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Adapting services for a changing society: a reintegrative model for old age psychiatry (based on a model proposed by Knight and Emanuel, 2007)
- Authors:
- BLANCHARD Martin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(2), February 2009, pp.202-206.
- Publisher:
- Wiley
The authors discuss models of care for older people with mental health problems. The weaknesses of the Recovery model for this group are discussed, and an alternative, the reintegration model is put forward.
The power threat meaning framework: overview
- Authors:
- JOHNSTONE Louise, BOYLE Mary
- Publisher:
- British Psychological Society
- Publication year:
- 2018
- Pagination:
- 139
- Place of publication:
- Leicester
This overview outlines the main principles and scope of the Power Threat Meaning (PTM) Framework and summarises the evidence from which the Framework emerged. The PTM Framework provides an over-arching structure for identifying patterns in emotional distress, unusual experiences and troubling behaviour, as an alternative to psychiatric diagnosis and classification. The Framework comprises four interrelated aspects: the role of various kinds of power in people’s lives, the kind of threat that power may pose to a person or group, how meaning shapes the expression of threat, and the ways people have learnt to respond to those threats. The overview report also includes guidelines on how the PTM Framework might be used in service, peer support or self-help settings and appendices which illustrate some of the ways in which non-diagnostic practice has already been successfully adopted both within and beyond services. (Edited publisher abstract)
The Power Threat Meaning Framework: towards the identification of patterns in emotional distress, unusual experiences and troubled or troubling behaviour, as an alternative to functional psychiatric diagnosis
- Authors:
- JOHNSTONE Lucy, BOYLE Mary
- Publisher:
- British Psychological Society
- Publication year:
- 2018
- Pagination:
- 414
- Place of publication:
- Leicester
This report describes the Power Threat Meaning Framework, which provides an over-arching structure for identifying patterns in emotional distress, unusual experiences and troubling behaviour, as an alternative to psychiatric diagnosis and classification. The Framework summarises evidence about the role of various kinds of power in people’s lives, the kinds of threat that misuse of power poses, and the ways people have learnt to respond to those threats or ‘symptoms’. It looks at how to make sense of these difficult experiences and how messages from wider society can increase feelings of shame, self-blame, isolation, fear and guilt. The report also outlines the context, principles, research and practice from which the Power Threat Meaning Framework emerged. The approach is summarised in four questions that can apply to individuals, families or social groups: What has happened to you? (How is power operating in your life?); How did it affect you? (What kind of threats does this pose?); What sense did you make of it? (What is the meaning of these situations and experiences to you?); and What did you have to do to survive? (What kinds of threat response are you using?). Two further questions look at the skills and resources people might have and how they might pull all these ideas and responses together into a personal narrative or story: What are your strengths? (What access to Power resources do you have?) and What is your story? (How does all this fit together?). (Edited publisher abstract)
Specialist versus generic models of psychiatry training and service provision for people with intellectual disabilities
- Authors:
- JESS Gillian, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 21(1), March 2008, pp.183-193.
- Publisher:
- Wiley
Models of service provision and professional training differ between countries. This study aims to investigate a specialist intellectual disabilities model and a generic mental health model, specifically comparing psychiatrists’ knowledge and competencies, and service quality and accessibility in meeting the mental health needs of people with intellectual disabilities. Data were collected from consultant and trainee psychiatrists within a specialist intellectual disabilities model (UK) and a generic mental health model (Australia). The sample sizes were 294 (UK) and 205 (Australia). Statistically significant differences were found, with UK participants having positive views about the specialist intellectual disabilities service model they worked within, demonstrating flexible and accessible working practices and service provision, responsive to the range of mental health needs of the population with intellectual disabilities, and providing a wide range of treatments and supports. The UK participants were knowledgeable, well trained and confident in their work. They wanted to work with people with intellectual disabilities. In all of these areas, the converse was found from the Australian generic mental health service model. The specialist intellectual disabilities model of service provision and training has advantages over the generic mental health model.
Policy implications of a psychological model of mental disorder
- Authors:
- KINDERMAN Peter, SELLWOOD William, TAI Sara
- Journal article citation:
- Journal of Mental Health, 17(1), February 2008, pp.93-103.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Mental health care in the United Kingdom is rapidly changing, but many commentators, particularly sociologists and psychologists, view systems as remaining wedded to a medical model and not "fit for purpose". If services are to improve, the way that mental health problems are understood by the services providing care needs to change radically. To illustrate how a psychological model of mental disorder - the "mediating psychological processes model"- could assist mental health service policy development and implementation. A review of selected literature and policy documents was conducted. A "manifesto" for mental health service policy is presented, based on psychological principles. Psychological models, at least in addition to medical approaches, could better inform policy and service design.
Service innovations: the role of a consultant in old age psychiatry: experience of an adapted model of care
- Authors:
- LAWLEY David, et al
- Journal article citation:
- Psychiatric Bulletin, 29(3), March 2005, pp.101-103.
- Publisher:
- Royal College of Psychiatrists
There is increased recognition that the role and function of a consultant psychiatrist is ill-defined and associated with excessive workloads, low job satisfaction, high levels of stress and high rates of premature retirement. This has led to examination and debate about how consultants in general psychiatry could adapt models of working to address these difficulties and also face the agenda of change facing the NHS as a whole and mental health services in particular. These challenges are not, of course, unique to general psychiatry, but as yet there has been little debate about how consultants in other specialities, including old age psychiatry, could begin to try and address these difficulties. This article aims to stimulate debate, by describing an adapted model of working adopted by 2 consultants in old age psychiatry in the Hull and East Riding Community Health NHS Trust.
Comparison of liaison psychiatry service models for older patients
- Authors:
- MUJIC Fedza, et al
- Journal article citation:
- Psychiatric Bulletin, 28(5), May 2004, pp.171-173.
- Publisher:
- Royal College of Psychiatrists
At a London teaching hospital, the existing off-site consultation model psychiatric liaison service for older people was replaced with an on-site liaison model service in December 2000. Several indicators of the functioning of the service were audited using identical methods before and after this change. The case-load increased by 50%, but the liaison psychiatrists were more satisfied with the appropriateness of referrals. The case mix did not change. The new service achieved target waiting times more consistently, particularly for urgent referrals. Referring teams were more satisfied with the speed of response, while the new service maintained the salience and clarity of advice. Findings are on the whole favourable, and support the wider introduction of specialist old-age liaison psychiatric services.
Getting personal
- Authors:
- VILE John, et al
- Journal article citation:
- Openmind, 105, 2000, pp.8-9.
- Publisher:
- MIND
This article looks at the blurring of concepts of personality disorder and mental illness. New technologies emphasise the biological component in both mental illness and personality disorders, and so break down the traditional distinction between the two. As a result, more people will be deemed appropriate subjects for psychiatric treatment, psychiatrists will face an increasing conflict of interest between social control and therapeutic treatment.
Recovery from psychosis
- Author:
- SMITH Mike
- Journal article citation:
- Breakthrough, 2(3), 1998, pp.15-19.
Discusses the view that a cure for mental illness will be found which will then precipitate the emptying of the asylums.
A blast from the past
- Author:
- HOPTON John
- Journal article citation:
- Nursing Times, 10.9.97, 1997, pp.36-37.
- Publisher:
- Nursing Times
Revisits anti-psychiatry and discusses the legacy it has to offer.