scholarly journals The role of psychodynamic psychotherapy in a modern general psychiatry service

2001 ◽  
Vol 7 (6) ◽  
pp. 461-468 ◽  
Author(s):  
John Hook
Keyword(s):  
Mental Health ◽  
Psychodynamic Psychotherapy ◽  
Psychiatric Service ◽  
Health Staff ◽  
Mental Health Staff ◽  
Fully Integrated ◽  
General Psychiatry ◽  
Specialist Treatment ◽  
The Relationship

The relationship between psychiatrists and psychotherapists is a complicated one. It has become no easier as mental health services have come under increasing strain over recent years, with pervasive bureaucratisation and the introduction of market forces. I aim in this article to elucidate the roles that a psychodynamic psychotherapy service can play as an integral part of a general psychiatric service in addition to its specialist treatment functions. I also explore some of the reasons why psychotherapy and general psychiatric services are still not fully integrated, thus failing to provide the most effective range of treatments and enhance the effectiveness of mental health staff in all settings in the delivery of those treatments.

scholarly journals Violence and aggression in psychiatric settings: reporting to the police

2018 ◽  
Vol 24 (3) ◽  
pp. 146-151
Author(s):  
Susham Gupta ◽  
Elvan U. Akyuz ◽  
Jonathan Flint ◽  
Toby Baldwin
Keyword(s):  
Mental Health ◽  
Well Being ◽  
Working Environment ◽  
Health Staff ◽  
Healthcare Organisation ◽  
List Type ◽  
Mental Health Staff ◽  
Criminal Proceedings ◽  
Health And Social Care

SUMMARYViolence and aggression are relatively common and serious occurrences in health and social care and rates are higher in mental health settings. Despite the National Health Service's policy of ‘zero tolerance’ of such behaviour, reporting of violence and aggression against mental health staff remains low. This article considers the nature of violence and aggression against staff in psychiatric settings and the process of involving the police to ensure an effective outcome. It outlines each step, from the initial the multidisciplinary team assessment of the incident and its reporting to the police to the making of witness statements, should the case come to court. It also explains the discretionary role of the police in deciding whether to charge and of the Crown Prosecution Service (CPS) in deciding whether to prosecute. The article stresses that NHS organisations need to provide an effective, streamlined and time-efficient reporting process, as this should reduce levels of patient violence, improve staff's well-being and morale, save costs and make the working environment safer for all.LEARNING OBJECTIVES•Raise awareness of the underreporting to the police of incidents of violence and aggression against staff by psychiatric patients and recognise the benefits of reporting such incidents•Develop a framework for assessment and reporting of such incidents committed to the police and to the Crown Prosecution Service (CPS), in the event of possible or actual criminal proceedings•Develop an understanding of the role of the healthcare organisation, the police and the CPS when such incidents are reported to the policeDECLARATION OF INTERESTNone.

The role of mental health staff in intermediate care

2009 ◽  
Vol 21 (9) ◽  
pp. 24-28
Author(s):  
Gilly Husk ◽  
Martin Colley ◽  
Cathy Elliott
Keyword(s):  
Mental Health ◽  
Health Staff ◽  
Intermediate Care ◽  
Mental Health Staff

Occupation or Therapy? The Attitudes of Mental Health Professionals

1996 ◽  
Vol 59 (7) ◽  
pp. 319-322 ◽  
Author(s):  
Daljeet Kaur ◽  
Martin Seager ◽  
Martin Orrell
Keyword(s):  
Mental Health ◽  
Occupational Therapy ◽  
Mental Health Professionals ◽  
Occupational Therapists ◽  
Assessment Process ◽  
Health Staff ◽  
Mental Health Staff ◽  
Therapeutic Activities ◽  
Positive Light

A questionnaire study of mental health staff on a psychiatric unit investigated their views about occupational therapy. The study evaluated the attitudes to the role of the occupational therapist, the referral and assessment process, the importance of therapeutic activities, and communication and feedback between occupational therapists and other disciplines. Sixty-four out of 89 staff responded (72%). Most respondents thought that occupational therapy should start within a week of admission, even though many referrals took much longer than this to arrive. There was some confusion over who was responsible for getting the patient to attend occupational therapy. Although occupational therapy was felt to increase people's confidence, some staff suggested that patients should not attend until they had gained confidence. There was uncertainty about who should decide on a patient's suitability for occupational therapy. In addition, there was a blurring of rotes between occupational therapists and other disciplines. Many staff were well able to recognise the main functions of occupational therapy. However, they were not confident about this and did not fully apply this knowledge in their clinical practice. Occupational therapists were generally seen in a positive light. This study emphasises the importance of better communication between occupational therapists and the other professions and, in particular, the need to raise the profile of occupational therapy within local teaching programmes.

scholarly journals COVID-19 and ECT – a Victorian perspective

2021 ◽  
pp. 103985622110142
Author(s):  
Karuppiah Jagadheesan ◽  
Frances Walker ◽  
Vijay Danivas ◽  
Quratulain Itrat ◽  
Vinay Lakra
Keyword(s):  
Mental Health ◽  
Electroconvulsive Therapy ◽  
Health Staff ◽  
Mental Health Staff ◽  
Aged Patients ◽  
Safety Measures ◽  
Operational Strategies ◽  
Number Of Patients ◽  
Community Transmission ◽  
Comparison Period

Objectives: (i) to describe the operational strategies implemented to practise electroconvulsive therapy (ECT) safely, and (ii) to explore the effect of the lockdown and operational strategies on the characteristics of patients who received ECT during the initial 6 months of the COVID-19 lockdown. Methods: At first, the operational strategies that were implemented at the Broadmeadows ECT suite were summarised. Subsequently, the characteristics of patients who received ECT in the lockdown period (16 March–16 September 2020) and in the comparison period (16 March–16 September 2019) were compared. Results: Many safety measures were implemented, and there was no COVID-19 infection among mental health staff and patients. In the lockdown period, the number of patients (23.9%) and the total number of ECTs (29.4%) were less. This pattern was more prominent among the aged patients. Conclusion: Safe practices are essential to provide ECT during lockdowns even when the community transmission of COVID-19 is high.

scholarly journals The impact of Recovery Colleges on mental health staff, services and society

2018 ◽  
Vol 28 (5) ◽  
pp. 481-488 ◽  
Author(s):  
A. Crowther ◽  
A. Taylor ◽  
R. Toney ◽  
S. Meddings ◽  
T. Whale ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Care ◽  
Mental Health Problems ◽  
Mechanisms Of Action ◽  
Advisory Panel ◽  
Health Staff ◽  
Mental Health Staff ◽  
Social Care Service ◽  
Health And Social Care ◽  
The Impact

AbstractAimsRecovery Colleges are opening internationally. The evaluation focus has been on outcomes for Recovery College students who use mental health services. However, benefits may also arise for: staff who attend or co-deliver courses; the mental health and social care service hosting the Recovery College; and wider society. A theory-based change model characterising how Recovery Colleges impact at these higher levels is needed for formal evaluation of their impact, and to inform future Recovery College development. The aim of this study was to develop a stratified theory identifying candidate mechanisms of action and outcomes (impact) for Recovery Colleges at staff, services and societal levels.MethodsInductive thematic analysis of 44 publications identified in a systematised review was supplemented by collaborative analysis involving a lived experience advisory panel to develop a preliminary theoretical framework. This was refined through semi-structured interviews with 33 Recovery College stakeholders (service user students, peer/non-peer trainers, managers, community partners, clinicians) in three sites in England.ResultsCandidate mechanisms of action and outcomes were identified at staff, services and societal levels. At the staff level, experiencing new relationships may change attitudes and associated professional practice. Identified outcomes for staff included: experiencing and valuing co-production; changed perceptions of service users; and increased passion and job motivation. At the services level, Recovery Colleges often develop somewhat separately from their host system, reducing the reach of the college into the host organisation but allowing development of an alternative culture giving experiential learning opportunities to staff around co-production and the role of a peer workforce. At the societal level, partnering with community-based agencies gave other members of the public opportunities for learning alongside people with mental health problems and enabled community agencies to work with people they might not have otherwise. Recovery Colleges also gave opportunities to beneficially impact on community attitudes.ConclusionsThis study is the first to characterise the mechanisms of action and impact of Recovery Colleges on mental health staff, mental health and social care services, and wider society. The findings suggest that a certain distance is needed in the relationship between the Recovery College and its host organisation if a genuine cultural alternative is to be created. Different strategies are needed depending on what level of impact is intended, and this study can inform decision-making about mechanisms to prioritise. Future research into Recovery Colleges should include contextual evaluation of these higher level impacts, and investigate effectiveness and harms.

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