scholarly journals Description of physiotherapy services in a mental health institution in Nigeria

2011 ◽  
Vol 67 (3) ◽  
Author(s):  
C.A. Gbiri ◽  
A.O. Akinpelu ◽  
A.C. Odole
Keyword(s):  
Mental Health ◽  
Physical Diagnosis ◽  
Mental Health Team ◽  
Health Institution ◽  
Health Team ◽  
Number Of Patients ◽  
Quality Of Patient Care ◽  
Health Institutions ◽  
Mental Health Institution

Physiotherapy  has  long  been  recognised  as  adjunct  to  drug therapy in the management of individuals with mental illness. however, little evidence existed on the utilization of physiotherapy in mental health especially in developing worlds.This study reviewed the utilization of physiotherapy in a Mental health  Institution in lagos, nigeria and determined its contribution to quality of  patient-care in the hospital.This study involved review of clients’ activity profile and patients’ record in a federal neuro-psychiatric hospital in lagos, nigeria between 2002 and 2006. The hospital records were used as source of information for socio- demographic details. Information on the physical diagnosis was extracted from the patients’ records in the departmental records. Data were summarized using descriptive statistics.Six thousand, four hundred and seventy-three (3.3%) out of the 195,686  patients of the hospital within the study period enjoyed physiotherapy ser vices. only 766 (14%) of the hospital in-patients enjoyed physiotherapy services. In addition, 808 clients enjoyed the health promotion services. low back pain (85; 21.7%), osteo-arthritis (82; 20.9%), stroke (64; 16.3%) and shoulder pain  (29; 7.4%) were the most common co-existing health problems referred for physiotherapy.The importance of physiotherapy in mental health is evidenced in the number of patients/clients who benefited from its services. Therefore, physiotherapy is an integral and indispensible member of the mental health team. however, physiotherapy  is  still  under-utilized  in  the  hospital.  This  points  to  the  need  for  proper  integration  of  physiotherapy  into mental health team in the hospital and other similar health institutions.

scholarly journals Quality standards for community mental health teams

2009 ◽  
Vol 33 (10) ◽  
pp. 387-389 ◽  
Author(s):  
Richard Laugharne ◽  
Rohit Shankar
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Local Community ◽  
Evidence Based ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Team Members ◽  
Health Team ◽  
Staff Performance

SummaryThere is an increasing requirement for mental health services to demonstrate the quality of care provided. We have developed a quality report of our local community mental health team in Cornwall and suggest quality measures that we believe are useful to patients and clinicians, and possible to implement without overwhelming busy team members. They include measures of satisfaction, accessibility, safe process and review, outcomes, evidence-based practice and staff performance. Different teams may need different standards but we hope this paper will stimulate discussion and debate.

Mental Health Team Leadership and Consumers' Satisfaction and Quality of Life

2000 ◽  
Vol 51 (6) ◽  
pp. 781-785 ◽  
Author(s):  
Patrick W. Corrigan ◽  
Sarah E. Lickey ◽  
John Campion ◽  
Fadwa Rashid
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Team Leadership ◽  
Mental Health Team ◽  
Health Team

scholarly journals Improving methods of assessment in a community mental health team

1996 ◽  
Vol 20 (1) ◽  
pp. 30-32 ◽  
Author(s):  
Adrian Treloar
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Clinical Information ◽  
The Elderly ◽  
Case Note ◽  
Dramatic Improvement ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Health Team

Changing methods of recording psychiatric histories by a community mental health team for the elderly was associated with a dramatic improvement in the quality of recording of clinical Information and of communication with general practitioners. Comparison is made with published studies of case note audit with feedback. It is suggested that restructuring the way we work may be more effective than simple review of case notes with feedback.

scholarly journals Improving the process of zoning in a community mental health team

2020 ◽  
Vol 9 (1) ◽  
pp. e000659
Author(s):  
Alexander Adams ◽  
Jennifer Perry ◽  
Stephanie Young
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Improvement Project ◽  
Health Team ◽  
Barriers To Change ◽  
Management Plans ◽  
Consistent Change

IntroductionA zoning system is used to ensure that service users receive appropriate levels of support while they are using community mental health team (CMHT) services. Patients are split into red, amber and green zones and are discussed in a daily morning meeting to ensure management plans are in place. We identified that the meeting was an area for improvement as initial feedback indicated that the meeting was repetitive, newcomers to the team found that they did not understand why patients were in different zones and discussions were not being documented. Our three aims for the project were to improve staff-rated satisfaction by 25%, to improve weekly documentation of discussions to 100% and to improve the quality of information handed over by 25% over 4 months.MethodsWe used the Model for Improvement and "plan, do, study, act" (PDSA) cycles to test change ideas such as having someone chair the meeting, use of a ‘situation, background, assessment, recommendation, decision’ (SBARD) format to handover, introduction of a blue zone for inpatients and documentation in a specific part of the electronic notes at a specific time.ResultsWe did not find our PDSA cycles led to a consistent change in satisfaction, quality and efficiency. We found an improvement of SBARD use up to 100% although this was not always consistent and an improvement in documentation to 100% for 3 weeks however this was not sustained.ConclusionOn examining barriers to change, we found the key to sustaining improvement is in ensuring multidisciplinary team member involvement at all stages of the Quality Improvement project.

Quality of care in longer term mental health institutions in Portugal

2011 ◽  
Vol 38 (S 01) ◽  
Author(s):  
G Cardoso ◽  
C Pacheco ◽  
J Caldas-de-Almeida
Keyword(s):  
Mental Health ◽  
Quality Of Care ◽  
Health Institutions ◽  
Mental Health Institutions

scholarly journals Community psychiatry's achievements

2014 ◽  
Vol 23 (4) ◽  
pp. 337-344 ◽  
Author(s):  
T. Burns
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Community Psychiatry ◽  
Psychosocial Interventions ◽  
Community Mental Health Team ◽  
Pattern Of Care ◽  
Mental Health Team ◽  
Health Team ◽  
Developed World

Mental health care in the second half of the 20th century in much of the developed world has been dominated by the move out from large asylums. Both in response to this move and to make it possible, a pattern of care has evolved which is most commonly referred to as ‘Community Psychiatry’. This narrative review describes this process, from local experimentation into the current era of evidence-based mental health care. It focuses on three main areas of this development: (i) the reprovision of care for those discharged during deinstitutionalisation; (ii) the evolution and evaluation of its characteristic feature the Community Mental Health Team; and (iii) the increasing sophistication of psychosocial interventions developed to support patients. It finishes with an overview of some current challenges.

scholarly journals To improve the communication between a community mental health team and its service users, their families and carers

2020 ◽  
Vol 9 (4) ◽  
pp. e000914
Author(s):  
Priyalakshmi Chowdhury ◽  
Amir Tari ◽  
Ola Hill ◽  
Amar Shah
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
User Satisfaction ◽  
Service User ◽  
Service Users ◽  
Not Given ◽  
Community Mental Health Team ◽  
Mental Health Team ◽  
Specialist Registrar ◽  
Health Team

This article describes the application of quality improvement (QI) to solve a long-standing, ongoing problem where service users or their carers felt they were not given enough information regarding diagnosis and medication during clinic assessments in a community mental health setting. Service users and carers had shared feedback that some of the information documented on clinic letters was not accurate and the service users were not given the opportunity to discuss these letters with the clinician. The aim of this QI project was to improve the communication between the community mental health team (CMHT) and service users and their carers. Wardown CMHT volunteered to take on this project. The stakeholders involved were the team manager and deputy manager, the team consultant, the team specialist registrar, team administrative manager, two carers and one service user. The project had access to QI learning and support through East London NHS Foundation Trust’s QI programme. The team organised weekly meetings to brainstorm ideas, plan tests of change to review progress and to agree on the next course of action. The outcome was an increase in service user satisfaction from 59.9% to 78% over a period of 6 months, and a reduction in complaints to zero.

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