scholarly journals Writing for recovery: a practice development project for mental health service users, carers and survivors

2014 ◽  
Vol 4 (1) ◽  
pp. 1-13
Author(s):  
Sam Taylor ◽  
◽  
Helen Leigh-Phippard ◽  
Alec Grant ◽  
◽  
...  
Keyword(s):  
Mental Health ◽  
Creative Writing ◽  
Psychiatric Treatment ◽  
Writing Process ◽  
Development Project ◽  
Safe Space ◽  
Health Staff ◽  
Mental Health Staff ◽  
The Individual ◽  
Practice Development

Background: This paper discusses a writing for recovery narrative practice development project based on Deleuzian theoretical principles. Creative writing was based on a formulation of ‘recovery’ as transcending the social invalidation, discrimination and abusive effects of institutional psychiatry. Aims and objectives: To provide a safe space for participants to explore the creative writing process To reduce participants’ anxieties about creative writing To enable a supportive environment to explore and discover individual writing voices To help participants work towards recovery and personal and social meaning through creativewriting Methods: By drawing on principles from the humanities and the use of creative writing techniques we were able to harness the individual and collective creative writing process. The aim was to facilitate the development of individual and group re-storying recovery identities, removed from perceived or actual institutional mental health expectations. Results: The principal output from the group was the publication of an anthology of participants’ work. New friendships were made in a community of recovery writers in the process of re-storying identities, and there was evidence of growth in participants’ self- and social confidence, supported by testimony from their significant others. Conclusions: Recovery community resilience and individual self-confidence can be developed through the medium of creative writing. It enables participants to explore and develop new, more viable identities in a safe space, sharing and working through experiences of social injustice, anger, fear and betrayal. Implications for practice: A rejection of values-based or evidence-based practice allows for a revised understanding ofrecovery, paving the way for narrative-based approaches As a model of such a revised understanding, Writing for Recovery enables participants to explorenew, more viable identities and come to terms with traumatic past events A challenge for mental health staff embracing Writing for Recovery is to acknowledge that onestrand of participants’ traumatic past is institutional psychiatric treatment

Remarkable lives: Laura O’Brien in conversation with Jerome Carson

2016 ◽  
Vol 20 (2) ◽  
pp. 74-79 ◽  
Author(s):  
Laura O'Brien ◽  
Jerome Carson
Keyword(s):  
Mental Health ◽  
Childhood Abuse ◽  
Mental Health Problems ◽  
Health Staff ◽  
Personal Recovery ◽  
Mental Health Staff ◽  
Content Type ◽  
Biographical Account ◽  
The Individual

Purpose – The purpose of the paper is to provide a profile of Laura O’Brien. Design/methodology/approach – Laura provides a short biographical account of her life thus far. She is then interviewed by Jerome. She describes her abusive childhood and the effect this has had on her mental health. Findings – Despite enduring significant adversity, Laura has completed a Psychology degree, is finishing off a PGCE and hopes to go on to complete a PhD. Research limitations/implications – There has been increasing interest looking at the effects of childhood abuse on predisposing individuals to adult mental health problems. This case study provides evidence of this linkage. Practical implications – Patricia Deegan talks about mental health staff having to “hold the care” while the individual struggles with their personal recovery. Laura’s story shows how despite numerous overdoses and admissions, she has been able to battle through. Mental health staff should never give up. There are thousands of “Lauras” out there. Social implications – How much of Laura’s problems might have been avoided or minimised if there had been better interventions during her troubled childhood years? Originality/value – Given what she has endured, Laura’s recent career successes have been staggering.

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.

The Practice of Community Psychiatric Nursing and Mental Health Social Work in Salford Some Implications for Community Care

1988 ◽  
Vol 152 (6) ◽  
pp. 783-792 ◽  
Author(s):  
K. Wooff ◽  
D. P. Goldberg ◽  
T. Fryers
Keyword(s):  
Mental Health ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Psychiatric Nurses ◽  
Health Staff ◽  
Mental Health Staff ◽  
Term Care ◽  
Community Psychiatric ◽  
Wide Range

The context and content of work undertaken with individual clients by community psychiatric nurses (CPNs) and mental health social workers (MHSWs) in Salford were found to be significantly different. Although there were some areas of overlap, the ways in which the two professions worked were quite distinct. MHSWs discussed a wide range of topics and were as concerned with clients' interactions with family and community networks as they were with symptoms. Their interviews with schizophrenic clients followed a similar pattern to those with other groups, and they worked closely with psychiatrists and other mental health staff. CPNs, on the other hand, focused mainly on psychiatric symptoms, treatment arrangements, and medications, and spent significantly less time with individual psychotic clients than they did with patients suffering from neuroses. They were as likely to be in contact with general practitioners as they were with psychiatrists, and had fewer contacts with other mental health staff than the MHSWs. There was evidence that the long-term care of chronic psychiatric patients living outside hospital required more co-ordinated long-term multidisciplinary input.

scholarly journals Visual acuity and reported eye problems among psychiatric in-patients

2006 ◽  
Vol 30 (8) ◽  
pp. 297-299 ◽  
Author(s):  
Bhaskar Punukollu ◽  
Michael Phelan
Keyword(s):  
Mental Health ◽  
Visual Acuity ◽  
Inner City ◽  
Mental Health Problems ◽  
Contact Lenses ◽  
Health Staff ◽  
Health Unit ◽  
Mental Health Staff ◽  
Eye Problems ◽  
Mental Health Unit

Aims and MethodThe aim of this study was to examine visual problems among patients admitted to an inner city acute mental health unit. We measured visual acuity using a Snellen chart. Patients were also asked about perceived eye problems and access to services.ResultsOf 55 in-patients on five acute general adult wards at an inner city mental health unit over a 3-day period, 31 agreed to participate in the study. Twenty (65%) had impaired visual acuity and 19 (61%) had not been to an optician for 5 or more years. Seventeen patients (55%) reported experiencing difficulty with their eyesight. The main problems reported were blurring of vision and periorbital pain. Of these 17 patients, 15 (88%) had impaired visual acuity on Snellen testing. Half of those who had previously been prescribed glasses or contact lenses reported that they had been lost.Clinical ImplicationsVisual impairment appears to be another area of physical health which is underrecognised and undertreated in people with severe mental health problems. Although there are numerous issues that must be addressed by mental health staff, patients should be asked about eye problems and supported in accessing opticians.

scholarly journals A Systematic Review of the Characteristics and Efficacy of Recovery Training for Mental Health Staff: Implications for Supported Accommodation Services

2021 ◽  
Vol 12 ◽  
Author(s):  
Peter McPherson ◽  
Brynmor Lloyd-Evans ◽  
Christian Dalton-Locke ◽  
Helen Killaspy
Keyword(s):  
Mental Health ◽  
Service User ◽  
Health Staff ◽  
Mental Health Staff ◽  
Training Interventions ◽  
Supported Accommodation ◽  
Final Sample ◽  
Design Characteristics

Evidence suggests a link between recovery-oriented practise and service user outcomes in supported accommodation settings. Current clinical guidelines recommend recovery training for supported accommodation staff, however evidence relating to the effectiveness of this type of training is unclear. This review aimed to describe and compare the characteristics and efficacy of existing recovery training packages for mental health staff. The appropriateness and applicability of the interventions was considered in relation to UK supported accommodation services. Initial search processes returned 830 papers. After duplicate removal, inclusion and exclusion criteria were applied to 489 papers, leaving a final sample of seven papers. Data were reviewed using a narrative synthesis approach. The reviewed papers showed variation in the aims, frequency, and duration of the training interventions, although all included content consistent with the five-domains of the CHIME model. All interventions used direct, in-person teaching, and prioritised interactive, experiential learning, however a number were limited by the absence of feedback, the use of one-off, rather than repeated/follow-up sessions, and a reliance on classroom-based, rather than in-vivo, training. There was limited evidence to suggest a consistent effect of training on staff or service user outcomes, and there was no clear association between the delivery and design characteristics of the interventions and reported outcomes. In considering the development of recovery training for supported accommodation staff, little guidance can be taken from the reviewed literature. Any training package must be developed with consideration of the unique contextual and organisational characteristics of these services. The authors recommend viewing training as one component of a broader goal of service transformation.

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