scholarly journals A workshop for relatives of people with chronic mental illness

1992 ◽  
Vol 16 (4) ◽  
pp. 206-207 ◽  
Author(s):  
Richard Mullen ◽  
Paul Bebbington ◽  
Liz Kuipers
Keyword(s):  
Social Workers ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Occupational Therapists ◽  
Mental Illnesses ◽  
Chronic Mental Illness ◽  
Team Approach ◽  
Community Based ◽  
Multidisciplinary Team Approach ◽  
Close Relatives

The District Services Centre of the Maudsley Hospital deals with the care and rehabilitation of people with chronic mental illnesses. Three independent teams of mental health professionals comprise nurses, occupational therapists, psychiatrists, psychologists, and social workers. A multidisciplinary team approach is used in the assessment and management of patients. Most of the patients are either day-patients or ‘supportive’ patients who attend less frequently. The service is thus very much community based and orientated, and the support and involvement of close relatives in the care of the patients is seen as both necessary and desirable.

scholarly journals Psychometric Properties of the Korean Version of the Mental Health Professionals Stress Scale

2021 ◽  
Vol 12 ◽  
Author(s):  
Eun Sol Lee ◽  
Vin Ryu ◽  
Ji Hyun Lee ◽  
Hyeon Hong ◽  
Hyeree Han ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychometric Properties ◽  
Social Workers ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Concurrent Validity ◽  
Online Survey ◽  
Factor Model ◽  
Depression And Anxiety ◽  
Stress Scale

Background: Job stress of mental health professionals can have a negative impact on them, particularly their psychological health and mortality, and may also affect organizations' and institutions' ability to provide quality mental health services to patients.Aim: This study aimed to: (1) investigate the validity and reliability of the Korean Mental Health Professionals Stress Scale (K-MHPSS), (2) develop K-MHPSS cut-off points to measure clinical depression and anxiety, and (3) examine whether specific stressors vary by area of expertise.Methodology: Data were collected via an online survey over 3 months, from August to October 2020. An online survey using a survey website was administered to volunteers who accessed the link and consented to participate. Data from 558 participants (200 clinical psychologists, 157 nurses, and 201 social workers) were included in the final analysis. Confirmatory and exploratory factor analyses were conducted to examine the factor structure of the K-MHPSS; concurrent validity of the scale was determined by analyzing correlation; internal consistency was determined by Cronbach's alpha coefficient. In addition, ROC curve analysis and Youden's index were used to estimate optimal cut-off points for K-MHPSS; one-way ANOVA was performed to investigate the difference among the three groups.Results: The seven-factor model of the original scale did not be replicated by Korean mental health professionals. The K-MHPSS had the best fit with the six-factor model, which consists of 34 items. Concurrent validity was confirmed, and overall reliability was found to be good. The K-MHPSS cut-off points for depression and anxiety appeared to slightly different by professional groups. Furthermore, nurses and social workers showed significantly higher total scores compared to clinical psychologists, and there are significant differences in subscale scores among professionals.Conclusion: The Korean version of the MHPSS has appropriate psychometric properties and can be used to assess the occupational stress of mental health professionals. It can also serve as a reference point for screening clinical level of depression and anxiety in mental health professionals.

scholarly journals Rainbow experiences of accessing mental health support in Aotearoa New Zealand: A community-based mixed methods study

2021 ◽  
Author(s):  
◽  
Gloria Fraser
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Community Members ◽  
Community Based ◽  
Aotearoa New Zealand ◽  
Mental Health Settings ◽  
Mental Health Support ◽  
Health Support

<p>While we know that rainbow people in Aotearoa New Zealand (that is, people of diverse sexualities, genders, and sex characteristics) experience high rates of adverse mental health outcomes, we know much less about the extent to which Aotearoa’s rainbow community members are receiving the mental health support they need. To address this gap I used mixed methods and a reflexive community-based approach to extend current understandings of rainbow mental health support experiences, and to explore how the provision of mental health care can be improved for rainbow people in New Zealand.  I first conducted interviews with 34 rainbow community young adults about their experiences of accessing mental health support. My thematic analysis showed that rainbow people across New Zealand faced significant structural barriers to accessing mental health support. Participants understood mental health settings as embedded within a heteronormative and cisnormative societal context, rather than as a safe place outside this context. This, together with a widespread silence from mental health professionals around rainbow identity, meant that participants actively negotiated coming out in mental health settings. Participants shared a variety of perspectives as to whether it should be standard practice for mental health professionals to ask about rainbow identities, but agreed on a number of subtle acts that could communicate a professional or service is rainbow-friendly. Knowledge about sexuality, gender, and sex characteristic diversity, together with clinical skills of empathy, validation, and affirmation, were described as key components for the provision of effective mental health support.  I conducted a second thematic analysis of data from a subset of the initial interviews, in which 13 participants discussed their experiences of accessing gender-affirming healthcare. Participants reported a lack of funding for gender-affirming healthcare in New Zealand, and described its provision a “postcode lottery”; the care available was largely dependent on the region participants were living in. Mental health assessments for accessing gender-affirming care were often described as tests of whether participants were “really” transgender, and participants discussed the need to express their gender in a particular way in order to access the healthcare they needed.  Thematic analyses of interview data informed the development of an online survey about rainbow peoples’ experiences of accessing mental health support and gender-affirming healthcare in New Zealand (n = 1575). Survey results closely reflected interview findings, indicating that rainbow people have mixed experiences in New Zealand’s mental health settings, and that accessing gender-affirming healthcare is a lengthy and convoluted process.   Finally, interview and survey data were used to develop a resource for mental health professionals, to guide their work with rainbow clients. I sought and incorporated feedback from key stakeholders (n = 108) during resource development. I then distributed the resource to mental health professionals around New Zealand, both in print and online.  Overall, my research shows that widespread knowledge gaps compromise the ability of New Zealand’s mental health professionals to provide culturally competent support to rainbow clients. Knowledge from this thesis can be used to increase awareness of rainbow community members’ mental health support needs, and to inform mental health professionals’ training and self-reflection around sexuality, gender, and sex characteristic diversity.</p>

Integrating mental health professionals into the care team to better recognize and manage delirium in hospitalized oncology patients.

2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 83-83
Author(s):  
Joseph Hooley ◽  
Laurel Ralston ◽  
Joel Daniel Marcus ◽  
Carolyn Best ◽  
Diana Karius ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Workers ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Unit Length ◽  
Care Team ◽  
Clinical Social Workers ◽  
Health Providers ◽  
Front Line ◽  
Order Set

83 Background: Delirium is a common neuropsychiatric condition associated with increased morbidity and mortality, length of hospitalization, and distress. The prevalence of delirium in cancer ranges from 10% to 30% in hospitalized patients and up to 85% in terminally ill cancer patients. Rates of delirium on Cleveland Clinic’s inpatient oncology units were lower than expected. Our goal was to integrate mental health professionals into the care team to assist with better recognition and management of delirium. Methods: Education was developed for a range of caregivers, including physicians, nurses, and advanced practice providers. It was facilitated by a psychiatrist, psychologist, and clinical social workers, and included proper identification of both hyper- and hypoactive delirium through use of the Brief Confusion Assessment Method (bCAM) and use of a delirium order set to treat and manage patients identified as positive for delirium. An important component of this education included a proper assessment and comparison of patients’ current mental status compared to their true baseline prior to hospitalization. Additional integration directly into the care team included participation of the psychiatrist, psychologist, and clinical social workers into each team’s multidisciplinary rounds to facilitate discussions around delirium and its appropriate management, and separate targeted rounding which included one-to-one education with front-line caregivers. Results: During the first year of integration, substantial improvements were noted. The percentage of patients identified as positive for delirium through bCAM screening increased from 3.4% to 15.8% after 12 months, and utilization of the delirium order set increased from 11.1% to 58.3%. Additionally, the average nursing unit length of stay (LOS) for delirium-positive patients decreased by more than 2 days compared to baseline. Conclusions: Integration of mental health providers into the care team to assist with recognizing and managing patients with delirium and to provide direct education to front-line caregivers has helped to rapidly improve delirium identification and management for oncology inpatients.

scholarly journals Telerehabilitation in Psychiatry

2020 ◽  
Vol 42 (5_suppl) ◽  
pp. 57S-62S
Author(s):  
Deepak Jayarajan ◽  
Thanapal Sivakumar ◽  
John B Torous ◽  
Jagadisha Thirthalli
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Healthcare Delivery ◽  
Psychosocial Interventions ◽  
Task Shifting ◽  
Mental Illnesses ◽  
Community Based ◽  
Welfare Benefits ◽  
Community Based Rehabilitation ◽  
Delivery Of Services

The COVID-19 pandemic has interrupted the usual mechanisms of healthcare delivery and exacerbated symptoms of mental illnesses. Telemedicine has morphed from niche service to essential platform, with newly released guidelines that cover various aspects of tele-mental health delivery. Rehabilitation services, which incorporate a range of psychosocial interventions and liaison services, have been significantly impacted too. They are currently more institute-based than community-based in India. However, recent legislation has mandated that community-based rehabilitation options be available. While a large treatment gap for mental health issues has always existed, telemedicine provides an opportunity to scale services up to minimize this gap. Community-based rehabilitation can be delivered over various platforms, from text to phone to videoconferencing, and various devices. Telemedicine is cost-effective, and enables delivery of services where existing services are inadequate. The recent guidelines allow other healthcare workers to be involved in mental health service delivery. Hence, in addition to direct delivery of services, telerehabilitation can facilitate task-shifting, with mental health professionals mentoring and supervising existing human resources, such as ASHA workers, VRWs, DMHP programme staff, and others. Tele-rehabilitation also poses challenges - not all needs can be met; access and privacy can be a problem in resource-scarce settings; liaison with existing services is required; and organisations need to plan appropriately and re-allocate resources. Digital access to welfare benefits and interventions must be expanded without disadvantaging those without internet access. Yet, many rehabilitation interventions can be adapted to telemedicine platforms smoothly, and task-shifting can broaden access to care for persons with disability.

Perceived Barriers, Benefits, Facilitators, and Attitudes of Health Professionals towards Multidisciplinary Team Care in Type 2 Diabetes Management: a Systematic Review

2020 ◽  
Vol 16 ◽  
Author(s):  
Usman Sani Dankoly ◽  
Dirk Vissers ◽  
Zainab El Farkouch ◽  
Esther Kolasa ◽  
Abderrahim Ziyyat ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Health Professionals ◽  
Multidisciplinary Team ◽  
Healthcare Professionals ◽  
Perceived Barriers ◽  
Diabetic Patients ◽  
Team Approach ◽  
Team Care ◽  
Multidisciplinary Team Approach

Background:: The need for a multidisciplinary team approach to provide physical exercise, diet, behavioral change and insulin therapy in type 2 diabetes mellitus (T2DM) treatment has long been recognized. However, often patients with T2DM do not have access to a multidisciplinary team. Introduction:: In developing countries most patients with T2DM receive their diabetes care in the office of an internist or family practice physician or in a primary level health center with a general practitioner. Knowing the perceived barriers, attitude, facilitators, and benefits in healthcare professionals toward multidisciplinary team approach in T2DM treatment can help to facilitate implementation of multidisciplinary care in T2DM. Methods:: A systematic search strategy was performed in six databases (PubMed, Web of Science, CINAHL, EMBASE, MEDLINE, and Cochrane) using different keyword combinations to identify studies describing healthcare professionals’ views of multidisciplinary team care in T2DM. Textual narrative synthesis was used to analyse data. The Critical Appraisals Skills Programme (CASP) tool for qualitative studies was used to assess risk of bias and transferability. Results:: The views of health professionals about multidisciplinary team care in T2DM were categorized into six major factors namely: working collaboratively to foster supportive relationships; strong committed organizational and team leadership; diversity in expertise, with team members tailored to local circumstances; shared goals and approaches to ensure consistency of message; clear and open communication with the team and with patients; and the patient at the center of decision-making. Conclusions:: There is a huge gap in shared roles among health professionals in T2DM therapy. Hence, there is need for allied health professionals such as physiotherapists, dieticians, and psychologists with expertise in diabetes to explore primary healthcare. Barriers and facilitators for successful integration of multidisciplinary team, seamlessly cut across three hierarchal levels namely, health management; health professionals; and diabetic patients.

scholarly journals Mental health in post-earthquake Nepal

2015 ◽  
Vol 5 (4) ◽  
pp. 520-521 ◽  
Author(s):  
Kiran Thapa
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Mental Illnesses ◽  
Children And Families ◽  
Long Run

For two decades, Government of Nepal has made efforts to develop and maintain mental health professionals in all areas; however, much has to be done. This could be an opportunity for Nepal to redesign mental healthcare services at the community level. Primary mental health services integrated with community mental health could help children and families cope with and recover from mental illnesses in the long run.

Psychological complexity: Barriers to its integration into the neurobiology of major psychiatric disorders

2002 ◽  
Vol 14 (3) ◽  
pp. 635-651
Author(s):  
ROBERT M. POST ◽  
SUSAN R. B. WEISS
Keyword(s):  
Multidisciplinary Team ◽  
Psychiatric Illness ◽  
Mental Illnesses ◽  
Laboratory Research ◽  
Team Approach ◽  
Multidisciplinary Team Approach ◽  
Fields Of Study ◽  
Physician Scientist ◽  
New Treatments ◽  
Current Science

In the authors' experience interactions between clinical and laboratory research have been greatly mutually facilitatory in the understanding and development of new treatments for the major mental illnesses. Examples in the literature are also highlighted to show how cross-disciplinary studies are important in understanding the subtle interactions of genetic and environmental mechanisms in psychiatric illness. Yet, the results of some current science policies encouraging project focus and superspecialization can lead to the separation of clinical and basic investigators, which threatens the integration of psychological complexity into the neurobiology of psychiatry at both a molecular and behavioral level. This paper endorses renewed effort toward the multidisciplinary team approach under the leadership of a physician–scientist in order to better integrate many fields of study critical to ameliorating the effects of psychiatric illness.

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