scholarly journals Mental health professionals' perceptions, judgements and decision-making practices regarding the use of electronic cigarettes as a tobacco harm reduction intervention in mental healthcare: A qualitative focus group study

2019 ◽  
Vol 10 ◽  
pp. 100184
Author(s):  
Charlie Albert Smith ◽  
Ann McNeill ◽  
Loren Kock ◽  
Zoyah Ahmed ◽  
Lion Shahab
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Focus Group ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Electronic Cigarettes ◽  
Mental Healthcare ◽  
Tobacco Harm Reduction ◽  
Focus Group Study ◽  
Harm Reduction Intervention

Sexual Feelings Toward Clients in the Psychotherapeutic Relationship: The Taboo Revealed

2021 ◽  
pp. 104973232199065
Author(s):  
Lara Vesentini ◽  
Hubert Van Puyenbroeck ◽  
Dirk De Wachter ◽  
Frieda Matthys ◽  
Johan Bilsen
Keyword(s):  
Mental Health ◽  
Focus Group ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Focus Group Study ◽  
Safe Environment ◽  
Psychotherapeutic Relationship ◽  
Sexual Feelings ◽  
The Way

Talking about sexual feelings toward clients is still difficult for many mental health professionals. This is unfortunate, because exploring and talking about these feelings with peers (especially senior ones) or supervisors can help professionals to recognize, acknowledge, accept, and handle these feelings well. This focus group study explores the various factors that contribute to psychotherapists’ hesitancy to talk about these feelings. The analysis revealed two important impeding factors: the psychotherapists felt discomfortable and a safe environment was lacking. Young, less experienced psychotherapists and psychiatrists seemed to be most vulnerable. Furthermore, more profound sexual feelings were “disguised” in some cases by using a more acceptable narrative, such as “ intimate feelings,” which possibly also impeded acknowledgment and discussion of these feelings. These insights might help to open up the way for psychotherapists to explore and come forward with their sexual feelings and experiences.

scholarly journals Informal coercion in psychiatry: a focus group study of attitudes and experiences of mental health professionals in ten countries

2015 ◽  
Vol 50 (8) ◽  
pp. 1297-1308 ◽  
Author(s):  
Emanuele Valenti ◽  
Ciara Banks ◽  
Alfredo Calcedo-Barba ◽  
Cécile M. Bensimon ◽  
Karin-Maria Hoffmann ◽  
...  
Keyword(s):  
Mental Health ◽  
Focus Group ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Focus Group Study ◽  
Informal Coercion

scholarly journals Different forms of informal coercion in psychiatry – a qualitative study

2019 ◽  
Author(s):  
Veikko Pelto-Piri ◽  
Lars Kjellin ◽  
Ulrika Hylén ◽  
Emanuele Valenti ◽  
Stefan Priebe
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Focus Group ◽  
Qualitative Study ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Qualitative Content Analysis ◽  
Focus Group Interviews ◽  
Informal Coercion ◽  
Group Interviews

Abstract Objectives The objective of the study was to investigate how mental health professionals describe and reflect upon different forms of informal coercion. Results In a deductive qualitative content analysis of focus group interviews, several examples of persuasion, interpersonal leverage, inducements, and threats were found. Persuasion was sometimes described as being more like a negotiation. Some participants worried about that the use of interpersonal leverage and inducements risked to pass into blackmail in some situations. In a following inductive analysis, three more categories of informal coercion was found: cheating, using a disciplinary style and referring to rules and routines. Participants also described situations of coercion from other stakeholders: relatives and other authorities than psychiatry. The results indicate that informal coercion includes forms that are not obviously arranged in a hierarchy, and that its use is complex with a variety of pathways between different forms before treatment is accepted by the patient or compulsion is imposed.

scholarly journals Profiling mental health professionals in relation to perceived interprofessional collaboration on teams

2019 ◽  
Vol 7 ◽  
pp. 205031211984146
Author(s):  
Nicolas Ndibu Muntu Keba Kebe ◽  
François Chiocchio ◽  
Jean-Marie Bamvita ◽  
Marie-Josée Fleury
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Knowledge Sharing ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Knowledge Integration ◽  
Interprofessional Collaboration ◽  
Professional Role ◽  
Mutual Trust ◽  
Participation In Decision Making

Objectives: This study aims at identifying profiles of mental health professionals based on individual, interactional, structural and professional role characteristics related to interprofessional collaboration. Methods: Mental health professionals ( N = 315) working in primary health care and specialized mental health teams in four Quebec local service networks completed a self-administered questionnaire eliciting information on individual, interactional, structural and professional role characteristics. Results: Cluster analysis identified four profiles of mental health professionals. Those with the highest interprofessional collaboration scores comprised two profiles labeled “highly collaborative female professionals with fewer conflicts and more knowledge sharing and integration” and “highly collaborative male professionals with fewer conflicts, more participation in decision-making and mutual trust.” By contrast, the profile labeled “slightly collaborative professionals with high seniority, many conflicts and less knowledge integration and mutual trust” had the lowest interprofessional collaboration score. Another profile positioned between these groups was identified as “moderately collaborative female psychosocial professionals with less participation in decision-making.” Discussion and conclusion: Organizational support, participation in decision-making, knowledge sharing, knowledge integration, mutual trust, affective commitment toward the team, professional diversity and belief in the benefits of interdisciplinary collaboration were features associated with profiles where perceived interprofessional collaboration was higher. These team qualities should be strongly encouraged by mental health managers for improving interprofessional collaboration. Training is also needed to promote improvement in interprofessional collaboration competencies.

scholarly journals Mental health professionals’ experiences with shared decision-making for patients with psychotic disorders: a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Espen W. Haugom ◽  
Bjørn Stensrud ◽  
Gro Beston ◽  
Torleif Ruud ◽  
Anne S. Landheim
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Shared Decision Making ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychotic Disorders ◽  
Successful Implementation ◽  
Practical Training ◽  
Shared Decision ◽  
Antipsychotic Medications

Abstract Background Shared decision-making (SDM) is a process whereby clinicians and patients work together to select treatments based on both the patient’s preferences and clinical evidence. Although patients with psychotic disorders want to participate more in decisions regarding their care, they have limited opportunities to do so because of various barriers. Knowing about health professionals’ experiences with SDM is important toward achieving successful implementation. The study aim was to describe and explore health professionals’ SDM experiences with patients with psychotic disorders. Methods Three focus group interviews were conducted, with a total of 18 health professionals who work at one of three Norwegian community mental health centres where patients with psychotic disorders are treated. We applied a descriptive and exploratory approach using qualitative content analysis. Results Health professionals primarily understand the SDM concept to mean giving patients information and presenting them with a choice between different antipsychotic medications. Among the barriers to SDM, they emphasized that patients with psychosis have a limited understanding of their health situation and that time is needed to build trust and alliances. Health professionals mainly understand patients with psychotic disorders as a group with limited abilities to make their own decisions. They also described the concept of SDM with little consideration of presenting different treatment options. Psychological or social interventions were often presented as complementary to antipsychotic medications, rather than as an alternative to them. Conclusion Health professionals’ understanding of SDM is inconsistent with the definition commonly used in the literature. They consider patients with psychotic disorders to have limited abilities to participate in decisions regarding their own treatment. These findings suggest that health professionals need more theoretical and practical training in SDM.

scholarly journals The Santa Barbara Wellness Project: Development and Implementation

2012 ◽  
Vol 4 (1) ◽  
pp. 69-82
Author(s):  
Melissa L. Morgan Consoli ◽  
J. Manuel Casas ◽  
A. Patricia Cabrera ◽  
Gustavo Prado
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Basic Program ◽  
Lessons Learned ◽  
Management Problem ◽  
Community Members ◽  
Santa Barbara ◽  
Relaxation Stress

This article discusses the creation, implementation and maintenance of the Santa Barbara Wellness Project. This initiative was developed in response to an increase in Latino teen suicides in Santa Barbara County in recent years. Community members including mental health professionals, university faculty and students, concerned citizens, youth and parents came together to help form a prevention program in the wake of this adversity. A basic program including components of relaxation, stress management, problem-solving, and decision-making was developed through consultation among these groups and modifications continue as needed. The program is rooted in the empowerment philosophy of Freire (1973, 2004). Thus far, over 500 individuals have been trained and we are in the process of conducting program evaluation. Challenges, “lessons learned,” and successes are discussed.

Networking, Leadership, Empowerment

2009 ◽  
Vol 06 (02) ◽  
pp. 69-74
Author(s):  
I. T. Calliess ◽  
K. Treichel ◽  
J. Nikitopoulos ◽  
A. Malik ◽  
M. Rojnic Kuzman
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Educational Programs ◽  
Educational Policies ◽  
Decision Making Processes ◽  
Fit For Purpose

SummaryAs society’s expectations of mental health professional change radically, educational programs and policies need to keep pace with this change. Trainees and young psychiatrists have established their distinct identity and assured that educational policies are reformed to create competent mental health professionals who are fit for purpose in tomorrow’s world. In order for this to happen, it has taken over a decade of dedication, hard work and motivation from past and present psychiatric trainees and young psychiatrists to travel the journey from having a vision of an international network to develop the existing highly structured network. Networking and empowerment facilitated by national and international young psychiatrists’ organizations has allowed young psychiatrists to participate in decision-making processes and create frameworks for their own professional development. This paper outlines the principles and objectives that underpin the existing networks of national and international young psychiatrists’ organizations. It also describes the various educational and networking activities undertaken by these organizations and uses the case study from Croatia to describe the role of these networks in the formation of national associations of young psychiatrists and trainees.

scholarly journals Negotiating styles adopted by consultant psychiatrists when prescribing antipsychotics

2007 ◽  
Vol 13 (1) ◽  
pp. 43-50 ◽  
Author(s):  
Robert Chaplin ◽  
Paul Lelliott ◽  
Alan Quirk ◽  
Clive Seale
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Therapeutic Alliance ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Qualitative Interview ◽  
Shared Decision ◽  
Adherence To Medication ◽  
Qualitative Interview Study ◽  
Improve Clinical Outcome

A good therapeutic alliance between mental health professionals and patients with psychosis can enhance adherence to medication regimens and improve clinical outcome. This article explores how the therapeutic alliance might be developed with respect to decisions to prescribe antipsychotic medication. It does this by presenting the implications for practice that arise from a recent qualitative interview study with consultant psychiatrists. We consider strategies for strengthening the therapeutic alliance, occasions when it might be appropriate to suspend shared decision-making temporarily, techniques used to enable discussion of symptoms and side-effects, and how issues of adherence are uncovered and addressed. Psychiatrists already possess considerable skills in these areas. The dissemination of these to colleagues forms an important opportunity for CPD.

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