Practice Nurses Educational Needs in Mental Health: a Descriptive Exploratory Survey

10.26686/wgtn.16967404.v1 ◽

2021 ◽

Author(s):

◽

Anne Patricia Prince

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Community Mental Health Services ◽

Postal Survey ◽

Health Concern ◽

Learning Needs ◽

Practice Nurses ◽

Co Morbidity ◽

Wide Range

<p>Background-Large numbers of patients see practice nurses (PNs) daily for their health care. Many of these patients will have a mental illness or a mental health (MH) need. International research suggests that the practice nurses are undertaking mental health assessment and interventions without the requisite skills and knowledge. This thesis reports on a study designed to quantify PNs work in mental health, to determine their education requirements and establish their confidence in the field of mental health. Methods-A postal survey was used to examine the nature of MH problems encountered by PNs, describe the MH interventions currently being used by them and identify the perceived learning needs of PNs in MH. Practice nurses in Hawkes Bay and Tairawhiti regions were surveyed. The questionnaire consisted of 33 open, closed and likert questions. Analysis was by descriptive, correlation and inferential statistics plus content analysis for open questions. Findings-52 respondents completed the questionnaire and the results demonstrate that these PNs are caring for patients with an extensive range of mental health concerns daily. Most common are people with depression and anxiety. The nurses perform a wide range of MH interventions such as counselling and advice on medication and have minimal confidence in their skill level. The nurses expressed learning needs included recognition and management of a wide range of mental health conditions such as suicidal ideation and all types of depression, reflecting the range of conditions met. Other learning requirements included understanding of co-morbidity and how to screen for mental health. The preferred provider of education was community mental health services by means of a short course specifically designed to meet their needs. Discussion-Practice nurses require education and support specifically designed to meet their identified needs in mental health to help then improve the care to patients. This will require collaboration between secondary mental health services, primary mental health nurses and tertiary institutions. With targeted education these nurses should become more confident and competent in their dealings with people who present to their practice with a mental health concern.</p>

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Community mental health services for the Spanish-speaking/surnamed population.

American Psychologist ◽

10.1037/0003-066x.30.9.892 ◽

1975 ◽

Vol 30 (9) ◽

pp. 892-905 ◽

Cited By ~ 98

Author(s):

Amado M. Padilla ◽

Rene A. Ruiz ◽

Rodolfo Alvarez

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Community Mental Health ◽

Health Services ◽

Community Mental Health Services ◽

Spanish Speaking

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The comprehensive community mental health services for Children and their Families Program annual report to Congress 2002-2003

PsycEXTRA Dataset ◽

10.1037/e432282008-003 ◽

2007 ◽

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Community Mental Health ◽

Health Services ◽

Annual Report ◽

Community Mental Health Services

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An evidence-based approach to routine outcome assessment

Advances in Psychiatric Treatment ◽

10.1192/apt.bp.111.009027 ◽

2012 ◽

Vol 18 (3) ◽

pp. 180-182 ◽

Cited By ~ 5

Author(s):

Mike Slade

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Clinical Decision Making ◽

Academic Discipline ◽

Community Mental Health Services ◽

Clinical Decision ◽

Successful Implementation ◽

Frontline Workers ◽

Routine Outcome Assessment

SummaryRoutine use of Health of the Nation Outcome Scales (HoNOS) has not produced the anticipated benefits for people using mental health services. Four HoNOS-specific reasons for this are: low relevance to clinical decision-making; not reflecting service user priorities; being staff-rated; and having a focus on deficits. More generally, the imposition of a centrally chosen measure on the mental health system leads to a clash of cultures, since frontline workers do not need a standardised measure to treat individuals. A better approach might be to use research from the emerging academic discipline of implementation science to inform the routine use of a standardised measure that is chosen by the people who will use it and hence is more concordant with existing clinical processes. This is illustrated using a case study of successful implementation of the Camberwell Assessment of Need (CAN) in community mental health services across Ontario, Canada.

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Three models of community mental health services In low-income countries

International Journal of Mental Health Systems ◽

10.1186/1752-4458-5-3 ◽

2011 ◽

Vol 5 (1) ◽

pp. 3 ◽

Cited By ~ 34

Author(s):

Alex Cohen ◽

Julian Eaton ◽

Birgit Radtke ◽

Christina George ◽

Bro Manuel ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Community Mental Health ◽

Health Services ◽

Low Income ◽

Community Mental Health Services ◽

Low Income Countries

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Patterns of care in community mental health services in Lombardy

Epidemiologia e Psichiatria Sociale ◽

10.1017/s1121189x00007235 ◽

1998 ◽

Vol 7 (2) ◽

pp. 98-109 ◽

Cited By ~ 4

Author(s):

Antonio Lora ◽

Gabriella Bai ◽

Callisto Bravi ◽

Roberto Bezzi ◽

Francesco Bulgarini ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Community Mental Health ◽

Health Services ◽

Sono State ◽

Community Mental Health Services ◽

Patterns Of Care

RIASSUNTOScopo — L'obiettivo di questo studio è quello di descrivere i patterns di utilizzazione dei pazienti in contatto con 5 Unità Operative di Psichiatria lombarde secondo quattro classi: alti utilizzatori lungoassistiti, alti utilizzatori non lungoassistiti, lungoassistiti non alti utilizzatori, non alti utilizzatori non lungoassistiti. Disegno — Studio descrittivo a partire dai dati ricavati dal Sistema Informativo Psichiatrico regionale; è stata analizzata una coorte di 5.670 pazienti nell'ambito della prevalenza annua relativa all'anno 1994. Setting — 5 Unità Operative di Psichiatria della Regione Lombardia (Merate, Treviglio, Crema, Desio, Castano Primo), con una popolazione complessiva di 610.184 residenti di eta superiore ai 14 anni. Principali misure utilizzate — Sono state prese in considerazione alcune variabili sociodemografiche e cliniche relative ai pazienti; oltre un'analisi descrittiva dei quattro patterns, è stata effettuata una analisi logistica multinomiale. Risultari — Gli alti utilizzatori lungoassistiti (AU-LA), pur rappresentando solo il 5.3% del campione (4.9 casi per 10.000 residenti di età superiore ai 14 anni), consumano il 60% delle risorse espresse in SCS; solo la condizione di separato, divorziato, vedovo è predittiva per tale pattern. Gli alti utilizzatori non lungoassistiti (AU-non LA) costituiscono 1.2% del campione (1.1 casi per 10.000) ed utilizzano il 7.8% del SCS. Variabili predittrici di tale pattern sono l'eta compresa tra i 15-44 anni, l'assenza di un'attivita lavorativa e di un partner, la diagnosi di un disturbo mentale grave e la presenza di contatti con i servizi psichiatrici negli anni 1985-1989. I lungoassistiti non alti utilizzatori (LA-non AU) rappresentano il 23.4% della coorte (21.6 casi per 10.000) e vengono al secondo posto per consumo dirisorse (18.1% del SCS). Sono variabili predittive: l'età compresa tra i 15-44 anni, il vivere da solo, l'assenza di un'attività lavorativa e di un partner, la diagnosi di un disturbo mentale grave e la presenza di contatti con i servizi psichiatrici antecedenti al 1990. I pazienti non lungoassistiti non alti utilizzatori (non LA-non AU), pur rappresentando il 70.1% della coorte (64.8 casi per 10.000), consumano solo il 13.8% del SCS. Conclusioni — I dati mostrano che complessivamente l'attivita delle UOP è orientata nei confronti dei pazienti piu gravi, anche se sono rilevabili marcate differenze tra le UOP lombarde rispetto all'utilizzazione dei servizi. È confermata l'utilita di un Sistema Informativo a diffusione regionale che permetta di monitorare l'evoluzione nel tempo e nel territorio regionale dei patterns di utilizzazione.

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Evaluating the introduction of joint crisis plans into routine clinical practice in four community mental health services

Australasian Psychiatry ◽

10.1177/1039856214546172 ◽

2014 ◽

Vol 22 (5) ◽

pp. 476-480 ◽

Cited By ~ 7

Author(s):

Theresa M Williams ◽

Geoffrey P Smith ◽

Anita M Lumbus

Keyword(s):

Mental Health ◽

Clinical Practice ◽

Mental Health Services ◽

Community Mental Health ◽

Health Services ◽

Community Mental Health Services ◽

Routine Clinical Practice ◽

Crisis Plans

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Living Arrangements of Individuals with Schizophrenia in Japan: Impact of Community-Based Mental Health Services

International Journal of Social Psychiatry ◽

10.1177/0020764006061249 ◽

2006 ◽

Vol 52 (1) ◽

pp. 55-64 ◽

Cited By ~ 4

Author(s):

Iwao Oshima ◽

Eri Kuno

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Living Arrangements ◽

Psychiatric Service ◽

Community Mental Health Services ◽

Psychiatric Hospitals ◽

Community Based ◽

Age Cohorts ◽

The Difference

Aims: In Japan psychiatric hospitals and family play the predominant roles in caring for people with serious mental illness. This study explored how the introduction of community-based care has changed this situation by examining living arrangements of individuals with schizophrenia who were treated in one of the most progressive systems in Japan (Kawasaki) compared with national norms. Methods: The proportion of clients with schizophrenia in the community versus hospital and living arrangements for those in the community were compared between the Kawasaki and national treated population, using data from the Kawasaki psychiatric service users survey in 1993 and two national surveys in 1993 and 1983. The variation in living arrangements was examined across five different age cohorts. Results: The estimated national population was 36.7, which was similar to 32.7 clients per 10,000 population in Kawasaki. Some 71% of the Kawasaki clients were treated in the community compared with 55% nationally. The difference between the Kawasaki and national populations was the largest among clients aged 40 to 59. The Kawasaki community clients had a higher proportion of clients living alone. Conclusions: The community mental health services available in Kawasaki appeared to reduce hospitalisation and help clients to live alone in the community.

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