• A bail and probation hostel for mentally disordered defendants

      Geelan, Steve (2000)
      Elliott House is the only specialized approved bail and probation hostel for mentally disordered men in the UK. It was established as a partnership between the West Midlands probation service and the forensic psychiatry services based at the Reaside Clinic. We report on the evaluation of this facility. Comprehensive social and psychiatric data were collected on all those residents between August 1994 and April 1996. The reason for leaving the hostel was also recorded. During the study period, 83 men completed a period of residence. Of these men, 47% had a psychotic illness. Deliberate self-harm was a significant problem in 13%. Only 4% reoffended whilst resident at the hostel. The condition of residency was breached by 41%. Departure was a result of a normal bail variation for 22% and of admission to hospital for 11%. Elliott House is a successful national resource, attracting residents with major mental disorders. A key principle of the recent White Paper is that the NHS will work in partnership with other agencies to put the needs of patients at the centre of the care process. The hostel demonstrates that a close partnership between separately managed agencies can successfully deliver care to a previously deprived group.
    • A better place for everyone

      Essler, Vicky (2006)
      A series of drama workshops to improve mental health education and promotion in a Nottinghamshire school. Department of Health material from the Mind Out for Mental Health and Read the Signs campaigns were used and the results of follow up quizzes to discover if attitudes and knowledge had been changed are discussed.
    • A critical narrative analysis of shared decision-making in acute inpatient mental health care

      Houghton, Philip; Johnson, Beverley; Dumenya, John (2016)
      Shared decision-making (SDM) is a high priority in healthcare policy and is complementary to the recovery philosophy in mental health care. This agenda has been operationalised within the Values-Based Practice (VBP) framework, which offers a theoretical and practical model to promote democratic interprofessional approaches to decision-making. However, these are limited by a lack of recognition of the implications of power implicit within the mental health system. This study considers issues of power within the context of decision-making and examines to what extent decisions about patients' care on acute in-patient wards are perceived to be shared. Focus groups were conducted with 46 mental health professionals, service users, and carers. The data were analysed using the framework of critical narrative analysis (CNA). The findings of the study suggested each group constructed different identity positions, which placed them as inside or outside of the decision-making process. This reflected their view of themselves as best placed to influence a decision on behalf of the service user. In conclusion, the discourse of VBP and SDM needs to take account of how differentials of power and the positioning of speakers affect the context in which decisions take place.;
    • A meta-psychiatric approach to the core problem

      Cheetham, Anna; D'Silva, Karen (2006)
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    • A preliminary study of a measure of role-play competence in psychodynamic interpersonal therapy

      Evans, Chris (2007)
      We report a 15-item role-play competence measure. Ratings by three judges of 34 role plays from psychodynamic interpersonal therapy training showed good inter-rater (.73-.79) and internal reliability (.84-.96). Validity was supported as scores were statistically significantly associated with psychotherapy experience. Most participants achieved satisfactory ratings supporting the training. © 2007 The British Psychological Society.
    • Addressing the mental health needs of a rapidly growing megacity: the new Lagos Mental Health Initiative

      Oluwatayo, Olufemi (2014)
      The Lagos State Government of Nigeria recently launched its Mental Health Policy and Work Plan aimed at addressing the mental health needs of Lagos, one of the world's fastest-growing megacities, and its nearby communities. This paper discusses the contextual basis of this initiative, its components and the challenges faced so far. It argues that urban centres deserve attention in the current push towards investing in mental health services in low- and middle-income countries.
    • Advancing the knowledge, skills and attitudes of mental health nurses working with families and caregivers: A critical review of the literature

      Lahti, Mari; Stickley, Theodore (2018)
      Involving and supporting the family members and caregivers of people with mental illness is essential to high-quality mental health services. However, literature suggests that there is a lack of engagement between family members and mental health nurses (MHNs). Lack of knowledge among MHNs is often cited as one of the main reasons for this lack of engagement. The aim of this review was to explore the knowledge, skills and attitudes that are required by MHNs to enable to them to work more effectively with families affected by mental illness. A literature based critical review was used to access and review 35 papers in order to extract concepts that could inform the design of eLearning materials to assist MHNs advance their knowledge in this area. Two overarching themes were identified; 'Mental health problems and the family' and 'Working with the family'. From these themes, the knowledge, skills and attitudes required to work more effectively with families are described. The findings from this review provide a descriptive account of the knowledge skills and attitudes that are required for effective family work. In addition, the review provides an empirical foundation for education programmes in the area.
    • An evaluation of a pre-therapy intervention designed to enhance treatment readiness

      Baker, Felicity (2015)
      This paper evaluates a pre-therapy intervention. The intervention increased treatment readiness by creating hope, normalising difficulties and creating a sense of comfort. Its positive effects were greatest for clients new to therapy who reported lower levels of distress.
    • Anaesthesia for electroconvulsive therapy

      Waite, Jonathan (2019)
      Anaesthesia for electroconvulsive therapy (ECT) can be challenging for the anaesthetist with no prior experience. Most ECT facilities are located in remote, unfamiliar environments (Royal College of Anaesthetists, 2016). In the UK, the ECT Accreditation Service (ECTAS) has driven improvement in standards, addressing areas of criticism and bringing some level of uniformity (ECTAS, 2016; Bwalya et al., 2011; Simpson and Lynch, 1998). In this chapter, a brief examination of the issues relating to anaesthetic practice is made.
    • Annual conference (Multiple letters)

      Pearson, Dianne; Osgerby, Catherine (2004)
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    • Antipsychotic-induced hyperprolactinaemia: case studies and review

      Mittal, Shweta (2017)
      Antipsychotics are a known cause of hyperprolactinaemia and can be associated with significant health issues in short term and long term. The effects vary with gender and age of the individual and can contribute towards non-concordance and hence relapse in mental health of our patients. Clinicians need to educate the patients about this significant side effect of not only antipsychotic medications but other medications causing hyperprolactinaemia commonly prescribed in primary care.
    • Are self-directed parenting interventions sufficient for externalising behaviour problems in childhood? A systematic review and meta-analysis

      Tarver, Joanne; Daley, David; Lockwood, Joanna; Sayal, Kapil (2014)
      Externalising behaviour in childhood is a prevalent problem in the field of child and adolescent mental health. Parenting interventions are widely accepted as efficacious treatment options for reducing externalising behaviour, yet practical and psychological barriers limit their accessibility. This review aims to establish the evidence base of self-directed (SD) parenting interventions for externalising behaviour problems. Electronic searches of PubMed, Web of Knowledge, Psychinfo, Embase and CENTRAL databases and manual searches of reference lists of relevant reviews identified randomised controlled trials and cluster randomised controlled trials examining the efficacy of SD interventions compared to no-treatment or active control groups. A random-effect meta-analysis estimated pooled standard mean difference (SMD) for SD interventions on measures of externalising child behaviour. Secondary analyses examined their effect on measures of parenting behaviour, parental stress and mood and parenting efficacy. Eleven eligible trials were included in the analyses. SD interventions had a large effect on parent report of externalising child behaviour (SMD = 1.01, 95 % CI: 0.77-1.24); although this effect was not upheld by analyses of observed child behaviour. Secondary analyses revealed effects of small to moderate magnitude on measures of parenting behaviour, parental mood and stress and parenting efficacy. An analysis comparing SD interventions with therapist-led parenting interventions revealed no significant difference on parent-reported measures of externalising child behaviour. SD interventions are associated with improvements in parental perception of externalising child behaviour and parental behaviour and well-being. Future research should further investigate the relative efficacy and cost-effectiveness of SD interventions compared to therapist-led interventions.
    • Are there losses as well as gains from individualised inpatient care?

      Beeley, Chris (2011)
      Background/Objectives: Personalisation of mental health care is seldom questioned but some aspects of inpatient experience may bring it into question. Mieke Verhaeghe and Piet Bracke investigated the stigma experiences of clients of mental health services in Flanders. One important finding was that more individualised treatment appears to inhibit the formation of a strong peer group and thus the creation of a positive group atmosphere on the ward. This implies that individualised treatment is antithetical to the creation of a good ward atmosphere. The Belgian data confirmed that peer support was associated with positive self-evaluations and less self-rejection, and also those clients with mood-related disorder as compared to schizophrenia, for instance, expressed fewer feelings of shame and inferiority. This presentation will compare hospital inpatients' experiences of stigma and peer support in Belgium and the UK to address questions such as: 'Are there disadvantages to individualisation of treatment?' and 'Is it counterproductive to discourage people from forming relationships with other inpatients while they are in psychiatric hospital care? Methods: The Belgian study was replicated with 70 inpatients in three mental health Trusts in England. Supplementary qualitative data were also collected. Results: Initial findings indicate that peer support mediates the impact of symptom severity on the outcome variables of self-rejection, social rejection, and quality of life. More detailed analyses will be available for the conference. Discussion/Conclusions: Preliminary results resonate strongly both with the Belgian study and with the qualitative data from our interviews, during which participants often spoke about their relationships with other service users on the ward - those relationships often emerging as a defining element of their experience, in both positive and negative ways.
    • The art of recovery: Outcomes from participatory arts activities for people using mental health services

      Stickley, Theodore; Wright, Nicola; Slade, Mike (2018)
      BACKGROUND: There is a growing evidence base for the use of participatory arts for the purposes of health promotion. In recent years, recovery approaches in mental healthcare have become commonplace in English speaking countries amongst others. There are few studies that bring together these two fields of practice. AIMS: The two aims of this study were (a) to investigate the validity of the CHIME framework for characterising the experience of Participatory Arts and (b) to use the CHIME framework to investigate the relationship between participatory arts and mental health recovery. METHOD: The study employed a two-phase methodology: a rapid review of relevant literature followed by secondary analysis of qualitative data collected from 38 people who use mental health service who took part in participatory arts activities designed to improve mental health. RESULTS: Each of the recovery processes identified by CHIME are present in the qualitative research literature as well as in the data of the secondary analysis. CONCLUSIONS: Participatory arts activities produce outcomes which support recovery, specifically including enhancing connectedness and improving hope. They can be recommended to people living with mental health problems.
    • Arts on prescription: A qualitative outcomes study

      Stickley, Theodore; Eades, M. (2013)
      OBJECTIVES: In recent years, participatory community-based arts activities have become a recognized and regarded method for promoting mental health. In the UK, Arts on Prescription services have emerged as a prominent form of such social prescribing. This follow-up study reports on the findings from interviews conducted with participants in an Arts on Prescription programme two years after previous interviews to assess levels of 'distance travelled'.
    • Aspects of group therapy

      Kennard, David (1991)
      Most publications in 1990 dealt with the application of group therapy to particular problems or populations - notably child sexual abuse, eating disorders and the elderly. Few developments occurred in the study of group process and its links with outcome. The field has polarized into short-term structured groups and longer term process-oriented groups.
    • Assertive outreach team and caseload survey

      Schneider, Justine (2005)
      The UK Department of Health requires the provision of Assertive Outreach (AO) for adults with severe mental health problems, high use of hospital, difficulty maintaining contact with services and complex or multiple needs (Department of Health, 2001). AO is a mental health service taken to service users, through which staff with low caseloads deliver practical support, care co-ordination and advocacy. Its approach is holistic, with an intensive focus on needs. This survey, commissioned by a consortium of 12 mental health and primary care trusts in the north east of England, examined in detail the caseloads of all 28 dedicated AO teams in those trusts. The aims were: to describe the organisation and operation of these relatively new teams, and to describe the demographics, diagnoses, service use, medication, risk factors and social problems of the study cohort. It was found that, as intended, AO teams are treating people with complex and severe mental health needs. However there appears to be considerable variation between trusts with respect to risk factors, severity of mental health problems and global functioning of those service users in contact with AO teams.