scholarly journals The Malaysian Northern Stars (supervision, training, and reflective system) project: a multi-facet ecosystem of producing local talents

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S148-S149
Author(s):  
Noor Melissa Nor Hadi ◽  
Jiann Lin Loo
Keyword(s):  
Support Groups ◽  
Psychological Intervention ◽  
Health Centre ◽  
Behavioural Therapy ◽  
Continuous Medical Education ◽  
Community Mental Health Centre ◽  
Addiction Psychiatry ◽  
Supervision Training ◽  
System Project ◽  
Reflective System

AimsThe MRCPsych (Membership of the Royal College of Psychiatrists, United Kingdom) parallel training pathway has been introduced in Malaysia to produce competent psychiatrists to deliver evidence-based psychiatric care. Certain training centres faced specific challenges during the process of implementation, including the lacking of supervisors with experience in the MRCPsych examination, over-reliance on self-study and existing continuous medical education (CME), logistic difficulty in accessing specific training courses, the sustainability of local training, and loss of manpower due to frequent mobilisation of trainees. This article is aimed to illustrate the Northern STARS (Supervision, Training, and Reflective System) project, i.e. a project implemented as a solution for those challenges and an effort to develop a sustainable model of training for the local talents in Perlis, a northern state in Malaysia.MethodThe Northern STARS initiatives included: setting up a library with more MRCPsych-related materials; introducing trainees to virtual MRCPsych support groups; organizing both physical and virtual training locally, collaborating with local and international experts for consultation and teaching, and the introduction of protected study time. Virtual platforms were used innovatively to minimise cost. Ongoing data were collected for programme evaluation and quality improvement. Trainees were actively involved in the process to facilitate the development of leadership and administrative skills.ResultA total of seven courses covering both skill and theory training had been organised: Ultra-brief Psychological Intervention Workshop, Dialectic Behavioural Therapy workshop, Personality Disorder Workshop, Critical Appraisal Workshop, MRCPsych Lecture Series, Addiction Psychiatry Lecture, and Basic Revision Course on Electroconvulsive Therapy. An estimated amount of twenty thousand Malaysian Ringgit had been generated and channelled into the community mental health centre, accounting for the indirect cost of a subscription to ZoomTM and the intangible cost of labour effort. Overall feedback revealed a high level of satisfaction together with some specific suggestions on areas of improvement, including the timing of course and coverage of the curriculum. To date, six medical officers are pursuing this pathway with three of them passing one paper and another two pursuing the final part.ConclusionThe Northern STARS project is an ecosystem of training solutions while generating income and producing more local talents to expand this project further. More long-term evaluation from the perspective of human resource and health economics can be considered to understand the efficiency of the current initiative.

A pilot study on the effectiveness of low-intensity cognitive behavioural therapy (LiCBT) for common mental disorders in Hong Kong

2021 ◽  
pp. 1-6
Author(s):  
Candice L.Y.M. Powell ◽  
Alfred Pak-Kwan Lo ◽  
Gladys T.Y. Yeung ◽  
Natalie T.Y. Leung ◽  
Winnie W.S. Mak ◽  
...  
Keyword(s):  
Hong Kong ◽  
Health Centre ◽  
Behavioural Therapy ◽  
Post Treatment ◽  
Effect Sizes ◽  
Depression And Anxiety ◽  
Community Mental Health Centre ◽  
Low Intensity ◽  
Cognitive Behavioural ◽  
Mental Health Centre

Abstract Background: To cope with the rising demand for psychological treatment, evidence-based low-intensity cognitive behavioural therapy (LiCBT) delivered by trained para-professionals was introduced internationally. Aims: This pilot study aimed at examining the effectiveness of LiCBT in Hong Kong. Method: This study was of an uncontrolled pre- and post-treatment design, testing LiCBT at a local community mental health centre in Hong Kong. Two hundred and eighty-five Chinese adult help-seekers to the centre attended two or more sessions of LiCBT delivered by trained para-professionals. These participants also rated their depression and anxiety on the Patient Health Questionnaire-9 (PHQ-9) and Generalised Anxiety Disorder Scale-7 (GAD-7), respectively, at pre- and post-treatment. Results: Comparison of the pre- and post-treatment PHQ-9 and GAD-7 scores of 285 participants indicated significant improvements in depression and anxiety with large effect sizes (depression: d = 0.87; anxiety: d = 0.95). For those participants reaching the clinical level of either depression and/or anxiety at pre-treatment (n = 229, 80.4%), they reported even larger effect sizes (depression: d = 1.00; anxiety: d = 1.15). The recovery rate was 55.9% with a reliable improvement rate of 63.9%. An average of 5.6 sessions was offered to the participants with each session spanning a mean of 42 minutes. The baseline clinical conditions and participants’ educational level were predictive of post-treatment recovery. Conclusions: The results supported the effectiveness and cost-efficiency of LiCBT for depression and anxiety at a Hong Kong community mental health centre. The effect sizes and the recovery and reliable improvement rates achieved were comparable to those reported from countries such as the UK and Australia.

scholarly journals What families in the UK use to manage attention-deficit/hyperactivity disorder (ADHD): a survey of resource use

2020 ◽  
Vol 4 (1) ◽  
pp. e000771
Author(s):  
Philippa Fibert ◽  
Clare Relton
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Support Groups ◽  
Attention Deficit ◽  
Service Use ◽  
Behavioural Change ◽  
Behavioural Therapy ◽  
Autism Spectrum ◽  
Convenience Sample ◽  
Hyperactivity Disorder ◽  
The Uk

ObjectiveTo identify interventions being used to manage attention-deficit/hyperactivity disorder (ADHD) in the UK.DesignA survey within the Sheffield Treatments for ADHD Research project. A convenience sample of participants in the UK who consented to join an observational cohort were asked closed questions about medication, behavioural change programmes and service use, and an open-ended question about what else they used.SettingA broad variety of non-National Health Service, non-treatment seeking settings throughout the UK, including local authority organisations, schools, ADHD and autism spectrum condition support groups and social media.ParticipantsFamilies of children aged 5–18 with carer reported ADHD and Conners Global Index (CGI) T scores of 55+.ResultsResponses from 175 families were analysed. The mean age of the children was 10.21 (2.44), and two-thirds (n=114) had additional diagnoses. The majority used medications to manage ADHD (n=120) and had participated in a parenting class (n=130). Just over a quarter (28%, n=49) did not use ADHD medications, and used sleep medications. Just under half had consulted psychologists (n=83), and 32 had participated in other talking therapies such as psychotherapy, counselling and cognitive–behavioural therapy. A few used aids such as reward charts or fiddle toys (n=17) and participated in activities (mostly physical) (n=14). A substantial minority (78/175) had used non-mainstream treatments, the most popular being homoeopathy (n=32), nutritional interventions (n=21) and bodywork such as massage or cranial osteopathy (n=9).ConclusionsFamilies reported use of a wide variety of treatments to help with management of their children with ADHD in addition to their use of mainstream treatments.

The Role of the Occupational Therapist in a Community Mental Health Centre in Greece

1986 ◽  
Vol 49 (12) ◽  
pp. 389-391 ◽  
Author(s):  
I Tsipra ◽  
P Voutsina ◽  
E Charitaki ◽  
V Tomaras ◽  
A Kapsali ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Occupational Therapist ◽  
Community Mental Health Centre ◽  
Rehabilitation Unit ◽  
Care Programme ◽  
Mental Health Centre ◽  
Schizophrenic Patients

This article deals with a developing rehabilitation unit for mentally ill people, mostly chronic schizophrenic patients, which has been integrated into the Community Mental Health Centre of two Athenian boroughs. The unit includes a day care programme, a vocational training workshop and a social therapeutic club. All these programmes have been developed for the first time in Greece at a certain community level. The authors describe the rationale and the structure of the rehabilitation unit and the role of the occupational therapist.

Multidisciplinary or Nondisciplinary: Evaluation of Staff Functioning in a Community Mental Health Centre

1984 ◽  
Vol 18 (2) ◽  
pp. 172-178 ◽  
Author(s):  
Jerzy Krupnski ◽  
Lenora Lippmann
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Community Mental Health Centre ◽  
Staff Members ◽  
Active Involvement ◽  
Leading Role ◽  
Mental Health Centre ◽  
Community Roles

This paper describes the staffing aspects of an experimental community mental health centre (Melville Clinic). The different components of staff roles of members of a team consisting of different health professionals, crystallised during the three-year period with a shift from a ‘nondisciplinary’ to a ‘multidisciplinary’ approach, with preservation of ‘generalised’ and ‘specialised’, ‘clinical’ and ‘community’ roles of all staff members. The decision-making in the centre oscillated between group decisions by all staff members, and the acceptance of the leading role of the psychiatrist with the active Involvement of the test of the staff. This paper provides a model for multidisciplinary teamwork in community mental health centres.

Self-Referrals to a Community Mental Health Centre: A Three Year Study

1985 ◽  
Vol 147 (5) ◽  
pp. 540-544 ◽  
Author(s):  
Francoise M. Hutton
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Direct Access ◽  
Appropriate Use ◽  
Short Term ◽  
Community Mental Health Centre ◽  
Psychiatric Disturbance ◽  
Mental Health Centre

The records of all 53 clients who referred themselves to a community mental health centre in the first three years of its existence were studied retrospectively. These showed increasing and generally appropriate use of direct access for the relief of serious, often long-standing emotional distress. Self-referrals were much more often men than women, and some clients would probably not have been reached in any other way. The service seemed to reduce the local GPs' burden, at least subjectively. However, no-one presented with acute psychiatric disturbance or immediately impending breakdown. Any prevention achieved seems likely to be long-term rather than short-term.

Therapeutic drug monitoring (TDM) during maintenance phase treatment at a community mental health centre

2019 ◽  
Vol 27 (6) ◽  
pp. 637-640
Author(s):  
Tom Meehan ◽  
Hong Wang ◽  
Allan Drummond ◽  
Hazlin Lockman
Keyword(s):  
Therapeutic Drug Monitoring ◽  
Drug Monitoring ◽  
Inpatient Care ◽  
Health Centre ◽  
Maintenance Phase ◽  
Case Managers ◽  
Therapeutic Drug ◽  
Community Mental Health Centre ◽  
Mental Health Centre ◽  
Allocation Of Time

Objective: To assess the extent to which therapeutic drug monitoring during maintenance phase treatment with lithium and clozapine was performed according to an agreed protocol and to identify strategies that may support monitoring. Methods: Data concerning the prescribing and monitoring patterns of lithium for 31 patients and clozapine for 53 patients were collected retrospectively over a period of 2 years. Results: Adherence to clozapine monitoring throughout the study period was 90.5%, while the monitoring of lithium was less likely at 58.1% ( P < 0.001). While those prescribed lithium were less likely to adhere to prescribed dosing than those prescribed clozapine ( P < 0.007), they were also more likely to have a change of medication ( P < 0.005) and require admission to inpatient care ( P < 0.002). Conclusions: Despite the initiatives established to improve adherence to monitoring, there was a significantly lower level of lithium monitoring compared to that of clozapine. Strategies that are likely to support monitoring include the use of labels to clarify tests required, the use of a database to keep track of those requiring pathology tests and allocation of time each week for a nurse to work with medical staff and case managers to support monitoring.

Assessment of coping with stress in patients with schizophrenic in a Community Mental Health Centre, in Turkey

2020 ◽  
pp. 1-16
Author(s):  
Gulay Tasdemir Yigitoglu ◽  
Gulseren Keskin
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Demographic Variables ◽  
Community Mental Health Centre ◽  
Coping With Stress ◽  
Cross Sectional ◽  
Coping Methods ◽  
Mental Health Centre ◽  
Emotional Social Support

Abstract Objective: To assess schizophrenia patients’ approach toward coping with stress in terms of demographic variables. Methods: The cross-sectional descriptive study was conducted at the State Hospital Community Mental Health Centre, Turkey, from November 1, 2013, to April 30, 2014, and comprised patients diagnosed with schizophrenia. Data was collected using Sociodemographic Information Form, and the Coping Assessment Questionnaire Inventory. It was analysed using SPSS 18.  Results: Of the 53 patients, 14(26.4%) were females, and 39(73.5%) were males. The overall mean age was 38±10.66 years. Highest mean score was recorded for the emotion-focussed coping subscale which was 63.49±10.64. Female patients used emotional social support, focussing on problems and venting emotions techniques (p<0.05). Patients who did not use alcohol received higher scores from religious coping subscales, while patients who used alcohol scored higher from substance use and dysfunctional coping subscales (p<0.05). Conclusion: Most schizophrenia patients were found to be using emotion-focussed coping methods. Continuous....

From training to practice: a survey study of clinical challenges in implementing cognitive behavioural therapy in Norway

2015 ◽  
Vol 8 ◽  
Author(s):  
Annette Kjøge ◽  
Tone Turtumøygard ◽  
Torkil Berge ◽  
Terje Ogden
Keyword(s):  
Social Services ◽  
Behavioural Therapy ◽  
Survey Study ◽  
Implementation Barriers ◽  
Implementation Quality ◽  
Global Satisfaction ◽  
Supervision Training ◽  
Cognitive Behavioural ◽  
Training Programmes ◽  
The Relationship

AbstractThis study examines potential barriers to the implementation of CBT as perceived by therapists participating in the training programmes of the Norwegian Association for Cognitive and Behavioural Therapy (NACBT). Based on a questionnaire to members of the NACBT, a factor analysis identified five underlying dimensions of implementation barriers. A one-way analysis of variance was conducted to examine differences in how barriers were perceived by therapists working in medicine, mental health and social services. A multiple regression analysis was performed to examine the relationship between the barriers and the therapists’ global satisfaction with CBT. The five factor-based barriers identified were related to Therapeutic skills, Aspects of the workplace, Supervision, Training, and Clients. Problems related to Supervision and Therapeutic skills were reported to be the most important obstacles. Nurses and others working at psychiatric wards reported the largest number, and psychologists and others working with outpatients, reported the lowest number of barriers. The study highlights the importance of implementation quality in the process of linking training and practice of CBT in Norway. Even if aspects of the training programmes were perceived to be among the smallest threats to implementation, training was not sufficient in order for candidates to implement CBT in clinical practice.

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