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Training for front-line homeless workers: practicalities and ethics of teaching cognitive behavioural and dialectical behavioural psychological therapeutic techniques
- Author:
- MAGUIRE Nick
- Journal article citation:
- Housing Care and Support, 15(4), 2012, pp.177-185.
- Publisher:
- Emerald
This paper discusses the need for psychological therapeutic techniques in work with problems of chaotic or dysfunctional behaviour, as found among users of homelessness resettlement services. It summarises recent research and UK policy guidance on the mental health needs encountered by frontline homelessness service resettlement staff on a daily basis. It goes on to discuss the impact of these experiences, and the value of training to help staff manage such encounters with greater awareness and skills. In particular, the paper considers the ethical dimension for staff, in responding to users’ histories of emotional distress. Findings revealed a relative dearth of studies providing evidence on stress and burn-out amongst resettlement staff, compared to healthcare staff. When asked to consider psychological techniques, some staff may initially fear being expected to be a psychotherapist; but research from clinical practice and recent training workshop experience suggest that training, especially where complemented by supervision or reflective practice, leaves staff feeling more confident.
Thematic review of family therapy journals 2011
- Author:
- CARR Alan
- Journal article citation:
- Journal of Family Therapy, 34(4), November 2012, pp.431-451.
- Publisher:
- Wiley
In 2011 there was some expansion of the evidence base for systemic practice with child-focused and adult-focused problems, couples problems and family therapy conducted in medical and military contexts. There were important developments in the areas of integrative systemic practice models, competency-based training and real world research on the cost effectiveness and comparative effectiveness of family therapy. In this article the contents of the principal English-language family therapy journals published in 2011 are reviewed under these headings: child-focused problems, adult-focused problems, couples therapy, medical family therapy, military family therapy, theory, research, training, the new Journal of Couple and Family Psychology and Human Systems twenty-first anniversary.
Filmed v. live social contact interventions to reduce stigma: randomised controlled trial
- Authors:
- CLEMENT Sarah, et al
- Journal article citation:
- British Journal of Psychiatry, 201(1), July 2012, pp.57-64.
- Publisher:
- Cambridge University Press
Direct social contact interventions are known to reduce mental health stigma. The authors suggest that filmed contact may be equally effective. They tested the hypotheses that: DVD and live interventions are equally effective; and interventions with social contact (DVD/live) are more effective than a lecture. Cost-effectiveness, process and acceptability were also assessed. Student nurses (n=216) were randomised to: watch a DVD of service users/informal carers talking about their experiences, watch a similar live presentation, or attend a lecture. Primary outcomes were changes in attitudes (using the Mental Illness: Clinicians Attitudes Scale, MICA), emotional reactions (using the Emotional Reactions to Mental Illness Scale, ERMIS), intended proximity (using the Reported and Intended Behaviour Scale, RIBS), and knowledge (using the Social Contact Intended Learning Outcomes, SCILO), immediately after the intervention and at 4-month follow-up. The results broadly confirmed the hypothesis. There were no differences between the DVD and live groups on MICA, ERMIS or RIBS scores. The DVD group had higher SCILO (knowledge) scores. The combined social contact group (DVD/live) had better MICA and RIBS scores than the lecture group, the latter difference maintained at 4 months. The DVD was the most cost-effective intervention, and the live session the most popular. The authors suggest that wider use of filmed social contact interventions could be a cost-effective way of reducing stigma about mental illness.
Beyond the gate: supporting the employment aspirations of offenders with mental health conditions
- Author:
- DURCAN Graham
- Journal article citation:
- Mental Health and Social Inclusion, 16(4), 2012, pp.188-193.
- Publisher:
- Emerald
The Centre for Mental Health investigated what support is currently available within the criminal justice system to help people into paid work and looked in particular at employment opportunities for offenders with mental health problems on release from prison. This article describes the 5 key elements of effective practice identified in the investigation. These were: employers should play an instrumental role in creating opportunities; recruitment should be pragmatic, based on attitude and character rather than qualifications or health status; support should be offered to employees and their employers/managers for as long as they need it; opportunities for pre-employment and "in work" skills development should be linked to realistic employment opportunities; and criminal justice and other statutory agencies should facilitate effective pathways to real work and skills development. The article discusses the elements of effective practice and includes examples of schemes showing promising results and the potential to be used more widely. The study concluded that although offenders with mental health problems are less likely than other prisoners to be included in employment programmes, evidence-based approaches such as individual placement and support (the approach to supported employment for people in contact with specialist community mental health services) could be adapted to meet the employment needs of offenders with mental health conditions.
No health without mental health: a cross-government mental health outcomes strategy for people of all ages: supplementary note to the 'No health without mental health' impact assessment, to accompany publication of an implementation framework
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2012
- Pagination:
- 16p.
- Place of publication:
- London
In February 2011 the Government published No Health Without Mental Health, its cross-government, all-age strategy for mental health in England. An Impact Assessment (IA) was published at the same time. The Implementation framework (the Framework) was published in 2012 in order to translate the strategy’s 6 high-level objectives into specific actions and interpret them for particular audiences. The Framework sets out potential actions that a range of local organisations can take to implement the strategy and to improve mental health and wellbeing outcomes for people, while contributing to the broader efficiency agenda. The purpose of this supplementary note is to add to this evidence base where appropriate, in particular where an action featured in the framework has not been discussed in the IA. It describes why the publication of the Framework was needed. It also provides additional evidence on some actions featured in the Framework, have not been discussed in detail in the IA. These include: evidence-based mental health training for a wide range of professionals; involving people with mental health problems, their families and carers in commissioning and service design processes; measuring progress (the mental health dashboard); and reducing mental health stigma and tackling discrimination.
Male sexual abuse and trauma training: the manual
- Author:
- JONES Peter
- Publisher:
- Pavilion
- Publication year:
- 2012
- Pagination:
- 150p.
- Place of publication:
- Hove
This manual aims to increase participants' knowledge and help them to acquire skills in the engagement, management and treatment of males who have suffered sexual abuse and trauma. It is one part of a three part programme (there is an accompanying DVD and interactive book) which takes a building-block approach to the training. The package provides an opportunity to develop and deepen insight into the issues surrounding abuse and trauma. The primary aims of the manual itself are the application and acquisition of therapeutic skills. It takes a holistic approach, seeing the victim in the context of their environment. The manual is divided into seven sessions each with accompanying experiential exercises. Chapters include: introduction to the training; gender perceptions and gender stereotyping; trauma, abuse and associated mental health issues; the role of the therapeutic relationship in the engagement of victims; regime change; and case studies. The training is aimed at professionals working in mental health trusts, prisons and other institutional settings, practitioners and service providers; participants may include counsellors, prison officers, police officers, probation, psychologists and nurses, service users and carers.
With a little help from my friends
- Author:
- GRIFFITH Raza
- Journal article citation:
- Mental Health Today, May 2012, pp.10-11.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Project SWAP, a service user-led community interest company, is working to develop peer support brokerage aimed at helping people with mental health issues to develop a support plan and access personal budgets. Thirteen service users in Kent have recently been trained to become peer support brokers using a course developed and delivered by service users. One of the key aspects taught on the course is how to work in facilitative empowering way with service users using solution-focused approaches. The course also looks at practical communication and conflict resolution skills, positive risk taking and an understanding of personalisation and the process of getting a personal budget. People undertaking the course stand to benefit by having an opportunity to work as trained brokers and gain confidence and other skills that assist them with their own recovery. Peer support brokerage also requires the support of mental health professionals so that they refer service users to brokers and promote brokerage more widely. This is not always easy; mental health professionals may see peer support brokerage as a challenge to their professional status. Project SWAP is working to build good links with professionals and to develop strategies that will allow peer support brokerage to become widely available.
Futurology and mental health services: are we ready for the demographic transition?
- Author:
- CONNOLLY Moira
- Journal article citation:
- Psychiatrist (The), 36(5), May 2012, pp.161-164.
- Publisher:
- Royal College of Psychiatrists
Planning for the future development of mental health services requires an understanding of the changing demographics of local populations. In this editorial, the author argues that the demographic transition faced by the UK requires mental health services to adopt an approach more typical of public health in responding to the needs of an increasingly ageing population; health advocacy for example. She concludes with recommendations for the future including; greater engagement with communities of interest, a research focus on the community, focussing on treatments and models of care, efforts to lessen the negative impact of discrimination on the grounds of age, more effective workforce planning and training that encompass public mental health.