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Non-attendance rates among patients attending different grades of psychiatrist and a clinical psychologist within a community mental health clinic
- Authors:
- McIVOR Ronan, EK Emma, CARSON Jerome
- Journal article citation:
- Psychiatric Bulletin, 28(1), January 2004, pp.5-7.
- Publisher:
- Royal College of Psychiatrists
Examines non-attendance rates in patients seen by psychiatrists of different grades and a consultant clinical psychologist. Rates were obtained from the patient administration system over a 21-month period. A planned linear contrast showed that the clinical psychologist's patients had the lowest rate of non-attendance (7.8%), followed in turn by those of consultant psychiatrists (18.6%), specialist registrars (34%) and senior house officers (37.5%). Factors such as continuity of care, perceived clinical competence and the provision of non-medical interventions might have an impact on attendance rates. These results indicate the difficulty in reconciling the training needs of junior doctors with the provision of continuity and quality of care for patients. Reminder systems for people seeing training doctors might be an effective way of reducing non-attendance rates.
A new dawn: the changing face of mental health services in Bosnia and Herzegovina
- Author:
- MAGLAJLIC Reima Ana
- Journal article citation:
- Mental Health and Learning Disabilities Care, 4(12), August 2001, pp.401-404.
- Publisher:
- Pavilion
Bosnia and Herzegovina is gradually pulling itself back from the destruction of the 1992-1996 war. To replace the destroyed mental hospitals the World Bank provided funding for a network of community mental health centres across the country. Educational initiatives have been introduced to provide staff - including, importantly, nurses and social workers - with the necessary training and skills to work in the community setting.
Training for direct support staff at group homes for people with chronic mental illness
- Authors:
- AMIRSADRI Alireza, et al
- Journal article citation:
- Community Mental Health Journal, 54(1), 2018, pp.54-57.
- Publisher:
- Springer
For people with chronic mental illness, their support system (including direct support staff at group homes) play a key role in ameliorating exacerbations leading to crisis care. However, little information exists on curriculum or training programmes focused on reducing exacerbations while promoting compassionate care. The authors developed, implemented and evaluated such a programme that featured role-playing and animated videos supplemented with limited didactics. During development phase, direct support staff reviewed videos and rated them as depicting realistic situations with high acceptability. During implementation, the 6-week course (at least one staff from six different group homes not involved in the development phase) using a 3-month pre-post design found reductions in total number of incident reports and pre-specified outcomes of recipient right complaints, emergency calls, and psychiatric hospitalisations. The programme demonstrated acceptability, improved care and better outcomes on some but not all outcomes. Improved training of direct support staff is possible and has positive outcomes. (Edited publisher abstract)
Training novices to make expert, occupationally focused, community mental health referral decisions
- Authors:
- HARRIES Priscilla, GILHOOLY Kenneth
- Journal article citation:
- British Journal of Occupational Therapy, 74(2), February 2011, pp.58-65.
- Publisher:
- Sage
An essential decision making skill that has to be learnt by occupational therapy students is the ability to prioritise referrals according to an individual's level of need. This is particularly necessary for community mental health services, where referral demand far exceeds service availability. This study used expert occupational therapists' referral prioritisation policies, derived from judgement analysis, to train novices in the skill of referral prioritisation. The policies chosen were those that supported occupationally focused practice. Thirty-seven final-year occupational therapy students at a large UK university were asked to prioritise a set of referrals, before and after being trained with graphical and descriptive representations of these experts' policies. Prior to training, the students overvalued the client's history of violence and undervalued the reason for referral and the diagnosis compared to the experts. Post-training, the policies were better matched. The effect of training was demonstrated by: more accurate prioritisation scores when matched with expert ratings on the same referrals, improved consistency on repeat referrals and higher group agreement. The authors suggest that decision training may be useful in promoting the type of service that aims to target clients' occupational needs in the field of community mental health.
From therapy to vocation
- Authors:
- BOURNE Sarah, et al
- Journal article citation:
- A Life in the Day, 11(3), August 2007, pp.11-14.
- Publisher:
- Emerald
This article reports findings from a pilot study conducted with the South London and Maudsley Mental Health Trust (SLAM) to explore how occupational therapy services could do more to support community mental health service users into employment. The study found that, with individualised assessment and support, a significant number of people were able to move on to a range of socially inclusive opportunities - although fitting the working into already packed caseloads was a major challenge for the occupational therapists involved.
Breaking down the barriers in mental health
- Author:
- ROBERTS Nicola
- Journal article citation:
- Care Plan, 9(1), September 2002, pp.12-16.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Reports on the Lambeth Mental Health Awareness Project which offers training and support to people and agencies that have contact with mental health service users. It aims to challenge stigma and discrimination and to break down the barriers to services, employment and training people with mental health problems.
Staff training in cognitive-behavioural family intervention in mental illness using the multiple-family group approach: a pilot study
- Authors:
- LAUBE Roy E., HIGSON Fiona M.
- Journal article citation:
- Community Mental Health Journal, 36(5), October 2000, pp.477-490.
- Publisher:
- Springer
This article describes a pilot project in which eight Community Mental Health Centre staff in Australia were trained in a cognitive-behavioural intervention for families of 37 mentally ill clients. After involvement in training, the staff demonstrated more regular inclusion of family members in routine clinical practice, and a trend towards an increase in relevant knowledge. After involvement in the programme, the families experienced a decrease in burden even though the primary clients' functioning did not change. The results indicates that it is possible to train staff in ordinary clinical settings in effective cognitive-behavioural family interventions.
What do inner city general practitioners want from a child and adolescents mental health service
- Authors:
- WEERAMTHRI Tara, KEANEY Francis
- Journal article citation:
- Psychiatric Bulletin, 24(7), July 2000, pp.258-260.
- Publisher:
- Royal College of Psychiatrists
The researchers surveyed 25 general practitioners (GPs) on their needs from their local child and adolescent mental health services (CAMHS) to improve liaison and inform service development. Showed that most GPs refer to specialist services. Only a quarter deal with problems themselves. The top priority was easy and quick access to services. The most popular topics for GP training were interactions between teenagers and their parents, child abuse and eating disorders. No GP had formal training in child and adolescent psychiatry and further training was a low priority.
Thorn in a dilemma
- Author:
- JACKSON Catherine
- Journal article citation:
- Mental Health Care, 2(3), November 1998, pp.86-87.
- Publisher:
- Pavilion
Launched in 1991, the Thorn nurse training initiative aimed to produce a body of highly skilled, hands-on community mental health nurses to work with people with long-term serious mental illness. Asks whether Thorn nurses are an elite, a luxury, or the vanguard for a still more radical development of mental health education.
Rural lessons for urban services
- Authors:
- HERIZIG Hugh, MURPHY Elaine
- Journal article citation:
- Journal of Mental Health, 6(1), February 1997, pp.11-21.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
In developed urbanised countries all over the world psychiatric beds, out-patient clinics and many so-called "community" services bases are still located in centralised hospitals. This arrangement persists despite an increasing emphasis internationally on providing psychiatric care in the community. In much of the world, however, a centralised system is inaccessible for many patients and planners of rural services are obliged to depart radically from the traditional model. This article examines special problems of mental health services in rural areas, the strengths of some of the solutions and deduces the core features of successful models. Finally, considers how they might usefully be applied to relatively deprived areas in the inner cities of developed countries.