scholarly journals Patient participation in forensic psychiatric care: Mental health professionals' perspective

2020 ◽  
Author(s):  
Mikael Selvin ◽  
Kjerstin Almqvist ◽  
Lars Kjellin ◽  
Agneta Schröder
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Patient Participation ◽  
Health Professionals ◽  
Psychiatric Care ◽  
Forensic Psychiatric

scholarly journals Architectural design and acute psychiatric care

1994 ◽  
Vol 18 (5) ◽  
pp. 279-281 ◽  
Author(s):  
Rizwan Taj ◽  
John Sheehan
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Architectural Design ◽  
Psychiatric Care ◽  
Observation Station ◽  
Initial Stage ◽  
Psychiatric Units ◽  
Acute Psychiatric Care ◽  
Roof Garden

All staff based in a newly built acute psychiatric unit for more than six months were asked about the difficulties they encountered in the implementation of their duties and what changes they recommended. The problem areas identified included poor design and location of nursing observation station, lack of proper seclusion facilities, insufficient ventilation, unsafe position of the roof garden, exposed beams and supports, proximity to the lake and inadequate interview facilities for all staff. The urgent recommendations included alteration in the design and positioning of observation station, improving ventilation, making the roof garden safe, and covering all exposed beams and supports. The desirable changes included extra interviewing facilities and a spacious observable television room. Consultation by mental health professionals during the initial stage of designing of psychiatric units is essential.

scholarly journals The Early Impacts of the COVID-19 Pandemic on Mental Health Facilities and Psychiatric Professionals

2021 ◽  
Vol 18 (15) ◽  
pp. 8034
Author(s):  
Jade Gourret Baumgart ◽  
Hélène Kane ◽  
Wissam El-Hage ◽  
Jocelyn Deloyer ◽  
Christine Maes ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Psychiatric Care ◽  
Care Delivery ◽  
Work Processes ◽  
Health Crisis ◽  
Individual Interviews ◽  
Novel Coronavirus

(1) Background: While in many countries, the psychiatric and mental health sectors had been in crisis for years, the onset of a novel coronavirus pandemic impacted their structures, organizations, and professionals worldwide. (2) Methods: To document the early impacts of the COVID-19 health crisis on psychiatry and mental health sectors, a systematic review of the international literature published in 2020 was conducted in PubMed (MEDLINE), Cairn.info, and SantéPsy (Ascodocpsy) databases. (3) Results: After applying inclusion and exclusion criteria, 72 articles from scientific journals were selected, including papers documenting the early impact of the COVID-19 pandemic on the organization of psychiatric care delivery, work processes in psychiatry and mental health units, and personal experiences of mental health professionals. This review identified the contributions aimed at preventing the onset of mental disorders in the early stages of the health crisis. It lists the organizational changes that have been implemented in the first place to ensure continuity of psychiatric care while reducing the risk of SARS-CoV-2 transmission. It questions the evolution of the rights and duties of mental health professionals in the first months of the pandemic. (4) Discussion and conclusions: Although this literature review exclusively documented the early impacts of the COVID-19 health crisis, it is of significant interest, as it pictures the unprecedent situation in which psychiatry and mental health care professionals found themselves in the first stages of the pandemic. This work is a preliminary step of a study to be conducted with mental health professionals on an international scale—the Psy-GIPO2C project—based on more than 15 group interviews, 30 individual interviews, and 2000 questionnaires. The final aim of this study is to formulate concrete recommendations for decision-makers to improve work in psychiatry and mental health.

scholarly journals Patient Centered Professionalism? Patient Participation in Mental Health Professional Frameworks

2016 ◽  
Vol 6 (2) ◽  
pp. e1474 ◽  
Author(s):  
Aukje Leemeijer ◽  
Margo Trappenburg
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Social Workers ◽  
Mental Health Professionals ◽  
Patient Participation ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Codes Of Conduct ◽  
Patient Centered

Patient participation is an important development in Dutch mental health care. Notwithstanding a generally positive attitude towards patient participation, mental health professionals show ambivalent responses to it due to tensions that may occur between professional values and societal values like (more) patient participation. Professionals vary in their degree of professionalization which is translated to their formal professional frameworks like professional profiles and codes of conduct. To explore how formal professional frameworks of mental health professionals mirror how and to what degree they accommodate patient participation the professional frameworks of four types of mental health care professionals were studied: psychiatrists, psychologists, nurses, and social workers. We hypothesized that the higher professionalized professions were less open to patient participation. The results partly support this hypothesis. Professional frameworks of social workers and nurses indeed show more openness to patient participation, but the picture for psychiatrists and psychologists is ambiguous—more professionalized psychiatrists being more inclined to incorporate patient participation than less professionalized psychologists.

The relationship between trust in work colleagues, impact of boundary violations and burnout among staff within a forensic psychiatric service

2016 ◽  
Vol 18 (1) ◽  
pp. 64-75 ◽  
Author(s):  
Helen Johnson ◽  
Rachel Worthington ◽  
Neil Gredecki ◽  
Fiona Rachel Wilks-Riley
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Emotional Exhaustion ◽  
Health Professionals ◽  
Maslach Burnout Inventory ◽  
Boundary Violations ◽  
Content Type ◽  
Propensity To Trust ◽  
Forensic Psychiatric ◽  
The Relationship

Purpose – The purpose of this paper is to examine the relationship between trust and burnout among mental health professionals working within a forensic psychiatric setting. The association between these factors and boundary violations was also examined. Design/methodology/approach – Mental health professionals (n=117) completed the Maslach Burnout Inventory and a measure of their trust in co-workers. A series of 12 vignettes was also designed to assess the frequency and impact of boundary violations by clients. Findings – Propensity to trust was found to be predictive of personal accomplishment. A higher propensity to trust others was associated with lower levels of emotional exhaustion and depersonalisation. It was also associated with greater cooperative behaviour. Higher frequency of boundary violations reported by professionals was associated with lower levels of perceived trust and cooperative behaviours among colleagues, and increased depersonalisation. In addition, professionals reporting more of a perceived impact of boundary violations, reported higher emotional exhaustion and depersonalisation. The results also indicate that younger professionals reported higher levels of emotional exhaustion and depersonalisation, whereas older professionals were more positive regarding their competence and sense of accomplishment. Research limitations/implications – The results are discussed in terms of the development of trust within teams as an effective strategy to reduce the development of burnout. Implications are made for the importance of reflective practice and clinical supervision in developing positive working relationships with clients, and providing a safe environment to discuss professional conflict. The importance of supporting younger professionals has also been highlighted. Originality/value – This is the first research paper to explore the relationship between trust within teams and the development of burnout within forensic psychiatric services.

Ethical and Contextual Issues when Collaborating with Educators and School Mental Health Professionals

2014 ◽  
Author(s):  
Allison K. Zoromski ◽  
Steven W. Evans ◽  
Heather Davis Gahagan ◽  
Verenea J. Serrano ◽  
Alex S. Holdaway
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychiatric Care ◽  
Interdisciplinary Communication ◽  
School Mental Health ◽  
Scoring Systems ◽  
Psychiatric Services ◽  
Risk Assessments ◽  
School Professionals

Ethical and contextual challenges that psychiatric professionals encounter when working with school professionals are discussed in an effort to maximize effective and ethical psychiatric care. Given the interdisciplinary environment and contextual issues inherent in providing psychiatric services to students; strategies for collaborative interdisciplinary communication are discussed. Several unique issues regarding confidentiality and informed consent when providing mental health services to patients are described. A variety of assessment issues are considered, including issues regarding special education classification, computerized scoring systems, risk assessments, communication of assessment results and recommendations to school professionals. Issues related to coordination and sequencing of treatments and communication about medication are also reviewed.

Why the professional-Client Ethic is Inadequate in Mental Health Care

2002 ◽  
Vol 9 (1) ◽  
pp. 51-60 ◽  
Author(s):  
Wai-Ching Leung
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychiatric Care ◽  
Daily Practice ◽  
Work Load ◽  
Psychiatric Nurses ◽  
Professional Relationship ◽  
Care Community ◽  
The Public

Patients who are subject to compulsory care constitute a substantial proportion of the work-load of mental health professionals, particularly psychiatric nurses. This article examines the traditional ‘beneficence-autonomy’ approach to ethics in compulsory psychiatric care and evaluates it against the reality of daily practice. Risk to the public has always been an important but often unacknowledged consideration. Inequalities exist among ethnic and socio-economic groups and there is a lack of agreement on what constitutes mental disorder. Two major changes in compulsory psychiatric care - community orders and care for patients with untreatable severe personality disorders - further challenge the traditional ethical approach. There are also important human rights implications. The simple patient-health professional relationship no longer provides an adequate framework for mental health professionals on which to base their ethical decisions. The public and organizations may have different perspectives and their interests are becoming increasingly important. Mental health professionals, particularly psychiatric nurses, may face ethical dilemmas because of these different perspectives.

Barriers to Cooperation With Family Members in Psychiatric Care in Turkey: Perspectives of Health Professionals and Family Caregivers

2021 ◽  
pp. 107839032110149
Author(s):  
Ayşe Sari ◽  
Zekiye Çetinkaya Duman ◽  
Yonca Kahveci Gül
Keyword(s):  
Mental Health ◽  
Family Caregivers ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychiatric Care ◽  
Psychosocial Interventions ◽  
Mental Illnesses ◽  
Cultural Perspective ◽  
The Common

Background: Cooperation between families of individuals with mental illnesses and mental health professionals is very important for the quality of mental health care, and there are many barriers to the establishment of cooperation between mental health professionals and families. It is highly important to identify/define barriers to cooperation between families and health professionals from a cultural perspective. Aim: The present study was aimed at identifying barriers to cooperation between mental health professionals and families from the perspectives of mental health professionals and family caregivers in Turkey. Method: In the sample of this descriptive qualitative study, 12 family caregivers and 11 health professionals were included. Results: The results of the study indicated seven themes regarding the perceptions of family caregivers and mental health professionals. The themes related to perceptions of family caregivers about barriers are as follows: “learning the process by living,” the perception of “my patient comes first,” and the perception of “being neglected.” The themes related to perceptions of mental health professionals about barriers are as follows: “lack of collaboration within the team,” “family itself as a barrier,” and “lack of education about working with families.” The common theme mentioned by both groups included the “patient-oriented service understanding.” Conclusions: The results obtained from this study are believed to be a guide for planning and implementing interventions to eliminate the barriers defined from the perspectives of both mental health professionals and family caregivers. Both mental health professionals and family caregivers need psychosocial interventions for strengthening “family cooperation.”

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