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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)
Back to the board
- Author:
- -
- Journal article citation:
- Professional Social Work, October 2002, pp.18-19.
- Publisher:
- British Association of Social Workers
BASW as issued a response to the Mental Health Bill which calls for it to be withdrawn and completely redrafted. Looks at some of the main points in the response.
Medication, healing and resistance in East Malaysia
- Author:
- CRABTREE Sara Ashencaen
- Journal article citation:
- Mental Health Religion and Culture, 8(1), March 2005, pp.17-25.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This paper considers some findings from an ethnographic study of psychiatric patients in hospital care in East Malaysia. The subject of treatment is considered with regard to professional attitudes towards patient 'compliance' and the demonstration of resistance by users within a multicultural context in which traditional healing continues to be a popular alternative to biomedicine. 'Resistance' here is used in its literal meaning, rather than as an abstract, theoretical construct. The narratives of Malaysian patients in relation to resisting treatment in this study form some direct comparisons with, for example, the quotes from service users on the topic of medication, 'control and coercion' in the UK. Resistance to treatment then is interpreted by staff as the outcome of sickness behaviour, which frequently results in coercive strategies. The undisputed power of the medical profession in Malaysia has contributed to the lack of an evolved 'service-user' perspective in which few patient rights are recognised, especially non-treatment. These responses remain embedded in a paternalistic and custodial attitude that does not acknowledge issues of spirituality or alternative healing practices that are important to hospitalised patients. Modernisation of services have not led to a parallel development with regard to patient participation or in terms of appropriate cultural responses. It is concluded that until this takes place professionals will continue to ignore the personal meaning users attach to treatment resistance.
Behind closed doors: acute mental health care in the UK: the current state and future vision of acute mental health care in the UK
- Authors:
- RETHINK, et al
- Publisher:
- Rethink
- Publication year:
- 2004
- Pagination:
- 23p.
- Place of publication:
- London
This report reveals that, despite some 650 national strategies, guidelines, frameworks and protocols issued by the government over the last five years, much still needs to be done to improve the harrowing conditions under which some of society’s most vulnerable people are treated. The report found that there are too many people in our psychiatric units, particularly those – like the psychiatric intensive care units (PICUs), that work with those most severely ill. The report shows, that there is a crisis in psychiatric in-patient care with wards over-crowded, treatment taking place in “bleakness and squalor” and staff left feeling demoralised and unsupported. The report also highlights developments that may improve this situation.