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Mental Health Practice (mental + health_practice)
Selected AbstractsWhen Oppression Is the Pathogen: The Participatory Development of Socially Just Mental Health PracticeAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 2 2009Laura Smith PhD Social justice perspectives have revealed the ways that racist, sexist, heterosexist and classist assumptions are embedded within conventional mental health theory and practice. Moreover, recent research has explored the pathogenic influence of structural oppression on the emotional well-being of people impacted by it. How can practitioners develop socially just interventions in keeping with these findings, especially with regard to their practice with clients from oppressed groups? In addressing this question, the authors propose the participatory development of socially just mental health practice and provide three examples of their community-based work. [source] Comprehensive Mental Health Practice with Sex Offenders and Their FamiliesBRITISH JOURNAL OF LEARNING DISABILITIES, Issue 3 2007Anna Marriott No abstract is available for this article. [source] Rural professionals' perceptions of interprofessional continuing education in mental healthHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 4 2010Elizabeth A. Church PhD Abstract We describe the impact of an interprofessional education programme in mental health for professionals in six rural Canadian communities. The 10-session programme, offered primarily via videoconference, focussed on eight domains of mental health practice. One hundred and twenty-five professionals, representing 15 professions, attended at least some sessions, although attendance was variable. Data were collected between September 2006 and December 2007. The programme was evaluated using a mixed methods approach. Participants reported high levels of satisfaction for all topics and all aspects of the presentations: they were most satisfied with the opportunity to interact with other professionals and least satisfied with the videoconference technology. Professionals' confidence (n = 49) with mental health interventions, issues and populations was measured pre- and post-programme. There was a significant increase in confidence for seven of the eight mental health interventions and four of the six mental health issues that had been taught in the programme. Participants reported developing a more reflective mental health practice, becoming more aware of mental health issues, integrating new knowledge and skills into their work and they expressed a desire for further mental health training. They noted that interprofessional referrals, inter-agency linkages and collaborations had increased. Conditions that appeared to underpin the programme's success included: scheduling the programme over an extended time period, a positive relationship between the facilitator and participants, experiential learning format and community co-ordinators as liaisons. Participants' dissatisfaction with the videoconference technology was mitigated by the strong connection between the facilitator and participants. One challenge was designing a curriculum that met the needs of professionals with varied expertise and work demands. The programme seemed to benefit most of those professionals who had a mental health background. This programme has the potential to be of use in rural communities where professionals often do not have access to professional development in mental health. [source] Reflective practice in infant mental health training and consultationINFANT MENTAL HEALTH JOURNAL, Issue 6 2009Julie A. Larrieu This article describes models of training in infant mental health that utilize reflective supervision as a fundamental component of the educational and clinical experiences. The design and structure of these programs, offered by two medical centers, are described. Benefits and challenges to the adoption of infant mental health practice by trainees are outlined. Incorporation of reflective supervision in the training is discussed, and clinical examples are provided to illustrate its essential role in the development of the infant mental health clinician. [source] Infant mental health, child maltreatment, and the law: A jurisprudent therapy analysis,INFANT MENTAL HEALTH JOURNAL, Issue 1 2008James J. Clark Scholarly and clinical discussions of the legal issues facing infant mental health professionals typically focus on the seemingly intractable differences in philosophies, goals, and approaches inherent in the law and the mental health professions. We argue that forensically informed approaches to practice with very young children can potentially enhance many mental health and child welfare outcomes. This article describes the relatively new conceptual frameworks known as "therapeutic jurisprudence" and "jurisprudent therapy." Using these conceptual frameworks, we analyze representative problems that are typical in infant mental health practice with maltreated children through case examples drawn from their evaluations of children and families in the child protection and legal systems. Demonstrations of how such dilemmas can be approached with enhanced analytic decision-making and practice approaches are presented. We argue that applying such jurisprudent therapy approaches opens up fresh perspectives for evidence-based practices that facilitate creative, rigorous, and intellectually stimulating clinical work. [source] Touching their lives: North Western Mental Health's approach to practice development in aged mental healthINTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 3 2007Tracy Fortune ABSTRACT:, The ongoing development of mental health practice is an important issue for consumers, carers, and clinicians. This paper outlines a practice development project undertaken by North Western Mental Health. The aim of the project was to assist nurses and direct care staff working in a residential facility to provide individualized, sensitive, therapeutic, and responsive care for long-term clients with severe mental illness. A clinical nurse educator was engaged to help facilitate changes to both attitudes and practices in a specialist environment catering to those with psychiatric, cognitive, and physical health concerns. The project identified institutionalized routines and practices that were entrenched within the setting and, with support and guidance from a clinical nurse educator, encouraged enhancement of clients' experience and choice. Nurses' clinical reasoning skills were also extended through this process. The project encouraged all staff to develop and maintain an awareness of residents' experience of receiving care in a potentially disempowering environment. In particular, nurses were challenged to consider how nursing, realized to its full potential, can touch the lives of residents and families. [source] The sexual and relationship needs of people who experience psychosis: quantitative findings of a UK studyJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 4 2010E. MCCANN phd rmn msc dippi pgdip academic practice fhea Accessible summary ,,Distinct lack of studies exist that explore sexual and relationship issues. ,,Captures important experiences of people who use mental health services. ,,Reveals potential obstacles to the expression of sexuality. ,,Identifies a diversity of needs. ,,Presents issues that may guide mental health practice, education and research. Abstract Few studies have investigated the experiences of people regarding sexual and relationship issues in the area of mental health. This study presents the quantitative findings of a larger study that was conducted in London, UK. The aims of the study were to establish client's sexual and relationship experiences and perceived needs. A total of 30 people with a medical diagnosis of schizophrenia, living in the community, were interviewed using three questionnaires. The first related to demographics, the second used relevant parts of the Camberwell Assessment of Need (CAN) and the third looked at possible determinants of sexual behaviour. The CAN also captured keyworker responses to issues related to their clients sexual and relationship requirements. The results showed that 83% of the clients were currently experiencing sexual feelings. Some 90% of clients felt some need in relation to sexual expression and 83% for needs related to intimate relationships. Only 10% of staff recognized sexual expression as a need in clients in their care and 43% perceived a need for intimate relationships. Furthermore, most clients interviewed thought that their psychotropic medication caused sexual problems. Contrasts are made with other studies to help highlight the important issues that emerged for service users. [source] Kalevala or Keats: poetic traditions as a model for multidisciplinary miscommunication and team splittingJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 7 2008D. DODWELL Attention is drawn to the oral tradition in poetry and some ways in which it differs from written, literary poetry. Some of these differences mirror differences between the oral communication typical of a psychiatric ward nursing handover and the writing-based communication styles of psychiatrists. In particular, the oral tradition tends to involve an interactive and participatory style, stewardship (rather than authorship) of the message, a less linear approach to time and valuing the use of familiar formulae. Neither style is intrinsically superior or inferior. The two styles have significant differences in context, intent and rules (i.e. in linguistic ,pragmatics'). In mental health practice, the apparently shared vocabulary and setting conceals these differences. The fact that these variations are hidden increases the risks of miscommunication and of team splitting. The use of an analogy from poetry is intended to make the differences more explicit, and thus generate awareness, discussion and problem solving. [source] Evidence-based uncertainty in mental health nursingJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 1 2004V. FRANKS rgn rnt dIPmed dIPpsych msC The drive towards evidence-based practice is part of a modern reflective and caring service. However there is a paradox at the heart of the notion of evidence-based care. In order to perform any systemized examination of treatment there has to be a conscious acknowledgement of uncertainty about that treatment. This is uncomfortable and when research does find evidence in favour of a treatment, there is a relief and a return to conviction about what is the best. The paradox is that it seems the most valued research practices are predicated on generalizations about patient treatments and categories. However, nursing care is based on the notion of the uniqueness of the patient and the nurse,patient relationship. Sometimes it is necessary to address the particular and not to rush to generalizations and certainty. The psychoanalytic framework promotes a capacity to tolerate uncertainty and provides a model for understanding conflicting feelings, which can occur within the nurse,patient relationship. The author proposes the psychoanalytic observational method as an adjunct to other research methods. This method places certain kinds of evidence within the rubric of evidence-based nursing practice. The evidence collected in this method is the evidence of the conscious and unconscious experience within the nurse,patient relationship. The author will describe and argue for the place of this research method within the canon of other more widely practised methods within mental health practice. She will propose that for safe practice it is necessary to value and examine the veracity of the feelings and tacit understanding of the nurse. She contends that the current climate of excessive bureaucracy and persecutory risk management is having a damaging effect on both the research process and effective nursing care. [source] Reimbursement in mental health practiceJOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 9 2008APRN (Assistant Professor of Health, Community Systems, Coordinator of the Nursing Education Graduate Program), PhD(c), Scott Weber EdD No abstract is available for this article. [source] When Oppression Is the Pathogen: The Participatory Development of Socially Just Mental Health PracticeAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 2 2009Laura Smith PhD Social justice perspectives have revealed the ways that racist, sexist, heterosexist and classist assumptions are embedded within conventional mental health theory and practice. Moreover, recent research has explored the pathogenic influence of structural oppression on the emotional well-being of people impacted by it. How can practitioners develop socially just interventions in keeping with these findings, especially with regard to their practice with clients from oppressed groups? In addressing this question, the authors propose the participatory development of socially just mental health practice and provide three examples of their community-based work. [source] Trauma as a metaphor: the politics of psychotherapy after September 11PSYCHOTHERAPY AND POLITICS INTERNATIONAL, Issue 1 2005Karen SeeleyArticle first published online: 9 JAN 200 Abstract This paper explores the links between mental health practice and politics by examining the implications of turning persons harmed by an act of mass violence into patients with psychiatric disorders, and of prescribing psychotherapy to treat reactions to terrorism. It first considers the interpretative aspects of diagnosis, the social and political implications of particular diagnostic categories, the history of PTSD, and the phenomenon of medicalization. It then looks at the ways psychotherapists privatize social and political experience by emphasizing the personal consequences of community catastrophes, and by helping individuals transform collective history into personal narratives. In closing, it asks whether mental health discourses depoliticize experience, thereby discouraging political engagement and the development of political consciousness. Copyright © 2005 Whurr Publishers Ltd. [source] Infant Intersubjectivity: Research, Theory, and Clinical ApplicationsTHE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 1 2001Colwyn Trevarthen We review research evidence on the emergence and development of active " self-and-other " awareness in infancy, and examine the importance of its motives and emotions to mental health practice with children. This relates to how communication begins and develops in infancy, how it influences the individual subject's movement, perception, and learning, and how the infant's biologically grounded self-regulation of internal state and self-conscious purposefulness is sustained through active engagement with sympathetic others. Mutual selfother- consciousness is found to play the lead role in developing a child's cooperative intelligence for cultural learning and language. A variety of preconceptions have animated rival research traditions investigating infant communication and cognition. We distinguish the concept of " intersubjectivity ", and outline the history of its use in developmental research. The transforming body and brain of ahumanindividual grows in active engagement with an environment of human factors-organic at first, then psychological or inter-mental. Adaptive, human-responsive processes are generated first by interneuronal activity within the developing brain as formation of the human embryo is regulated in a support-system of maternal tissues. Neural structures are further elaborated with the benefit of intra-uterine stimuli in the foetus, then supported in the rapidly growing forebrain and cerebellum of the young child by experience of the intuitive responses of parents and other human companions. We focus particularly on intrinsic patterns and processes in pre-natal and post-natal brain maturation that anticipate psychosocial support in infancy. The operation of an intrinsic motive formation (IMF) that developed in the core of the brain before birth is evident in the tightly integrated intermodal sensory-motor coordination of a newborn infant's orienting to stimuli and preferential learning of human signals, by the temporal coherence and intrinsic rhythms of infant behaviour, especially in communication, and neonates' extraordinary capacities for reactive and evocative imitation. The correct functioning of this integrated neural motivating system is found to be essential to the development of both the infant's purposeful consciousness and his or her ability to cooperate with other persons' actions and interests, and to learn from them. The relevance of infants' inherent intersubjectivity to major child mental health issues is highlighted by examining selected areas of clinical concern. We review recent findings on postnatal depression, prematurity, autism, ADHD, specific language impairments, and central auditory processing deficits, and comment on the effcacy of interventions that aim to support intrinsic motives for intersubjective communication when these are not developing normally. [source] Primary health care practitioners' tools for mental health careJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 5 2004S. HYVÖNEN rn mnsc The purpose of this study was to describe and analyse the content of mental health care from the practitioner's point of view. The specific aim of this paper was to outline the types of mental health care tools and the ways in which they are used by primary health care practitioners. The data were derived from interviews with doctors and nurses (n = 29) working in primary health care in six different health care centres of the Pirkanmaa region in Finland. The data were analysed by using qualitative content analysis. The tools of mental health care used in primary health care were categorized as communicative, ideological, technical and collaborative tools. The interactive tools are either informative, supportive or contextual. The ideological tools consist of patient initiative, acceptance and permissiveness, honesty and genuineness, sense of security and client orientation. The technical tools are actions related to the monitoring of the patient's physical health and medical treatment. The collaborative tools are consultation and family orientation. The primary health care practitioner him/herself is an important tool in mental health care. On the one hand, the practitioner can be categorized as a meta-tool who has control over the other tools. On the other hand, the practitioner him/herself is a tool in the sense that s/he uses his/her personality in the professional context. The professional skills and attitudes of the practitioner have a significant influence on the type of caring the client receives. Compared with previous studies, the present informants from primary health care seemed to use notably versatile tools in mental health work. This observation is important for the implementation and development of mental health practices and education. [source] Beyond the 50-Minute Hour: Increasing Control, Choice, and Connections in the Lives of Low-Income WomenAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 1 2010Lisa A. Goodman Although poverty is associated with a range of mental health difficulties among women in this country, mainstream mental health interventions are not sufficient to meet the complex needs of poor women. This article argues that stress, powerlessness, and social isolation should become primary targets of our interventions, as they are key mediators of the relationship between poverty and emotional distress, particularly for women. Indeed, if ways are not found to address these conditions directly, by increasing women's control, choice, and connections, the capacity to improve the emotional well-being of impoverished women will remain limited at best. This is the first of 5 articles that comprise a special section of the American Journal of Orthopsychiatry, called "Beyond the 50-Minute Hour: Increasing Control, Choice, and Connections in the Lives of Low-Income Women." Together, these articles explore the nature and impact of a range of innovative mental health interventions that are grounded in a deep understanding of the experience of poverty. This introduction: (a) describes briefly how mainstream approaches fail to address the poverty-related mental health needs of low-income women; (b) illuminates the role of stress, powerlessness, and social isolation in women's lives; (c) highlights the ways in which the articles included in this special section address each of these by either adapting traditional mental health practices to attend to poverty's role in participants' lives or adapting community-based, social-justice-oriented interventions to attend to participants' mental health; and (d) discusses the research and evaluation implications of expanding mental health practices to meet the needs of low-income communities. [source] Promoting mental health care in a rural paediatric unit through participatory action researchAUSTRALIAN JOURNAL OF RURAL HEALTH, Issue 3 2009Brenda Happell Abstract Objective:,To explore, advance and evaluate mental health practices in a rural general paediatric unit through participatory action research. Design:,A participatory action research approach guided this study, providing an opportunity for nursing staff to become actively involved in the design, direction and outcomes of the research. Setting:,A 16-bed paediatric unit of a rural general hospital. Participants:,A purposive convenience sample of all paediatric nursing staff (n = 20; of 24 nurses). Outcome measures:,In the first phase of this study, focus groups were conducted to explore the experiences of nurses. Results:,Participants considered mental health to be a specialist discipline area and the role of the mental health nurse to be complex. They felt that their lack of training and experience with mental health issues was detrimental to the delivery of optimal patient care. There was concern about differing approaches to treatment, relationships with other mental health services and the suitability of the ward environment for young people with a mental health problem. Participants called for training by qualified mental health staff and the development of policies and clinical guidelines to facilitate their delivery of care to patients with a mental health problem in an acute medical environment. Conclusions:,There is a clear need for nursing specialities to work together to ensure that optimal care is given to patients admitted to general hospital with a mental health issue. Given the absence of accessible specialist child mental health inpatient units in regional and remote areas, upskilling paediatric nurses must be a priority. [source] | |||||||||||||