Introducing solution-focussed brief therapy to mental health nurses across a local health district in Australia

2017 ◽  
Vol 27 (2) ◽  
pp. 774-782 ◽  
Author(s):  
Timothy Wand ◽  
Louise Acret ◽  
Natalie D'Abrew
Keyword(s):  
Mental Health ◽  
Brief Therapy ◽  
Health District ◽  
Local Health ◽  
Mental Health Nurses

scholarly journals Amphetamine-type-substance-related presentations to the Emergency Department Mental Health Team of a local health district in Australia

2019 ◽  
Vol 27 (4) ◽  
pp. 369-373
Author(s):  
Bernard M Chivaurah ◽  
David Lienert ◽  
Dominiek Coates
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Medical Records ◽  
Emergency Services ◽  
Health District ◽  
Local Health ◽  
Intravenous Drug Use ◽  
Mental Health Team ◽  
Health Team ◽  
Significant Burden

Objectives: To identify the prevalence and profile of amphetamine-type-substance-related presentations to the Emergency Department Mental Health Team of a local health district in Australia. Methods: Data was collected from medical records of all amphetamine-type-substance presentations to the Emergency Department Mental Health Team over a 1-year period, between 1 January 2015 and 31 December 2015. Results: Of all presentations referred to the Emergency Department Mental Health Team, 0.15% ( N = 189) were amphetamine-type-substance related. Of these, the majority were male, the average age was 32, 19.0% engaged in intravenous drug use, some were aggressive and 15.9% required tranquilisation. The most common presenting issues were psychosis and suicidal threats, intent and behaviour (including intentional overdose). Multiple comorbid conditions were identified. On discharge, 34.4% were admitted into a psychiatric hospital and 32.8% were referred to Community Mental health teams. Conclusions: Amphetamine-type-substance users suffer from multiple comorbidities and pose a significant burden on emergency services.

scholarly journals Developing a Tailored Implementation Action Plan for a Suicide Prevention Clinical Intervention in an Australian Mental Health Service: A Qualitative Study Using the EPIS Framework.

2020 ◽  
Author(s):  
Isabel Zbukvic ◽  
Demee Rheinberger ◽  
Hannah Rosebrock ◽  
Jaclyn Lim ◽  
Lauren McGillivray ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Suicide Prevention ◽  
Action Plan ◽  
Implementation Strategies ◽  
Health District ◽  
Evidence Based ◽  
Local Health ◽  
Tailored Implementation

Abstract Background: Tailoring implementation strategies to local contexts is a promising approach to supporting implementation and sustainment of evidence-based practices in health settings. While there is increasing research on tailored implementation of mental health interventions, implementation research on suicide prevention interventions is limited. This study aimed to evaluate implementation and subsequently develop a tailored action plan to support implementation, sustainment and scale-up of an evidence-based suicide prevention intervention - Collaborative Assessment and Management of Suicidality (CAMS) - in an Australian public mental health service.Methods: This study took place within a larger randomised stepped-wedge design suicide prevention trial. Approximately 150 mental health staff working within a regional and remote community Local Health District in Australia were trained in CAMS. Semi-structured interviews and focus groups with frontline staff and clinical leaders were conducted to examine barriers and facilitators to using CAMS. Data were analysed using a reflexive thematic analysis approach and mapped to the Exploration, Preparation, Implementation and Sustainment (EPIS) framework. This was followed by stakeholder engagement to design a tailored implementation action plan based on a ‘tailored blueprint’ methodology.Results: A total of 22 barriers to implementing CAMS were identified. Based on the perceived impact on implementation fidelity and the feasibility of addressing identified barriers, six barriers were prioritised for addressing through an implementation plan. These barriers were mapped to evidence-based implementation strategies and, in collaboration with local health district staff, goals and actionable steps for each strategy were generated. This information was combined into a tailored implementation plan to support the sustainable use of CAMS as part of routine care within this mental health service. Conclusions: This study provides an example of a collaborative approach to tailoring strategies for implementation on a large scale. Novel insights were obtained into the challenges of evaluating the implementation process and barriers to implementing an evidence-based suicide prevention treatment approach within a geographically large and varied mental health service in Australia.Trial registration: This study was conducted as part of the LifeSpan suicide prevention trial. Trial registration for LifeSpan in Australia New Zealand Clinical Trials Register, ID: ACTRN12617000457347. Prospectively registered on 28 March 2017.

scholarly journals Developing a Tailored Implementation Action Plan for A Suicide Prevention Clinical Intervention in an Australian Mental Health Service: A Qualitative Study Using the EPIS Framework.

2021 ◽  
Author(s):  
Isabel Zbukvic ◽  
Demee Rheinberger ◽  
Hannah Rosebrock ◽  
Jaclyn Lim ◽  
Lauren McGillivray ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Suicide Prevention ◽  
Action Plan ◽  
Implementation Strategies ◽  
Health District ◽  
Evidence Based ◽  
Local Health ◽  
Tailored Implementation

Abstract Background: Tailoring implementation strategies to local contexts is a promising approach to supporting implementation and sustainment of evidence-based practices in health settings. While there is increasing research on tailored implementation of mental health interventions, implementation research on suicide prevention interventions is limited. This study aimed to evaluate implementation and subsequently develop a tailored action plan to support implementation, sustainment and scale-up of an evidence-based suicide prevention intervention - Collaborative Assessment and Management of Suicidality (CAMS) - in an Australian public mental health service.Methods: This study took place within a larger randomised stepped-wedge design suicide prevention trial. Approximately 150 mental health staff working within a regional and remote community Local Health District in Australia were trained in CAMS. Semi-structured interviews and focus groups with frontline staff and clinical leaders were conducted to examine barriers and facilitators to using CAMS. Data were analysed using a reflexive thematic analysis approach and mapped to the Exploration, Preparation, Implementation and Sustainment (EPIS) framework. This was followed by stakeholder engagement to design a tailored implementation action plan based on a ‘tailored blueprint’ methodology.Results: A total of 22 barriers to implementing CAMS were identified. Based on the perceived impact on implementation fidelity and the feasibility of addressing identified barriers, six barriers were prioritised for addressing through an implementation plan. These barriers were mapped to evidence-based implementation strategies and, in collaboration with local health district staff, goals and actionable steps for each strategy were generated. This information was combined into a tailored implementation plan to support the sustainable use of CAMS as part of routine care within this mental health service. Conclusions: This study provides an example of a collaborative approach to tailoring strategies for implementation on a large scale. Novel insights were obtained into the challenges of evaluating the implementation process and barriers to implementing an evidence-based suicide prevention treatment approach within a geographically large and varied mental health service in Australia.Trial registration: This study was conducted as part of the LifeSpan suicide prevention trial. Trial registration for LifeSpan in Australia New Zealand Clinical Trials Register, ID: ACTRN12617000457347. Prospectively registered on 28 March 2017.

Stress and fitness in ward-based mental health nurses

1997 ◽  
Vol 6 (5) ◽  
pp. 419-420 ◽  
Author(s):  
Jerome Carson ◽  
Leonard Fagin ◽  
Sukwinder Maal ◽  
Nicolette Devilliers ◽  
Patty O'Malley
Keyword(s):  
Mental Health ◽  
Mental Health Nurses

Policing mental illness: Police use of section 136 – Perspectives from police and mental-health nurses

2021 ◽  
pp. 002580242199336
Author(s):  
Meron Wondemaghen
Keyword(s):  
Mental Health ◽  
Police Officers ◽  
Health Care Policy ◽  
Qualitative Interviews ◽  
Data Sources ◽  
Mental Health Crisis ◽  
Care Policy ◽  
Mental Health Nurses ◽  
Health Crisis ◽  
Pilot Scheme

Ideological shifts in mental health-care policy such as deinstitutionalisation have meant police have had to make decisions about the care of persons with a mental-health crisis. This study examines how police in five English counties respond to crisis calls when employing the powers afforded in section 136 of the Mental Health Act 1983, and the effectiveness of the national Street Triage pilot scheme. Qualitative interviews with 30 police officers and mental-health nurses (MHN) were collected as data sources. The analysis shows that police have previously struggled with the significant number of crisis calls, whilst also finding mental-health services inadequately sourced, leading to some detentions in police cells as alternatives to health-based places of safety. However, the scheme has made positive changes in alleviating these issues when MHN are co-located with police, highlighting the need to strengthen their partnership by facilitating the sharing of information, responsibilities and decision making in order to ensure police cells continue to be avoided as alternative places of safety.

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