Search results for ‘Subject term:"mental health problems"’ Sort:
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Guardianship of people with mental disorders
- Authors:
- MELAMED Yuval, DORON Israel, SHNITT Dan
- Journal article citation:
- Social Science and Medicine, 65(6), September 2007, pp.1118-1123.
- Publisher:
- Elsevier
The duty of a guardian is to protect a patient who is unable to care for himself or herself. Guardianship has been considered an abrogation of autonomy while conversely it often prevents irreversible harm to the patient. We examined the decision-making process for appointing a guardian in 60 cases from one mental health center in Israel, by examining the patients’ medical records and court appeals. The results of our study suggest that guardians are usually appointed only in extreme cases, though alternative solutions are rarely sought, and that clear criteria for physicians when recommending guardianship are lacking.
Re-sectioning following discharge
- Author:
- PARSONS Andrew
- Journal article citation:
- Mental Health and Learning Disabilities Care, 4(4), December 2000, p.139.
- Publisher:
- Pavilion
Reports on a recent court ruling which has confirmed as lawful the immediate re-sectioning of a patient following discharge by a Mental Health Review Tribunal.
Repatriating psychiatric patients
- Authors:
- GREEN Lucinda, NAYANI Tony
- Journal article citation:
- Psychiatric Bulletin, 24(11), November 2000, pp.405-408.
- Publisher:
- Royal College of Psychiatrists
In a psychiatric intensive care unit in central London 17 percent of consecutive admissions between 1 October 1997 and 1 October 1998 were foreign nationals from European Union (EU) countries. This paper discusses the experience of arranging repatriation and some of the relevant legal, ethical and clinical issues involved and reports the results of contacting all the EU embassies regarding the process of repatriating psychiatric patients to their respective countries.
Patient experience of MDT care and decision-making
- Authors:
- O'DRISCOLL William, et al
- Journal article citation:
- Mental Health Review Journal, 19(4), 2014, pp.265-278.
- Publisher:
- Emerald
Purpose: This paper explores physical and mental health patients’ experience of multidisciplinary team (MDT) care and decision making in order to highlight factors underlying effective care and to identify areas in which patient experience could be improved. Design/methodology/approach: Totally, 12 MDTs within the North Thames area participated; the authors recruited 13 patients from physical health MDTs and seven patients from mental health MDTs. The authors conducted semi-structured interviews with each participant and thematically analysed the transcripts. Findings: The study found a marked contrast in patient experience: physical health patients emphasised their faith in the judgement of MDT clinicians, described experiencing high quality care and expressed a strong preference not to attend MDT meetings; mental health patients highlighted a range of negative experiences, were frequently sceptical about their diagnosis, and expressed a desire to have greater involvement in the decisions directing their care. Research limitations/implications: It was necessary to revise the initial target of interviewing six patients per MDT due to recruitment difficulties. Practical implications: In order to improve care, mental health MDTs should focus on promoting a shared understanding of illness by increasing the transparency of the diagnostic process. Key factors underlying effective MDT care in physical health services include enabling patients to determine their level of involvement in decision making and ensuring patients have a clear understanding of their care plan. Originality/value: The paper highlights the importance of mental health MDTs focusing on developing a shared understanding of illness with their patients. (Publisher abstract)
Patients' advocacy: the development of a service at the State Hospital Carstairs Scotland
- Authors:
- ATKINSON Jacqueline M., MacPHERSON Kirstine
- Journal article citation:
- Journal of Mental Health, 10(6), December 2001, pp.589-596.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This article describes the development of an advocacy service and explores the issues involved in advocacy in a maximum secure environment. Using a model of citizen advocacy the service was started in September 1997. Patient involvement throughout the hospital was high with approximately 88% of patients having some contact with the service by January 2000. Most of the issues raised by patients are similar to those in any mental health advocacy project. Entrapment is a particular issue for some patients. Safety and security issues influence every aspect of the service. This ranges from advocates having to do more for patients rather than enable them to do things for themselves (e.g. make telephone calls) to the principle of the patients' wishes being paramount being tempered by security demands.
Mental incapacity and consent to treatment: the Scottish experience
- Author:
- CRICHTON John
- Journal article citation:
- Journal of Forensic Psychiatry, 11(2), September 2000, pp.457-464.
- Publisher:
- Routledge
The paper describes the current state of the law in Scotland relating to the management of adults who do not have the ability to consent to treatment. There are important differences in the nature and content of the common law relating to this subject between Scotland and England, which are described. This is a confusing area of law, which is acknowledged to be in need of reform. The Adults with Incapacity (Scotland) Act 2000 addresses the issue. Briefly describes and discusses the Act.
Nurse, there's a fly on my wall
- Author:
- EATON Lynn
- Journal article citation:
- Nursing Times, 4.2.98, 1998, p.16.
- Publisher:
- Nursing Times
Reports on how a television documentary filmed on a psychiatric ward has led to protest from mental health groups and nurses worried about the patients' ability to give informed consent.
A suitable case for treatment
- Author:
- CARSON David
- Journal article citation:
- Community Care, 13.11.97, 1997, pp.30-31.
- Publisher:
- Reed Business Information
The author reports on therapeutic jurisprudence, the latest import from the United States, and how it may provide the basis for an overhaul of our justice system.
Acting in error
- Author:
- ELLISTON Sarah
- Journal article citation:
- Community Care, 24.4.97, 1997, p.25.
- Publisher:
- Reed Business Information
Reports on how serious concern has been voiced about the recent use of the Mental Health Act 1983 to force medical treatment 'for their own good' on people who do not have mental health problems. Explains the legal implications.
What factors influence mental health professionals when deciding whether or not to share a diagnosis of dementia with the person?
- Authors:
- KEIGHTLEY J., MITCHELL A.
- Journal article citation:
- Aging and Mental Health, 8(1), January 2004, pp.13-20.
- Publisher:
- Taylor and Francis
This study investigated what influences mental health professionals when deciding whether or not to tell someone with dementia their diagnosis. A qualitative methodology was employed and the data analysed using grounded theory. Currently people with dementia tend not to be told their diagnosis, despite evidence that sharing diagnostic information can improve psychological well-being and adjustment. Why professionals are reluctant to share diagnostic information with people with dementia is unclear, although the literature raises a number of possibilities. Seven professionals were interviewed (two clinical psychologists and five community psychiatric nurses). The main influence on their disclosure practice was uncertainty about whether the person with dementia would want to know the diagnosis, fuelled by a fear that to tell them if they did not want to know would cause harm. Professionals also expressed a strong sense of both hopelessness and helplessness when confronted with dementia. This was then projected onto the person with dementia, which in turn led to the professionals adopting an overly protective stance towards them. If professionals are to resolve their sense of uncertainty about what the person with dementia wants, in terms of diagnostic information, services need to develop ways in which the views of people with dementia can be heard and start to influence service provision and policy.