Paramedics’ confidence and perceived competence when attending to varied patient presentations: A mixed-method study.

2021 ◽  
Author(s):  
Nicholas Waltrich ◽  
Mathew Ling ◽  
Jade Sheen
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Work Experience ◽  
Repeated Measures ◽  
Perceived Ability ◽  
Work Related ◽  
Level Of Experience ◽  
Patient Presentation ◽  
And Training ◽  
Insight Into

Objective: Paramedics are routinely called to patients presenting with mental health concerns. Previous literature suggests paramedics find this patient group challenging. However, no study has investigated whether paramedics find mental health presentations (MHP) more challenging relative to other patient presentations, or whether certain paramedic variables relate to their perceived ability to manage MHP. This study investigates differences in paramedics’ perceived ability to attend to MHP compared to other patient presentations, and whether their perceived ability is related to their level of experience or location of work (metropolitan or rural). The study also explores paramedic’s experiences and perspectives of MHP. Method: Operational paramedics in Australia (n = 138) completed a survey assessing their perceived ability to respond to mental health, cardiac, respiratory and trauma-related presentations. A repeated measures ANOVA tested differences in perceived ability between these patient presentations. T-tests and Pearson’s correlations were conducted to determine whether years of experience or location of work related to their perceived ability for MHP. Nine paramedics were also interviewed and a thematic analysis conducted to gain insight into paramedic’s experiences and perspectives of MHP.Results: Paramedics reported a significantly lower perceived ability to respond to MHP relative to each other patient presentation measured. No relationships were found between a paramedic’s perceived ability to respond to MHP and their length of work experience or location of work. Interviews with paramedics revealed four superordinate themes: 1) inconsistent conceptualization of their role, 2) feelings of helplessness and frustration, 3) stigmatized views of patients with a mental illness, and 4) inconsistent views of knowledge and learning relating to MHP. Conclusion: Paramedics believe they have a significantly poorer ability to respond to MHP relative to other patient presentations. Education and training focused on defining a paramedic’s role for MHP as well as reducing stigmatized views of patients with a mental illness may improve paramedic’s care of this cohort of patients.

Follow-up of Mental Health Attitudes of Psychiatric Aides after Training

1979 ◽  
Vol 45 (3) ◽  
pp. 801-802
Author(s):  
M. K. Distefano ◽  
Margaret W. Pryer
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Training Program ◽  
Work Experience ◽  
Health Attitudes ◽  
Mental Health Attitudes ◽  
Opinions About Mental Illness ◽  
Program Changes

The Opinions About Mental Illness Scale was administered to 28 psychiatric aides who were followed up 24 to 39 mo. after completion of a basic aide training program. Changes in attitude after training were stable at follow-up on three factors. Data suggested that the unfavorable change on one factor was associated with the post-training work experience of these aides.

Openings and closures: Mental health in Joachim Trier’s cinematic universe

2019 ◽  
Vol 9 (1) ◽  
pp. 75-88 ◽  
Author(s):  
Anne Gjelsvik
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Sudden Death ◽  
Drug Addict ◽  
Main Character ◽  
Depression And Anxiety ◽  
Psychological Issue ◽  
Multiple Challenges ◽  
The Relationship ◽  
Insight Into

This article argues that mental health and mental illness are important topics in Joachim Trier’s oeuvre. In Reprise (2006), two aspiring writers face multiple challenges when one of them suffers a mental breakdown and is hospitalized. Oslo, August 31st (2011) chronicles the final day of a depressed drug addict before he commits suicide. In Louder Than Bombs (2015), three family members try to process trauma and loss after the mother’s sudden death; the main character in Thelma (2017) struggles with emancipation while at the same time suffering from strange seizures, seemingly caused by some unidentified psychological issue. Focusing on close readings of central scenes in Oslo, August 31st and Thelma, the article investigates how the relationship between the protagonists and their environment is used to portray mental illness and create insight into the experience of depression and anxiety.

scholarly journals DESIGNING THE MINIMUM DATA SET OF PSYCHIATRIC EMERGENCY RECORD

2017 ◽  
Vol 1 (4) ◽  
pp. 117-118
Author(s):  
Zahra Ebnehoseini ◽  
Marziyhe Meraji ◽  
Farzad Akbarzadeh ◽  
Malihe Irajzade
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Literature Review ◽  
Work Experience ◽  
Psychiatric Emergency ◽  
Clinical Psychologist ◽  
Emergency Psychiatry ◽  
Data Element ◽  
Data Set ◽  
History Of

Introduction: Psychiatric emergencies are acute mental health disturbances, behavior and social relationship that require immediate intervention. The major role of psychiatric emergency services is to provide mental health care services for patients with acute mental health problems. Design emergency psychiatry core dataset has improved the coordination and integration of services and improved the outcomes for the patient with severe and persistent mental illness with complex needs. So the aim of this study was to design data elements (DEs) in emergency psychiatry for Iran.   Methods: This is an applied study. Emergency psychiatry (DEs) collected via literature review and then psychologist and psychiatrist (16 experts) assign the score from 0 to 5 to them according to the value of each data element. (DEs)  selected as core Emergency psychiatry (DEs) that were achieved 4 or 5 scores from 75% specialist.   Results: According to the literature review, 110 (DEs) included studying. 13 experts (8 psychologists, 8 Clinical Psychologist) evaluated psychiatric emergency (DEs) set. The average work experience of psychiatrists and psychologists was 16 years and their work experience ranged from 2 to 25 years (table 1). according to the experts opinion, 54 (DEs) with at least 75% of the agreement were identified as the psychiatric emergency (DEs). Emergency psychiatric (DEs) and average agreement of each of them were: demographic characteristics (6 DEs with an agreement average of 82.5%), history of mental illness (9 DEs with an agreement average of 79%), family history of psychology (3 DEs with an average agreement of 77.08%), medical history (1 DEs with an average agreement of 81.25 %) Assessment of mental status ( 20 DEs with an average agreement of 82%), assessment of the self harm risk or harm risk for others ( 13 DEs with an average agreement of 93.6%) and diagnosis and treatment (3 DEs with an average agreement of 81.25%). Conclusion: Given the importance of psychiatric disorder and lack of the national system for gathering psychiatric information, perform the same study abut psychiatric data element is very important. The results of this study can be used for design psychiatric emergency forms and gather accurate and complete patient information.

scholarly journals Mental Illness and Psychiatry: The 20th and Early 21st Centuries

2021 ◽  
Vol 4 (3) ◽  
pp. p57
Author(s):  
Paulann Grech ◽  
Reuben Grech
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
20Th Century ◽  
21St Century ◽  
Insight Into

The aim of this paper is to present the opposing views and tensions that characterised the evolution of psychiatry and understandings of mental health during the 20th century and the early decades of the 21st century. To this extent, the principal figures and entities that occupied the main fronts during these debates are presented during a description of the journey undertaken by psychiatry during the aforementioned years. Quotes from various original texts or their translations have been included in an attempt to recreate the spirit of the periods under study. This historical exploration provides further insight into the multifaceted world of mental health, its illnesses, treatments and the role of a number of influencing bodies that were crucial into shaping this discipline across the centuries.

Mental Health Social Work Reimagined

2019 ◽  
Author(s):  
Ian Cummins
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Work ◽  
Social Policy ◽  
Mental Distress ◽  
Community Care ◽  
Current Crisis ◽  
Social Work Values ◽  
Historical Perspectives ◽  
Insight Into

This book argues that mental health social work needs to be located within the wider political and social policy landscape. Wider societal attitudes to mental illness are examined followed by a discussion of the development of community care. The author argues that these historical perspectives provide an insight into the roots of the current crisis in mental health services. The book goes on to analyse a range of contemporary issues and challenges in mental health social work. It argues that social inequality and policies of austerity have increased levels of mental distress. It calls for a rediscovery of core social work values and a rejection of bureaucratic managerialism.

Experience, Knowledge and Attitudes of Mental Health Staff Regarding Patients' Problematic Drug and Alcohol Use

1999 ◽  
Vol 33 (2) ◽  
pp. 267-273 ◽  
Author(s):  
Nandi Siegfried ◽  
Joanne Ferguson ◽  
Michelle Cleary ◽  
Garry Walter ◽  
Joseph M. Rey
Keyword(s):  
Mental Health ◽  
Work Experience ◽  
Education And Training ◽  
Alcohol Problems ◽  
Health Staff ◽  
Mental Health Staff ◽  
Alcohol Education ◽  
Problematic Drug ◽  
Drug And Alcohol ◽  
And Training

Objective: The aim of this study was to assess the experience, knowledge and attitudes of mental health staff regarding patients' problematic drug and alcohol use in order to provide direction for planned drug and alcohol education. Method: A 47-item questionnaire was developed and individually posted to all mental health staff employed by Central Sydney Area Health Service (n == 536). Results: Three hundred and thirty-eight (63%) staff members completed the questionnaire. Thirty-six percent of respondents had received drug and alcohol training and 41% had drug and alcohol work experience. Drug and alcohol training and work experience were associated with increased drug and alcohol knowledge. Respondents' perception of their knowledge and competence was positively correlated with their actual knowledge. Most staff reported having regular contact with patients with psychotic illnesses and drug and alcohol problems. The majority considered the management of this patient group difficult and currently inadequate. Seventy percent believed that as mental health professionals they had a role to play in the management of their patients' drug and alcohol problems. Almost all (95%) were willing to participate in further education and training in this area. Conclusions: Mental health staff are often confronted with drug and alcohol problems in patients with psychotic illnesses. They perceive a need for drug and alcohol education and training specific to the management of these patients. Future research will need to evaluate outcomes of education and training programs for both staff and patients.

Support workers’ mental health knowledge and confidence in relation to exposure, experience, work setting and training

2014 ◽  
Vol 8 (4) ◽  
pp. 248-259 ◽  
Author(s):  
Ann Kilanska ◽  
Helena M. Priest
Keyword(s):  
Mental Health ◽  
Work Experience ◽  
Health Knowledge ◽  
Mental Health Problems ◽  
Health Problems ◽  
Work Setting ◽  
Content Type ◽  
Training Programmes ◽  
Mental Health Knowledge ◽  
And Training

Purpose – Previous studies have shown that support workers often have difficulties in recognising mental health problems in service users with intellectual disabilities. In the context of improved UK training programmes, the purpose of this paper is to explore the factors that can predict support workers’ knowledge and confidence in this respect. Design/methodology/approach – In total, 80 support workers (40 residential and 40 community-based) completed a questionnaire about their length of work experience, exposure to service users with additional mental health needs, training, general and specific mental health knowledge, and confidence in working with mental health issues. It was hypothesised that length of work experience, extent of training, and level of exposure would predict knowledge about mental health problems, and also predict confidence in working with people with mental health problems. It was further predicted that residential support workers would be more knowledgeable and confident than community workers. Findings – Results showed that level of exposure could predict knowledge about schizophrenia, but not about depression, anxiety, or dementia, while length of experience could predict overall mental health knowledge and confidence. Extent of training could only predict knowledge about anxiety, and work setting (residential or community) had no effect to on knowledge or confidence. Implications for practice and training are discussed. Originality/value – In the context of improved UK training programmes, this study aimed to explore the factors that can predict support workers’ knowledge and confidence in this respect.

scholarly journals A Phenomenological Study to Explore the Challenges in Mental Health Nursing Practice towards Developing Practice Guidelines

2021 ◽  
Vol 11 (4) ◽  
pp. 210-212
Author(s):  
Nivamani Barman
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Practice Guidelines ◽  
Work Experience ◽  
Nursing Practice ◽  
Phenomenological Study ◽  
Sampling Technique ◽  
Care Hospital ◽  
Mental Health Nursing ◽  
Health Nursing

Background: Nurses were facing various challenges while providing care to patients with mental illness. The study aims to explore those challenges so that practice guidelines can be developed. Methodology: Approach- Qualitative, Research Design- Phenomenological study, Sample- Nursing personnel, Sample size- 10, Sampling technique- Purposive sampling technique, Setting- Indoor of Tertiary Care Hospital, Inclusion Criteria- Both male and female, Nurses working in Indoor and with work experience of at least one year. Results: Results shows that 10% of the subjects are male, 90% were female, 70% were Hindu, 30% were Christian, 10% were GNM, 20% were Bsc. Nurse, 60% were DPN, 10% were Post Basic Bsc nurses, 70% were married, 30% unmarried, 40% of the subjects had 1-3 years of work experience, 60% had more than 10 years of work experience and no one had exposed to any training programs associated with it. Thematic analysis shows that major challenges were more work load, less number of staff, lack of personal safety and security, restricted hospital facility, psychopathology of acutely ill patients, negative attitude of family members and limited continuing up gradation of knowledge. Conclusion: The study results show that, nurses faced various challenges while delivering care to patients with mental illness. Key words: Challenges, Mental Health Nursing Practice, practice guideline.

scholarly journals Prinsip dalam keperawatan jiwa

2020 ◽  
Author(s):  
Novrial Ahmad Hanif
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
General Public ◽  
Recovery Process ◽  
Human Being ◽  
Health Community ◽  
The Future ◽  
Insight Into ◽  
People’S Perceptions

Mental health is projected to be one of issues that would be a problem among people's live in the future. This issue is caused by a lack of knowledge and insight into the mental health community, as well as the negative stigma attached to people's perceptions of mental illness and the sufferers. The negative stigma hamper government and community efforts in creating mental health in the community. Stigma obstruct the recovery process of mental disorders that can happen to any human being and for the sufferers will be difficult to live in the midst of the general public.

Mental illness evaluation and referrals in medical care

2020 ◽  
Author(s):  
Olivia Peros ◽  
Erin Ward-Ciesielski ◽  
Daniel Sullivan ◽  
Alyssa Conigliaro
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Online Survey ◽  
The United States ◽  
Medical Professionals ◽  
Health Evaluation ◽  
Mental Health Referrals ◽  
Severe Psychopathology ◽  
Prescribing Medication ◽  
And Training

The current study seeks to better understand the process by which medical professionals assess mental illness and their subsequent steps when mental illness is suspected or diagnosed (e.g., psychiatric or psychological referral, prescribing medication, etc.). Participants included 36 licensed medical professionals (80% physicians, 20% non-physicians) who are currently practicing in the United States. All participants completed an online survey that included questions about 1) participant demographics, 2) participant’s medical practice and training, 3) prevalence of mental illness in their patient population, 4) how they assess mental illness symptoms, and 5) steps they generally take if they recognize these symptoms in their patients. Additional questions asked about the specific referral processes for patients for whom the physician suspected low, moderate, and severe psychopathology. More than half (56.7%) of participants indicated they have not received training about mental health. Although nearly two-thirds (65.7%) of participants reported using routine screening measures, more than one third (35.3%) reported that non-medical professionals conduct these screenings. Results suggest that regardless of the severity of the patients’ mental illness the majority of participants referred the patient to a mental health professional; around three-quarters referred to specific providers. The second most common referral step was prescribing medications. This study highlights the importance of leveraging medical professionals’ interactions with their patients to improve mental health referrals for patients who may benefit from further mental health evaluation or treatment.

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