This study validates the German version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR). Method: 460 persons with severe mental illness and 154 clinicians who had participated in a multicenter RCT testing a discharge planning intervention completed the D-STAR. Psychometric properties were established via item analysis, analyses of missing values, internal consistency, and confirmatory factor analysis. Furthermore, convergent validity was scrutinized via calculating correlations of the D-STAR scales with two measures of treatment satisfaction. Results: As in the original English version, fit indices of a 3-factor model of the therapeutic relationship were only moderate. However, the feasibility and internal consistency of the D-STAR was good, and correlations with other measures suggested reasonable convergent validity. Conclusions: The psychometric properties of the D-STAR are acceptable. Its use can be recommended in German-speaking countries to assess the therapeutic relationship in both routine care and research.

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