Search results for ‘Subject term:"mental health problems"’ Sort:
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Why not?
- Author:
- JACKSON Catherine
- Journal article citation:
- Mental Health Today, 2004, pp.12-13.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Assesses the new initiative 'Building on the best: choice and equity in the NHS' and how it relates to patient choice in mental health services.
Can mental health nursing ever give up the option of restraint?
- Author:
- KENNY Craig
- Journal article citation:
- Community Care, 16.12.04, 2004, pp.14-15.
- Publisher:
- Reed Business Information
New guidelines from the National Institute of Clinical Excellence (NICE) are on the way to govern the use of force when dealing with mental health patients who become violent. The guidelines, due to be finalised in February, will emphasis that restraint should be used for the 'minimum possible' period but have rejected calls for a three-minute limit on restraint. Reports on what effect they will have on the controversial technique of last resort. Also looks at the disproportionate use of restraint techniques on black and minority ethnic patients.
Return and readmission of patients absent without leave under Section 18 of the 1983 Mental Health Act
- Authors:
- CURRAN Christopher, GRIMSHAW Catherine
- Journal article citation:
- Openmind, 130, November 2004, pp.24-25.
- Publisher:
- MIND
It has been found that 33% of all deaths of patients detained under the Act occurred while they were AWOL and 38% of suicides had absconded. States that hospitals should have a comprehensive AWOL policy and procedure and all relevant staff should be clear about how to respond.
Are we meeting the psychological needs of heterosexual men with HIV disease?: a retrospective case controlled study of referrals to a psychological medicine unit in London, UK
- Authors:
- ORR G., CATALAN J., LONGSTAFF C.
- Journal article citation:
- AIDS Care, 16(5), July 2004, pp.586-593.
- Publisher:
- Taylor and Francis
This study set out to ascertain what proportion of HIV-positive heterosexual men cared for at a central London teaching hospital HIV medical unit, were referred to the Psychological Medicine Unit, and to compare those HIV-positive male heterosexual patients with age and sex matched HIV-positive gay male controls. Hospital and Psychological Medicine Unit databases were interrogated to identify relevant patients seen during the period between February 1992 and December 2002. Furthermore, 50 heterosexual patients, who had been referred to the Psychological Medicine Unit, were matched for age and date of referral, with one gay male HIV-positive control patient. Demographic and illness data was gathered for the subjects and controls. Data was collected on 50 subjects in each group. The main findings of the study were: (1) that heterosexual men with HIV are almost three times less likely to be referred for specialist mental health care than HIV-positive gay men; (2) that heterosexual men with HIV disease, who were referred to the Psychological Medicine Unit, were less likely to be from a white ethnic background compared to gay men; (3) were less likely to be given a diagnosis of a depressive illness; but (4) were more likely to have a substance misuse diagnosis. Gay male patients who are HIV-positive are more likely to experience difficulties with sexual dysfunction, and receive a formal psychiatric diagnosis. The implications of the findings are discussed.
Somatoform disorders: a help or hindrance to good patient care
- Authors:
- SHARPE Michael, MAYOU Richard
- Journal article citation:
- British Journal of Psychiatry, 184(6), June 2004, pp.465-467.
- Publisher:
- Cambridge University Press
Somatoform disorders include a hetero-geneous group of diagnoses united only by their tendency to present with somatic complaints. In DSM–III–R the specific subcategories included somatisation disorder, hypochondriasis, body dysmorphic disorder, conversion disorder and chronic pain disorder, but the classification proved inadequate to the clinical task and the most recent edition of DSM (DSM–IV) added the non-specific category of undifferentiated somatoform disorder. This diagnosis, which amounts to little more than relabelling the patient’s own complaint, has turned out in practice to be the most common of the somatoform diagnoses.
Ward watch: Mind's campaign to improve hospital conditions for mental health patients
- Author:
- MIND
- Publisher:
- MIND
- Publication year:
- 2004
- Pagination:
- 25p.
- Place of publication:
- London
This report reveals two extremes of hospital conditions: for some patients, the hospital environment has provided the treatment and support needed to help them recover; for others, poor accommodation and security, safety concerns, insufficient staffing levels and intense boredom have exacerbated existing difficulties and created new ones, subjecting patients to an environment that is inhumane where it should be therapeutic.
Support from hospital to home
- Author:
- PATON Nic
- Journal article citation:
- Nursing Times, 16.11.04, 2004, pp.24-15.
- Publisher:
- Nursing Times
Looks at how an outreach settlement scheme run by ward nurses at Julian Hospital, Norwich, is ensuring that leaving hospital is less traumatic for older people with mental health needs. Hospital can quickly become a secure haven from the world, and discharge daunting and frightening after the safe routine of a ward. A checklist for setting up an outreach settlement scheme is given.
Use of an in-patient psychiatric service by learning disabled children
- Authors:
- HOPPER Felicity, ROSE Gillian
- Journal article citation:
- British Journal of Learning Disabilities, 32(3), September 2004, pp.119-122..
- Publisher:
- Wiley
Despite recent political commitment to increasing access to all levels of health service provision for learning disabled people, there is still limited access to in-patient child psychiatric care for learning disabled children. Describes the experiences of an in-patient unit integrating learning disabled children into a peer group, the majority of whom have normal intellectual function. A case note review was undertaken of all children with a global learning disability admitted to the Collingham Gardens in-patient unit between January 2000 and December 2001. Discusses how similar services may be developed to be more inclusive for learning disabled children.
Audit of disposal of clinically confidential information
- Authors:
- DIETRICH Craige, KHAN Zahir, WARNER James
- Journal article citation:
- Psychiatric Bulletin, 28(9), September 2004, pp.324-325.
- Publisher:
- Royal College of Psychiatrists
The authors conducted a 3-cycle audit of disposal of clinically sensitive information in a mental health unit, in order to identify and reduce potential breaches in patients’ confidentiality. Material from waste bins in administrative areas of a mental health unit was examined every evening during each period of the audit. The first search, conducted over a 3-week period, yielded 11 documents containing highly-sensitive information about patients. After feedback to staff and improvement of shredding facilities, no sensitive information was found during the follow-up 3-week survey, 3 months later. However, a third survey 2 years later found 24 highly-sensitive items after one week, despite shredding facilities being maintained. Changes in behaviour identified in this audit appear to be due to education rather than improved facilities. All staff involved in patient care need to maintain awareness of the need for safe disposal of confidential material.
Audit of psychiatric discharge summaries: completing the cycle
- Authors:
- CROSSNAN Isabelle, CURTIS David, ONG Yong-Lok
- Journal article citation:
- Psychiatric Bulletin, 28(9), September 2004, pp.329-331.
- Publisher:
- Royal College of Psychiatrists
The aim was to examine and attempt to improve the recording of information within psychiatric discharge summaries in an adult psychiatry department, by means of audit and feedback. Psychiatric discharge summaries from an acute adult psychiatric department were examined to determine the recording of ten selected items. Following feedback and discussion, the audit was repeated after 6 months. Fifty-one discharge summaries were examined on the first occasion and 53 on the second. There was considerable variability in the standard of recording across the selected items, but the patterns of recording were similar at both stages. No improvement was found in the recording of information at the second audit. Audit and feedback alone may have little effect in changing clinical practice. This study examines the experience of undertaking clinical audit from a trainee’s perspective, illustrates barriers to change and highlights the possible limitations of audit as a clinical tool.