scholarly journals Building a culturally capable workforce – an educational approach to delivering equitable mental health services

2002 ◽  
Vol 26 (2) ◽  
pp. 63-65 ◽  
Author(s):  
Parimala Moodley
Keyword(s):  
Mental Health ◽  
Professional Development ◽  
Mental Health Services ◽  
Health Services ◽  
Working Group ◽  
Continuing Professional Development ◽  
Transcultural Psychiatry ◽  
Or Education ◽  
Educational Approach

A working group was brought together in a 2-day workshop by the Sub-Dean to take forward training in transcultural psychiatry. The group comprised senior members of the College; psychiatrists with particular expertise in transcultural issues and/or education; and included trainers from undergraduate to continuing professional development (CPD) level.

scholarly journals Consultant advisers in every service

2001 ◽  
Vol 25 (11) ◽  
pp. 441-444
Author(s):  
Louis Appleby
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Working Group ◽  
Current Process ◽  
National Director

Shortly after taking up my appointment as National Director for Mental Health, I convened a working group of consultant psychiatrists to consider how to involve psychiatrists more in the current process of changing mental health services. This was in recognition of the fact that, while psychiatrists are central to modernising services, their skills and experience are insufficiently used. It is one of the most frequent complaints that I hear from clinicians.

Codesigned framework for organisational culture reform in South Australian older persons' mental health services after the Oakden Report

2020 ◽  
Vol 44 (6) ◽  
pp. 862
Author(s):  
Duncan McKellar ◽  
Jackie Hanson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Lived Experience ◽  
Culture Change ◽  
Working Group ◽  
Older Persons ◽  
Organisational Culture ◽  
Service Development ◽  
Reform Process

The Oakden Report documented failures in governance, clinical practice and organisational culture occurring at the Oakden Older Persons’ Mental Health Service and drew national attention to the care of older people with complex clinical needs. Responding to the recommendations of the Report, a working group brought together stakeholders to engage in a codesign process involving literature review, gallery walks and focus groups, under the governance of the Oakden Response Oversight Committee. The working group developed a framework as a blueprint for organisational culture reform built around a central philosophy of compassionate relationship-centred care, supported by four priorities: developing a values-based workforce, cultivating psychological safety, facilitating excellence in care and providing transparent accountability. The purpose of the framework was to provide a way forward for South Australian older persons’ mental health services after The Oakden Report, and it may provide insight into similar processes of codesign and culture change in other service contexts. What is known about the topic? Changes to healthcare systems, requiring improved efficiencies and lower costs, are contributing to increasing challenges with staff satisfaction and wellbeing, and consistent delivery of dignified, meaningful care to people and their families. The need to nurture and lead healthcare organisations characterised by compassionate cultures is an increasingly prominent theme in global healthcare literature. The engagement of people with lived experience at all levels of system design supports effective and ethical service development. What does this paper add? This paper illustrates an approach to positive, compassion-focused organisational culture change, developed through codesign, occurring as a reform process following a crisis in service delivery. The paper applies key concepts in a framework that may be applied in a range of services to achieve positive organisational transformation. What are the implications for practitioners? Committed action to develop positive organisational culture characterised by compassionate relationship-centred care will have benefit for healthcare providers and the people who receive care. Keeping people with lived experience at the centre of design and development will support optimal outcomes for all stakeholders.

scholarly journals Resources available to develop mental health services

1992 ◽  
Vol 16 (8) ◽  
pp. 490-492
Author(s):  
John Mahoney
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Authority ◽  
Working Group ◽  
Psychiatric Services ◽  
Good Practices ◽  
Health Authorities ◽  
Audit Commission ◽  
Local Services

The Audit Commission has drawn attention to local champions of change in mental health services. Good Practices in Mental Health (GPMH) (1985) has highlighted a district which has overcome some of the myths about the impossibility of transforming the service, and recently the Institute of Health Services Management (IHSM) Working Group (1991) has entered the debate with “good psychiatric services can be developed in areas where managers are determined to introduce improved services”. The Audit Commission singled out Torbay Health Authority, GPMH highlighted Exeter Health Authority, and the IHSM Working Group have listed 12 exemplary health authorities (including Torbay and Exeter) where good local services have been developed.

scholarly journals Clinical approaches to cultural diversity in mental health care and specificities of French transcultural consultations: A narrative review.

2019 ◽  
Author(s):  
LAURA CARBALLEIRA CARRERA ◽  
Sarah Lévesque-Daniel ◽  
Rahmeth Radjack ◽  
Marie Rose Moro ◽  
Jonathan Lachal
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Cultural Diversity ◽  
Professional Training ◽  
Transcultural Psychiatry ◽  
Migrant Families ◽  
Consultation Services

Abstract Background: Cultural context substantially affects the experience and clinical expression of psychiatric diseases, while cultural factors limit both access to and effectiveness of care, especially for migrant families requiring specific types of services. In France, Transcultural Psychotherapy is an original method conceived for therapy for immigrant families facing issues that cannot be solved in standard psychotherapy. We reviewed the international literature on child and adult mental health services to compare the different models of care and uncover the specificities of the French model. Methods: Systematic electronic search of databases (PubMed and PsycINFO), manual search of archives of journals dealing with transcultural psychiatry, and consultations with international experts, to identify all papers describing clinical models devoted to mental health care for migrants, published between January 1990 and October 2018. Narrative synthesis of the included articles. Results: The study included 28 papers. The specificities of mental health services for migrant families are linked to the host country's migration patterns and citizenship model. In English-speaking countries, specialized services for ethnic minorities offer ethnic matching of the therapist and patient. In Canada, indirect transcultural consultation services have existed since the late 1990s. Australia emphasizes the networking of consultation services and professional training in cultural competence, while the Nordic countries (Sweden, Finland, Norway, and Denmark) focus management on trauma. In France, psychotherapy services, with flexible numbers of therapists involved according to the situation, have existed since 1990. Discussion: Most initiatives place emphasis on training and supervision, in an indirect approach not specifically focused on the patient, or offer cultural matching of patient and therapist. The French transcultural approach, on the contrary, makes the family's culture and its cultural diversity an integral part of the therapy process. Although this approach appears clinically effective, constraints linked to the size of the therapist group limit its generalization to all situations and impose the need for alternative forms of care.

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