scholarly journals No dogs. Guide dogs by prior permission

2006 ◽  
Vol 30 (12) ◽  
pp. 463-463
Author(s):  
James Pease ◽  
Anthony Brown
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Clinical Governance ◽  
Knowledge And Skills ◽  
Guide Dogs ◽  
Rural Locality ◽  
Prior Permission

Esther Rantzen created the Jobsworth Award before the National Health Service (NHS) invented clinical governance. One wonders sometimes if the NHS would have scooped all their awards had the programme continued. Television presenters also caution against involvement with children or animals, or worst of all both simultaneously. Clearly child and adolescent mental health professionals planning to involve animals in therapy should be cautious even in a semi-rural locality. Animals and children are, however, within our knowledge and skills framework, but not so the finer points of clinical governance.

scholarly journals Advances in psychiatric treatment in primary care

2001 ◽  
Vol 7 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Christopher Dowrick
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
National Health Service ◽  
Health Service ◽  
Health Professionals ◽  
Depressive Disorders ◽  
Mental Health Problems ◽  
Psychiatric Treatment ◽  
Mental Illnesses ◽  
Breaking Work

Following ground-breaking work by Shepherd et al (1966) and, more recently, Goldberg & Huxley (1992), primary care is now recognised as the arena in which most contact occurs between the National Health Service (NHS) and people with mental health problems. General practitioners (GPs) remain the first, and in many cases the only, health professionals involved in the management of a whole range of conditions, from common anxiety and depressive disorders to severe and enduring mental illnesses.

Influence of an educational program on mental health professionals' knowledge and perceptions of problematic alcohol and other drug use

2004 ◽  
Vol 10 (2) ◽  
pp. 43
Author(s):  
Bill Carta ◽  
Brenda Happell ◽  
Jaya Pinikahana
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Educational Program ◽  
Response Rate ◽  
Knowledge And Skills ◽  
Problematic Alcohol ◽  
Problematic Drug ◽  
Drug And Alcohol

The issue of co-morbid substance abuse and mental illness is clearly identified in the literature. The adequacy of the knowledge and skills of mental health professionals to deal with the complex problems associated with this co-morbidity has received considerable attention. The effect of an educational program on mental health professionals? knowledge and perceptions of problematic alcohol and substance abuse was measured in a questionnaire survey in Victoria, Australia. The aim was to determine if an educational program could facilitate knowledge and attitudinal change among mental health professionals. In the pre-survey, a questionnaire on knowledge, skills, attitudes and practices was administered to 378 clinicians in Victoria (133 were returned, representing a 46% response rate). In the post-survey, 131 questionnaires were returned (response rate 35%). Significant changes in knowledge were reported following the educational program in the areas of overall knowledge of drug and alcohol, diagnosis of drug and alcohol abuse, and management of drug and alcohol abusers. While positive attitudes towards problematic drug and alcohol issues were expressed, specific educational programs to enhance their knowledge and skills in assessment and management of problematic drug and alcohol users are recommended.

scholarly journals Attitudes towards seclusion and restraint in mental health settings: findings from a large, community-based survey of consumers, carers and mental health professionals

2016 ◽  
Vol 26 (5) ◽  
pp. 535-544 ◽  
Author(s):  
S. A. Kinner ◽  
C. Harvey ◽  
B. Hamilton ◽  
L. Brophy ◽  
C. Roper ◽  
...  
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Online Survey ◽  
Service Providers ◽  
Consumer Safety ◽  
Mental Health Settings

Aims.There are growing calls to reduce, and where possible eliminate, the use of seclusion and restraint in mental health settings, but the attitudes and beliefs of consumers, carers and mental health professionals towards these practices are not well understood. The aim of this study was to compare the attitudes of mental health service consumers, carers and mental health professionals towards seclusion and restraint in mental health settings. In particular, it aimed to explore beliefs regarding whether elimination of seclusion and restraint was desirable and possible.Methods.In 2014, an online survey was developed and widely advertised in Australia via the National Mental Health Commission and through mental health networks. The survey adopted a mixed-methods design, including both quantitative and qualitative questions concerning participants’ demographic details, the use of seclusion and restraint in practice and their views on strategies for reducing and eliminating these practices.Results.In total 1150 survey responses were analysed. A large majority of participants believed that seclusion and restraint practices were likely to cause harm, breach human rights, compromise trust and potentially cause or trigger past trauma. Consumers were more likely than professionals to view these practices as harmful. The vast majority of participants believed that it was both desirable and feasible to eliminate mechanical restraint. Many participants, particularly professionals, believed that seclusion and some forms of restraint were likely to produce some benefits, including increasing consumer safety, increasing the safety of staff and others and setting behavioural boundaries.Conclusions.There was strong agreement across participant groups that the use of seclusion and restraint is harmful, breaches human rights and compromises the therapeutic relationship and trust between mental health service providers and those who experience these restrictive practices. However, some benefits were also identified, particularly by professionals. Participants had mixed views regarding the feasibility and desirability of eliminating these practices.

scholarly journals Features of Mental Health Service Provision During the COVID-19 Pandemic in Specialists Who Work with Suicide Prevention in Rural Areas

Psichologija ◽  
2021 ◽  
Vol 64 ◽  
pp. 23-37
Author(s):  
Austėja Agnietė Čepulienė ◽  
Said Dadašev ◽  
Dovilė Grigienė ◽  
Miglė Marcinkevičiūtė ◽  
Greta Uržaitė ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Rural Areas ◽  
Service Provision ◽  
Help Seeking ◽  
Health Service Provision ◽  
Mental Health Service Provision

The COVID-19 pandemic can influence the situation of suicide rates and mental health in rural regions even more than in major cities. The aim of the current study was to explore the functioning of mental health service provision during the COVID-19 pandemic through interviews with mental health professionals and other specialists who work with suicide prevention in rural areas. Thirty specialists were interviewed using a semi-structured interview format. The following codes were identified during the thematic analysis: providing help during the pandemic (mental health professionals and institutions adapted to the conditions of the pandemic, remote counselling makes providing help more difficult, the help is less reachable); help-seeking during the pandemic (people seek less help because of the pandemic, seeking remote help is easier, the frequency of help seeking didn’t change); the effects and governing of the pandemic situation (the pandemic can have negative effects on mental health; after the pandemic mental health might get worse; the governing of the pandemic situation in Lithuania could be more fluent). The current study reveals positive aspects of mental health professionals’ adaptivity during the pandemic, as well as severe problems which are related to the access to the mental health services during the COVID-19 pandemic.

scholarly journals Clinical governance in mental health services

1999 ◽  
Vol 23 (12) ◽  
pp. 711-714 ◽  
Author(s):  
Peter Kennedy
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
Research And Development ◽  
Chief Executive ◽  
Clinical Effectiveness ◽  
White Paper ◽  
Clinical Governance ◽  
The Third ◽  
Department Of Health

This is one of three articles describing how one National Health Service (NHS) trust is tackling clinical governance. The first is by the trust chief executive, the ‘accountable officer’ in the White Paper The New NHS (Department of Health, 1997). The second is by the trust's director of research and development whose responsibilities include assisting clinical directorates to carry out an annual programme of improvements in clinical effectiveness. The third paper is by the mental health lead clinician’ for clinical governance.

scholarly journals The work patterns of consultant psychiatrists

2007 ◽  
Vol 13 (6) ◽  
pp. 470-475 ◽  
Author(s):  
Judith Harrison
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Junior Doctors ◽  
Work Patterns ◽  
New Ways Of Working ◽  
The Past ◽  
Increasing Trend ◽  
The Uk

Much has changed in the National Health Service in the UK in the past 10 years and consultant roles need to adapt accordingly. This article describes the drivers for change in consultant roles, including enhanced roles for other mental health professionals, increased expectations of users and carers, changes in junior doctors' work patterns and the new consultant contract. The recommendations of the report on New Ways of Working for Psychiatrists are reviewed, with suggestions for changes in the consultant role in out-patient clinics, community teams and acute care. Enhanced roles for other mental health professionals and the increasing trend to specialisation are also discussed.

scholarly journals Service Use History of Individuals Enrolling in a Web-Based Suicidal Ideation Treatment Trial: Analysis of Baseline Data

10.2196/11521 ◽  
2019 ◽  
Vol 6 (4) ◽  
pp. e11521 ◽  
Author(s):  
Quincy JJ Wong ◽  
Aliza Werner-Seidler ◽  
Michelle Torok ◽  
Bregje van Spijker ◽  
Alison L Calear ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Health Service ◽  
General Practitioners ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Service Use ◽  
Treatment Trial ◽  
Web Based ◽  
Remote Areas

Background A significant recent innovation is the development of internet-based psychological treatments for suicidal thinking. However, we know very little about individuals experiencing suicidal ideation who seek help through Web-based services and, in particular, their previous health service use patterns. Objective We aimed to examine service use history and its correlates among adults experiencing suicidal ideation who enrolled in a Web-based suicidal ideation treatment trial. Methods We used baseline data of 418 individuals seeking Web-based treatment for their suicidal ideation recruited into a randomized controlled trial of a 6-week Web-based self-help program. Participants at preintervention reported demographic information, clinical characteristics, and health service use over the previous 6 months. Results Participants had a high rate of service use in the 6 months before enrolling in the treatment trial (404/418, 96.7% of participants had contact with services). The two most common contact points were general practitioners (385/418, 92.1% of participants) and mental health professionals (295/418, 70.6% of participants). Notably, those with a previous single suicide attempt had lower odds of contact with any service than those with no attempt (odds ratio [OR] 0.21, 95% CI 0.05-0.86; P=.03). Those living in rural or remote areas had lower odds of contacting general practitioners (OR 0.35, 95% CI 0.13-0.91; P=.03) or mental health professionals (OR 0.44, 95% CI 0.23-0.83; P=.01) than those living in metropolitan areas. Conclusions Individuals enrolling in an electronic health intervention trial have often received treatment from general practitioners or mental health professionals. These services can therefore play an important role in preventing the escalation of suicidal thinking. Enrollment in our Web-based treatment trial suggested, though, that face-to-face health services may not be enough. Our study also highlighted the need to improve the provision of coordinated and assertive care after a suicide attempt, as well as health service availability and utilization for those living in rural and remote areas. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12613000410752; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=364016 (Archived by WebCite at http://www.webcitation.org/6vK5FvQXy); Universal Trial Number U1111-1141-6595

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