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A capability framework for working in acute mental health care: the values, skills, and knowledge needed to deliver high quality care in a full range of acute settings
- Author:
- NHS EDUCATION FOR SCOTLAND
- Publisher:
- NHS Education for Scotland
- Publication year:
- 2007
- Pagination:
- 38p.
- Place of publication:
- Edinburgh
This framework pays close attention to the purpose of acute mental health care, the impact of the environment in which acute care is provided (whether this is in hospital or community), and the impact of acute care on peoples’ rights, recovery and relationships. The framework sets out a range of capabilities for all nurses working in acute care and then a further set of capabilities as nurse’s progress their careers. The framework is divided into four key areas: rights, values and recovery focused practice, supporting recovery from acute crisis, making a difference in acute care, and sharing positive risk taking. The framework can be used by nurses and service managers to guide personal development planning, by service users and their families/carers to explain the key skills, knowledge and attitudes that they should expect from nurses in acute care settings, or by education and training organisations to guide the development of training and educational activities and programmes specific to acute care.
Promoting mental wellbeing through activity in a mental health hospital
- Authors:
- HUTCHESON Catriona, et al
- Journal article citation:
- British Journal of Occupational Therapy, 73(3), March 2010, pp.121-128.
- Publisher:
- Sage
Studies have indicated widespread inactivity in psychiatric wards, although the occupational therapy and mental health journals support the therapeutic benefits of participation in activity. A service evaluation was conducted to explore activity provision and identify gaps in service within a 13-ward psychiatric hospital. The results of the initial exploration were that staff and patients indicated a lack of structured and accessible activity. An activity programme was introduced offering a minimum of 17 groups weekly, including functional, leisure, art and sport groups. Six months after the introduction of the programme, 63 patients participated in one week, which was a considerable increase from 6 inpatients taking part in activity prior to the introduction of the programme. The results of a service evaluation conducted by questionnaire identified positive feedback from over 90% of patients and 100% of staff. The main recommendation was the continuous provision of an inpatient activity programme within the hospital. A further recommendation was to build closer links with community resources to enable continued participation after discharge from hospital.
Unleashing creativity
- Author:
- McCUE Isabel
- Journal article citation:
- Mental Health Today, June 2005, pp.16-17.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Theatre Nemo is a community theatre company that aims to promote the creative arts in education, but especially for those affected by mental health issues. The theatre is based in Lanarkshire, Scotland and this article looks at some of the projects it has undertaken in prisons and psychiatric hospitals.
Clinical practice guidelines in mental health: a guide to their use in improving care
- Editors:
- WHITTY Paula, ECCLES Martin
- Publisher:
- Radcliffe
- Publication year:
- 2004
- Pagination:
- 133p.
- Place of publication:
- Oxford
The book covers a wide range of topics including the nuts and bolts of guideline development, potential pitfalls of using or not using guidelines, details of the National Institute for Clinical Excellence and its collaborating centres, reference to equivalent work in Scotland and feedback on the process of using guideless at trust and primary care level. With over 50 clinical practice guidelines in development, the UK’s National Health Service has probably the largest guideline programme of any healthcare system in the world. Although seemingly directed towards mental health, this book has general applicability and will be valuable to anyone involved with guideline development and implementation.
Adult acute themed visit report: visit and monitoring report
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2017
- Pagination:
- 61
- Place of publication:
- Edinburgh
This report details findings from visits to 47 mental health admission wards providing care to adults across Scotland, which were conducted to find out whether people receiving care felt their rights were being respected, identify any good practice and provide recommendations for practice. The visits reviewed the care of 323 patients and spoke to 41 carers and hospital staff. The report summarises key findings in the areas of: hospital admission, feeling safe, care planning, recovery, peer support, discharge planning, activities, consent to treatment and advance statements. The report found positive and negative findings. It identifies improvements in the physical environment, found wards were taking a more recovery-focused approach, and also found more peer support workers in wards since the last themed visit. However, the report also identifies a number of areas for improvement. These included: level of safety, with almost one in five patients spoken to reporting feeling unsafe; access to activities, with fewer than half of patients spoken to said they had the opportunity to exercise; and delays in accessing social work services affecting discharge planning. A series of recommendations are included. (Edited publisher abstract)
What in-patients want: a qualitative study of what's important to mental health service users in their recovery (Wayfinder Partnership)
- Authors:
- BREDSKI Joanna, et al
- Journal article citation:
- Mental Health Review Journal, 20(1), 2015, pp.1-12.
- Publisher:
- Emerald
Purpose: This paper presents a qualitative analysis of the facilitators of recovery in in-patient psychiatric rehabilitation from the service users’ perspective. Design/methodology/approach: Interviews with 31 in-patients in rehabilitation wards at the Royal Edinburgh Hospital were coded and analysed thematically at an interpretive level using an inductive approach. Findings: The dominant themes identified were hope, agency, relationships and opportunity (ie environmental resources available on and off the ward such as employment and leisure time). It total, 20 subthemes were identified. Agency was more important to men than women and agency, hope and relationships were all more important to detained patients. Research limitations/implications: Interview data were collected in writing rather than taped. The results may not be transferrable to patient populations with significantly different demographic or service factors. Practical implications: Services need to target interventions at the areas identified by service users as important in their recovery. The findings suggest both environmental and relational aspects of care that may optimise recovery. Services also need to be able to measure the quality of the care they provide. A brief, culturally valid and psychometrically assessed instrument for measuring the recovery orientation of services is required. Originality/value: The conceptual framework identified in this paper can be used to develop a service user self-report measure of the recovery orientation of services. (Edited publisher abstract)
Care needs of elderly people with schizophrenia: assessment of an epidemiologically defined cohort in Scotland
- Authors:
- McNULTY Seamus V., et al
- Journal article citation:
- British Journal of Psychiatry, 182(3), March 2003, pp.241-247.
- Publisher:
- Cambridge University Press
Little is known of the needs of elderly patients with psychotic illnesses. The aim of this artilce was to measure the care needs of an epidemiologically based group of patients over the age of 65 years suffering from psychotic illness, using a standardised assessment. All patients aged 65 years and over with a diagnosis of schizophrenia and related disorders from a defined catchment area were identified. Their health and social care needs were investigated using the Cardinal Needs Schedule. The 1-year prevalence of schizophrenia and related disorders was 4.44 per 1000 of the population at risk. There were high levels of unmet need for many patients, including those in National Health Service (NHS) continuing-care beds. Many needs were identified, all of which could be addressed using the existing skills of local health and social care professionals. The investigation raises serious concerns about standards of hospital and community care for elderly patients with schizophrenia. The findings may be unique, reflecting long-standing problems within a particularly hard-pressed part of the NHS. However, it is not known whether a similar situation exists in other parts of the UK.
Scottish Office blasted by MPs' report
- Author:
- -
- Journal article citation:
- Care Report Scotland, 26, June 1994, pp.1, 6-7.
Large swathes of community care policy in Scotland have come under severe criticism from an all-party group of MPs. The Scottish Affairs Committee convened to look at the closure of psychiatric hospitals in Scotland but found itself considering more general issues such as paying for the medical and social care of older people.
Sex offenders in high-security care in Scotland
- Authors:
- BAKER Melanie, WHITE Tom
- Journal article citation:
- Journal of Forensic Psychiatry, 13(2), September 2002, pp.285-295.
- Publisher:
- Routledge
This article examines the characteristics of 53 sex offenders detained in maximum security at the State Hospital, Carstairs, in Scotland. Patients were categorized by diagnosis and four main groups were found: mental handicap, mental illness, mental illness with co-morbid personality disorder and personality disorder alone. As a whole, the patients had experienced multiple areas of deprivation and many had been subject to sexual abuse themselves. Our findings are consonant with other work in this area in noting the importance of deviant fantasy and positive psychotic symptoms. Detailed assessment of mentally disordered sex offenders is recommended, with consequent treatment including pharmacotherapy and a modified cognitive behavioural approach.