scholarly journals Protective jurisdiction, patient autonomy and paramedics: the challenges of applying the NSW Mental Health Act

2009 ◽  
Vol 7 (4) ◽  
Author(s):  
Ruth Townsend ◽  
Morgan Luck
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Patient Autonomy ◽  
Ethical Dilemmas ◽  
Clear Understanding ◽  
Mental Health Patients ◽  
Optimal Patient Care ◽  
Form Part ◽  
Community Changes ◽  
Health Laws

Paramedics form part of the frontline response to mental health care in the community. Changes to mental health laws across the country have seen an increase in the role and responsibilities paramedics have in assessing, treating and managing mental health patients. The increasing complexity of the paramedic role associated with these changes requires a clear understanding of the legal, ethical and organisational requirements that accompany them. This paper will examine the relevant legislative principles and ethical dilemmas that are raised by these changes and will demonstrate the need for further research to assist in the development and implementation of strategies to assist paramedics in providing optimal patient care to a vulnerable section of the community.

Handling Ethical Dilemmas in Multidisciplinary Teams

2014 ◽  
Author(s):  
Jill Thistlethwaite ◽  
Wendy Hawksworth
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Problems ◽  
Ethical Issues ◽  
Interprofessional Collaboration ◽  
Ethical Dilemmas ◽  
Multidisciplinary Teams ◽  
Team Members ◽  
Secondary Health Care

This chapter explores the concept and practice of teamwork and interprofessional collaboration in the support and treatment of clients with mental health problems. Mental health care provision is complex, ethically challenging, and frequently delivered via mental health care teams (MHCT) in both primary and secondary health care settings. We consider how such teams may work together optimally using values-based and client-centered approaches. We discuss the nature of and reasons for conflict arising in multidisciplinary MHCTs, focusing on ethical dilemmas that occur where there is diversity amongst team members in respect of personal, professional, and/or organizational values. The specific ethical issues discussed are: boundary issues; receiving gifts; confidentiality, and involuntary treatment and restraint. Three case studies are used to provide examples of values in action.

Patient experience of MDT care and decision-making

2014 ◽  
Vol 19 (4) ◽  
pp. 265-278 ◽  
Author(s):  
William O'Driscoll ◽  
Gill Livingston ◽  
Anne Lanceley ◽  
Caoimhe Nic a' Bháird ◽  
Penny Xanthopoulou ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Physical Health ◽  
Patient Experience ◽  
Diagnostic Process ◽  
Shared Understanding ◽  
Clear Understanding ◽  
Content Type ◽  
Mental Health Patients ◽  
Understanding Of Illness

Purpose – The purpose of this paper is to explore physical and mental health patients’ experience of multidisciplinary team (MDT) care and decision making in order to highlight factors underlying effective care and to identify areas in which patient experience could be improved. Design/methodology/approach – Totally, 12 MDTs within the North Thames area participated; the authors recruited 13 patients from physical health MDTs and seven patients from mental health MDTs. The authors conducted semi-structured interviews with each participant and thematically analysed the transcripts. Findings – The study found a marked contrast in patient experience: physical health patients emphasised their faith in the judgement of MDT clinicians, described experiencing high quality care and expressed a strong preference not to attend MDT meetings; mental health patients highlighted a range of negative experiences, were frequently sceptical about their diagnosis, and expressed a desire to have greater involvement in the decisions directing their care. Research limitations/implications – It was necessary to revise the initial target of interviewing six patients per MDT due to recruitment difficulties. Practical implications – In order to improve care, mental health MDTs should focus on promoting a shared understanding of illness by increasing the transparency of the diagnostic process. Key factors underlying effective MDT care in physical health services include enabling patients to determine their level of involvement in decision making and ensuring patients have a clear understanding of their care plan. Originality/value – The paper highlights the importance of mental health MDTs focusing on developing a shared understanding of illness with their patients.

scholarly journals A Four-Component Framework Toward Patient-Centered, Integrated Mental Healthcare in Kenya

2021 ◽  
Vol 9 ◽  
Author(s):  
Manasi Kumar ◽  
Thomas L. Osborn ◽  
Cyrus Mugo ◽  
Hossein Akbarialiabad ◽  
Osman Warfa ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
Professional Training ◽  
Fast Track ◽  
Mental Healthcare ◽  
Clear Understanding ◽  
Care Providers ◽  
Patient Centered ◽  
Fast Tracking

Background: How can we fast-track the global agenda of integrated mental healthcare in low- and middle-income countries (LMICs) such as Kenya? This is a question that has become increasingly important for individuals with lived experiences, policymakers, mental health advocates and health care providers at the local and international levels.Discussion: This narrative synthesis and perspective piece encompasses an overview of mental health care competencies, best practices and capacity building needed to fast track patient responsive services. In that vein we also review key policy developments like UHC to make a case for fast-tracking our four-step framework.Results: While there is an increasingly global impetus for integrated mental healthcare, there is a lack of clarity around what patient-responsive mental healthcare services should look like and how to measure and improve provider readiness appropriately. Here, our collaborative team of local and international experts proposes a simple four-step approach to integrating responsive mental healthcare in Kenya. Our recommended framework prioritizes a clear understanding and demonstration of multidimensional skills by the provider. The four steps are (1) provider sensitization, (2) continuous supervision, (3) continuous professional training, and (4) leadership empowerment.Conclusion: Our proposed framework can provide pointers to embracing patient-centered and provider empowerment focused quality of care improvements. Though elements of our proposed framework are well-known, it has not been sufficiently intertwined and therefore not been integrated. We think in the current times our integrated framework offers an opportunity to “building back better” mental health for all.

Frontier Ethics: Mental Health Care Needs and Ethical Dilemmas in Rural Communities

1999 ◽  
Vol 50 (4) ◽  
pp. 497-503 ◽  
Author(s):  
Laura Weiss Roberts ◽  
John Battaglia ◽  
Richard S. Epstein
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Rural Communities ◽  
Mental Health Care ◽  
Ethical Dilemmas ◽  
Health Care Needs ◽  
Care Needs

Mental health care in Rome

2005 ◽  
Vol 20 (S2) ◽  
pp. s294-s297 ◽  
Author(s):  
A. Gaddini ◽  
M. Ascoli ◽  
L. Biscaglia
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Length Of Stay ◽  
Mental Health Care ◽  
Median Length ◽  
Community Based ◽  
Mental Health Patients ◽  
Adequate Evaluation ◽  
Set Up ◽  
Inpatient Units

AbstractAimTo describe principles and characteristics of mental health care in Rome.MethodBased on existing data, service provision, number of professionals working in services, funding arrangements, pathways tocare, user/carer involvement and specific issues are reported.ResultsAfter the Italian psychiatric reform of 1978, an extensive network of community-based services has been set up in Romeproviding prevention, care and rehabilitation in mental health. A number of small public acute/emergency inpatient units inside general hospitals was created (median length of stay in 2002 = 8 days) to accomplish the shift from a hospital-based to a community-based psychiatric system of care. Some private structures provide inpatient assistance for less acute conditions (median length of stay in 2002 = 28 days), whilst the large Roman psychiatric hospital was closed in 1999.DiscussionWhilst various issues of mental health care in Rome overlap with those in other European capitals, there also are some specific problems and features. During the last two decades, the mental health system in Rome has been successfully converted to a community-based one. Present issues concern a qualitative approach, with an increasing need to foresee adequate evaluation, especially considering mental health patients' satisfaction with services and economic outcomes.

scholarly journals Sleepless Nights because of Ethical Dilemmas in Mental Health Care for Asylum Seekers

2017 ◽  
Vol 31 (4) ◽  
pp. 466-487 ◽  
Author(s):  
Sander A Kramer ◽  
Erik Olsman ◽  
Mariëtte H H Hoogsteder ◽  
Loes H M Van Willigen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Asylum Seekers ◽  
Ethical Dilemmas

scholarly journals Multidisciplinary team members’ perceptions regarding advanced psychiatric nurses’ attitudes on mental healthcare

2021 ◽  
Vol 26 ◽  
Author(s):  
Eve P. Jacobs ◽  
Sipho W. Mkhize
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Multidisciplinary Team ◽  
Psychosocial Rehabilitation ◽  
Mental Healthcare ◽  
Psychiatric Nurses ◽  
Team Members ◽  
Rehabilitation Programs ◽  
Mental Health Patients

Background: The attitudes of advanced psychiatric nurses significantly contribute to the management, treatment plan and care of the mental healthcare users, and resultantly affects the quality and standards of mental healthcare. Considering these effects, it is imperative to understand how the attitudes of advanced psychiatric nurses are perceived by other multidisciplinary team members.Aim: To describe the perceptions of the multidisciplinary team members regarding advanced psychiatric nurses’ attitudes in clinical practice.Setting: Three mental health institutions were utilised to obtain the perceptions related to the attitudes displayed by advanced psychiatric nurses in the clinical environment.Method: A qualitative research descriptive approach was adopted to obtain in-depth descriptions of the attitudes portrayed by advanced psychiatric nurses. Eight purposefully sampled multidisciplinary team members were interviewed to obtain information. Data were analysed using Colaizzi’s method.Results: Themes and sub-themes emerged. Mental healthcare providers exhibited both negative and positive attitudes towards mental health patients. By perception, unfavorable attitudes hindered effective communication and psychosocial rehabilitation programs for mental health patients. Positivity enhanced feedback during ward rounds and during clinical meetings.Conclusion: Despite the positive impact advanced psychiatric nurses have on mental health care, views regarding mental health patients remain negative. It is recommended that advanced psychiatric nursing education curriculum address negative attitudes, views, and stereotypes. Mental healthcare users need to be provided with psychosocial rehabilitation programs and activities that address advance psychiatric nurses’ lack of initiatives.Contribution: A clear set of principles and protocols underpins the collaborative effort among multidisciplinary teams in mental health care.

scholarly journals Economic and Social Factors That Predict Readmission for Mental Health and Drug Abuse Patients

2021 ◽  
Vol 13 (2) ◽  
pp. 531
Author(s):  
Quang “Neo” Bui ◽  
Emi Moriuchi
Keyword(s):  
Mental Health ◽  
Health Care ◽  
New York ◽  
Drug Abuse ◽  
Social Factors ◽  
The United States ◽  
Readmission Rates ◽  
Hospital Administrators ◽  
Admission Data ◽  
Mental Health Patients

According to the United Nations, curtailing the rise of mental illness and drug abuse has been an important goal for sustainable development of member states. In the United States, reducing readmission rates for mental health and drug abuse patients is critical, given the rising health care costs and a strained health care system. This study aims to examine economic and social factors that predict readmission likelihood for mental health and drug abuse patients in the state of New York. Patient admission data of 25,846 mental health patients and 32,702 drug abuse patients with multiple visits in New York hospitals in 2015 were examined. Findings show that economic factors like income level and payment type impact readmission rates differently: The poorest patients were less likely to get readmitted while patients with higher incomes were likely to experience drug relapse. Regarding social factors, mental health patients who lived in neighborhoods with high social capital were less likely to be readmitted, but drug abuse patients in similar areas were more likely to be readmitted. The findings show that policy-makers and hospital administrators need to approach readmission rates differently for each group of patients.

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