Home About us Contact
|
Home About us Contact | ||
|
|
||
Mental Health Practitioners (mental + health_practitioner)
Selected AbstractsEthical challenges in mental health services to children and familiesJOURNAL OF CLINICAL PSYCHOLOGY, Issue 5 2008Gerald P. KoocherArticle first published online: 2 APR 200 Abstract Mental health practitioners working with children and families must attend to several ethical concerns that do not typically come into play with adult clients. The challenges for practitioners usually involve attention to four subsets of concerns that all begin with the letter c: competence, consent, confidentiality, and competing interests. Using the 4-C model, this article focuses on ethical aspects of practitioner competence, consent and assent, confidentiality, and the incongruence of interests that occurs when different people organize and set goals for psychological services. After explicating these issues, I provide recommendations for addressing them in the course of clinical practice. © 2008 Wiley Periodicals, Inc. J Clin Psychol:In Session 64 : 1,12, 2008. [source] Are chronic fatigue syndrome and fibromyalgia the same?JOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 10 2009Implications for the provision of appropriate mental health intervention Accessible summary ,,This paper views the historical perspectives of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) and fibromyalgia (FM) that gives an understanding of the background to these complex syndromes. ,,The relationship between CFS/ME and FM are considered based on the evidence presented, which identifies that there is compelling evidence that these two syndromes may in fact be the same. This is interesting as current evidence suggests that these two syndromes are currently treated differently. ,,The long-standing controversy surrounding the aetiology CFS/ME is discussed in relation to the issues of mental health, in particular anxiety and/or depression that has been associated with this condition. In contrast, FM is reviewed in relation to the associated symptomology of anxiety and/or depression. ,,This review provides the reader with compelling evidence to suggest that the initial presenting symptoms of these two diseases may dictate differential diagnosis and the subsequent treatment they receive if any and, moreover, if indeed these syndromes are confused with that of a psychiatric disorder. ,,This paper will give the reader time for thought over the issue that: just because there is at present no specific diagnostic test or treatment for this condition, why then is the conclusion reached that this must be a psychiatric condition. Abstract Chronic fatigue syndrome and fibromyalgia represent distinct diagnostic entities within both the clinical and research literature. A common feature of both presentations is that they are often accompanied by a significant mental health burden. A further salient feature of both conditions is that there is no consistent consensus on aetiology. Evaluation of the features of each disorder seems to present a convincing case that both disorders may indeed have a common aetiology and further, the possibility exists that chronic fatigue syndrome and fibromyalgia represent the same underlying disorder. Paradoxically, given this possibility it is remarkable that both patient groups are treated clinically with considerably different approaches to care and management. Mental health practitioners will come into contact with both groups of patients when support for the psychological consequences of diagnosis are necessary; however, many practitioners will be unaware of the debate regarding the aetiological ambiguities surrounding these presentations. The purpose of this review is to highlight the above issues in order to both facilitate awareness of the current aetiological/diagnostic impasse and facilitate provision of optimum mental health support. [source] Integrating Pediatric Obesity Treatment Into Clinical PracticeAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 4 2006Barry Panzer PhD Childhood obesity has reached epidemic proportions in the United States and other industrialized nations. Despite the significant psychosocial consequences, mental health professionals have been reluctant to provide direct treatment for these children and their parents. The author proposes a practice model for agency, clinic, and private settings, with the mental health practitioner as primary clinician. On the basis of intervention research methodology, the model presents consensus generalizations and clinical applications for evaluation and treatment. A typology of diagnostic profiles with corresponding strategies for combining diet, activity, and mental health interventions is included. [source] Diffusion of treatment research: does open access matter?JOURNAL OF CLINICAL PSYCHOLOGY, Issue 7 2008David J. Hardisty Abstract Advocates of the Open Access movement claim that removing access barriers will substantially increase the diffusion of academic research. If successful, this movement could play a role in efforts to increase utilization of psychotherapy research by mental health practitioners. In a pair of studies, mental health professionals were given either no citation, a normal citation, a linked citation, or a free access citation and were asked to find and read the cited article. After 1 week, participants read a vignette on the same topic as the article and gave recommendations for an intervention. In both studies, those given the free access citation were more likely to read the article, yet only in one study did free access increase the likelihood of making intervention recommendations consistent with the article. © 2008 Wiley Periodicals, Inc. J Clin Psychol/In Session 64: 1,19, 2008. [source] Uncovering sexual abuse: evaluation of the effectiveness of The Victims of Violence and Abuse Prevention ProgrammeJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 1 2010J. DONOHOE bsc Accessible summary ,,Discusses factors inhibiting open talk around a client's history of abuse including gender, age and diagnosis. ,,Evaluates the helpfulness of a training course designed to reduce and overcome these factors. ,,Aim of the evaluation is to help replicate the training nationally, following the positive impact found. Abstract Despite the high prevalence of sexual abuse among users of mental health services, it appears that mental health professionals are frequently unaware of clients' abuse histories. In order to address this, a Mental Health Trusts Collaboration Project of nine trusts was formed, which piloted delivering the Department of Health's Victims of Violence & Abuse Prevention Programme one-day education and training course regarding enquiring about histories of sexual abuse to various mental health practitioners. This hoped to educate practitioners in factors associated with victims and offenders, improve confidence and competence in asking about client's history of abuse and to increase awareness of the importance of asking. The purpose of this paper is to describe the impact of this course on mental health professionals' practice and attitudes in one of these nine trusts. It was found that since the delivery of the course, 44% (n= x) of professionals had been asking about abuse in 75,100% of cases. Gender, age and diagnosis of both the service users and the practitioners were all identified as factors potentially affecting practitioners' willingness to ask about abuse. Most importantly, 93% (n= x) of participants were found to feel they have the skills and knowledge to enquire about abuse and respond to disclosure in the appropriate way and 77% (n= x) of participants felt that this training had changed their clinical practice. The aim of this evaluation is to prove the effectiveness of the Department of Health's education and training course, which will help towards replicating the project nationally. [source] Evaluation of a postgraduate training programme for community mental health practitionersJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 2 2005A. N. GAUNTLETT rmn bsc msc Government guidelines on mental health care in England have considerable implications for the level of competency required by the mental health workforce. Implementing these changes requires the widespread introduction of training initiatives whose effectiveness in improving staff performance need to be demonstrated through programme evaluation. This exploratory study evaluates the impact of a 2-year mental health training programme by measuring skill acquisition and skill application, by identifying the key ingredients for facilitating the transfer of learning into practice, and by examining differences in outcome between the academic and the non-academic students. High skill acquisition and application was reported in the majority of interventions, however, low skill application was reported for some key interventions (assertive outreach, dual diagnosis). Statistically significant differences were found between student cohorts in one intervention for skill acquisition (crisis intervention) and two interventions for skill application (client strengths model; medication management). The main ingredients for facilitating transfer were found to be the credibility of the trainers and training alongside colleagues from their own workplace. Some of the possible explanatory factors for these findings are discussed. [source] Exploring sexual and relationship possibilities for people with psychosis , a review of the literatureJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 6 2003E. MCCANN msc rmn dippsi (thorn) cert ed This review examines the literature on sex and relationship issues in the context of serious and persistent mental health problems. It identifies gaps in the research and highlights key issues needing further investigation. The available published documents have been identified, which contain information, ideas, data and evidence on the topic. A critical analysis of the subject, through the examination of the various documents, is provided. The main themes that emerged included HIV/AIDS, medication and sexual dysfunction, sexuality needs, intimate relationships, family planning, policies and sex education. Several subthemes are discussed and include needs assessment, stigma and loneliness. The key findings highlight the lack of systematic studies in the UK, especially regarding the subjective views of patients in determining need and the subsequent development of appropriate plans of care. The author argues that future mental health research needs to go beyond investigating perceived ,risky' behaviours and should include potential therapeutic responses in all areas of sexuality. Further recommendations are made in terms of nurse education particularly the inclusion of psychosexual aspects in future pre- and postregistration curricula. This paper may be of interest to service users, mental health practitioners working alongside people with serious and persistent mental health problems as well as educators, researchers and policy makers. [source] Essential medical facts for mental health practitionersNEW DIRECTIONS FOR YOUTH DEVELOPMENT, Issue 87 2000Milton L. Wainberg M.D. New information about the life cycle of HIV, new HIV-specific laboratory tests, and newer antiretroviral medications have transformed the management of HIV illness. Knowledge about these changes will help mental health providers better understand the latest medical issues affecting their HIV-infected patients, which will assist them in providing better care. [source] Dangerous and severe personality disorder: an ethical concept?NURSING PHILOSOPHY, Issue 2 2005Sally Glen phd ma rn Abstract Most clinicians and mental health practitioners are reluctant to work with people with dangerous and severe personality disorders because they believe there is nothing that mental health services can offer. Dangerous and severe personality disorder also signals a diagnosis which is problematic morally. Moral philosophy has not found an adequate way of dealing with personality disorders. This paper explores the question: What makes a person morally responsible for his actions and what is a legitimate mitigating factor? How do psychiatric nurses working with this client group understand the awful things some clients do? What concepts do they need, if they are to know how to explain and how to react? It is suggested that dangerous and severe personality disorder is best regarded as a moral category, framed in terms of goodness, badness, obligation and other ethical concepts. It seems plausible that in important ways the dangerous and severe personality disordered client does not understand morality or understands it differently. The peculiar position of the dangerous and severe personality disordered individual in our system of moral responsibility stems from his apparent inability to see the importance of the interests of others. It might be more helpful to regard personality disordered clients as we do children: partially but not fully reasonable for their actions. We might regard the dangerous and severe personality disordered client responsible for those actions which he most clearly understands, such as causing others physical pain, but not for those with which he is only superficially engaged, such as causing emotional pain. The paper concludes by suggesting that the dangerous and severe personality disordered individual does not fit easily into any conventional moral category, be it criminal, patient, animal or child, and thus an assessment of his moral accountability must take into consideration his special circumstances. [source] Combat Stress Casualties in Iraq.PERSPECTIVES IN PSYCHIATRIC CARE, Issue 3 2008Part 1: Behavioral Health Consultation at an Expeditionary Medical Group PURPOSE.,We review the role of military mental health professionals in consulting with inpatient medical patients and staff at a combat hospital and aeromedical evacuation staging facility in Iraq. CONCLUSIONS.,Behavioral health consultation with medical and surgical patients during hospitalization and prior to aeromedical evacuation can help identify patients with combat stress exposure that may require future mental health follow-up. PRACTICE IMPLICATIONS.,Extensive use of civilian mental health practitioners including nurse psychotherapists and psychiatric nurse practitioners will be needed to provide psychiatric care for the large number of U.S. veterans who return from deployment with combat stress related disorders. [source] An Advanced Practice Psychiatric Nurse's Guide to Professional Writing,PERSPECTIVES IN PSYCHIATRIC CARE, Issue 4 2007Peter C. Campanelli PsyD TOPIC.,Many good ideas are not communicated to the community of mental health practitioners because advanced practice psychiatric nurses (APPNs) are not being well informed about writing for public dissemination. PURPOSE.,This study aims to support APPNs through the various stages of manuscript preparation so they can enlarge the scope of their written contributions to the mental health field. CONCLUSIONS.,An appreciation for the skills, mechanics, and attitudes that support the authoring enterprise can result in APPNs enjoying the multiple benefits that accrue to those who write about their professional activities for clinical, administrative, advocacy, fund-raising, and other purposes. [source] Psychological Interventions in the Context of Poverty: Participatory Action Research as PracticeAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 1 2010Laura Smith What innovations of socially just psychological practice exist for mental health professionals working in the context of poverty? This article argues for participatory action research (PAR) as a new horizon not only with regard to the creation of knowledge but as a community-based practice/action that promotes the emotional well-being of people surviving poverty and other forms of oppression. After the presentation of this argument, an ongoing PAR project in a poor urban community is described. This article explores its impact on all participants through observations from field notes along with the results of a focus group in which community co-researchers contributed their experiences of PAR. Finally, key practice-related considerations and other implications for mental health practitioners are proposed. [source] Integrating Tobacco Cessation Treatment into Mental Health Care for Patients with Posttraumatic Stress DisorderTHE AMERICAN JOURNAL ON ADDICTIONS, Issue 5 2006Miles McFall PhD The integration of tobacco cessation treatment into mental health care for posttraumatic stress disorder (PTSD), known as Integrated Care (IC), was evaluated in an uncontrolled feasibility and effectiveness study. Veterans (N = 107) in PTSD treatment at two outpatient clinics received IC delivered by mental health practitioners. Outcomes were seven-day point prevalence abstinence measured at two, four, six, and nine months post-enrollment and repeated seven-day point prevalence abstinence (RPPA) obtained across three consecutive assessment intervals (four, six, and nine months). Abstinence rates at the four assessment intervals were 28%, 23%, 25%, and 18%, respectively, and RPPA was 15%. The number of IC sessions and a previous quit history greater than six months predicted RPPA. Stopping smoking was not associated with worsening PTSD or depression. [source] Reconciling Humanistic Ideals and Scientific Clinical PracticeCLINICAL PSYCHOLOGY: SCIENCE AND PRACTICE, Issue 3 2003Kennon M. Sheldon A rift currently exists between two camps in clinical psychology: mental health practitioners, who resonate to concepts such as self-actualization and personal growth, and research scientists, who often shun such concepts as overly value-laden or as empirically indefensible. In the present article we first suggest that this gap is bridged by self-determination theory (SDT), which incorporates aspects of humanistic theories and also stands up to rigorous scientific investigation (Deci & Ryan, 1985, 2000). We then demonstrate how self-determination principles may be applied in the context of empirically supported medical and clinical treatments, to promote enhanced client motivation and treatment compliance. We conclude that scientifically supported treatments and the humanistic tenets of SDT actually facilitate one another, such that clinicians who ignore either of the two aspects may shortchange their clients. [source] | |||||||||||||