EDITORIAL. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
The transitional discharge model (TDM) bridges hospital discharge and community living for people receiving psychiatric services. TDM, based on Peplau's theory of interpersonal relations, ensures continued support from hospital staff until a therapeutic relationship is established with community providers and formal peer support.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Sally McManus writes her debut elf blog on a recent national cohort study of multiple adverse outcomes following first discharge from psychiatric care.
BPS Blog post by Lucy Maddox. The UK population continues to grow, while nursing numbers have remained static for several decades. Compounding matters, The King’s Fund and Nuffield Trust have reported a 25 per cent increase in nurses and midwives leaving the NHS from 2012 to 2018, from 27,300 to 34,100. In short, in the UK, we now have far fewer nurses relative to the general population than we used to.
What does this mean for patients’ care experience?
Transition between Child and Adolescent Mental Health Services (CAMHS) and Adult Mental Health Services (AMHS) can be stressful for the young person and family alike. Previous reviews have focused on specific aspects of transition or perspectives of young people, or have not used systematic approaches to data identification and analysis. The objective of this review was to develop the understanding of the transition between CAMHS and AMHS by systematically identifying and synthesising evidence regarding professionals’ and parents/carers’ perspectives.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Safe staffing and coercive practices are of pressing concern for mental health services. These are inter‐dependent and the relationship is under‐researched.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
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Developing person‐centred recovery‐oriented care is a challenge in mental health systems, particularly psychiatric hospitals.. To read the full article, log in using your MPFT NHS OpenAthens details.
The move to making NHS estates smoke-free has been enshrined in policy for a number of years. The desire to stop people smoking is clearly linked to potential health benefits, yet hospitals continue to “collude” with individuals to enable them to carry on smoking. Travelling around hospitals you often see patients being wheeled outside to smoke, or staff turning a blind eye to patients or colleagues smoking. This is not just in mental health settings.
In order to reduce the level of risk and ensure positive clinical outcomes for patients and staff it was decided to introduce a new system known as ‘Zonal Engagement and Observations’, which aimed to ensure appropriate observation of individual patients without the need to assign particular nurse to be in close proximity to the patient for long periods of time. Zonal observations and engagement aims to provide patients with increased activity and therapeutic engagement and to assess patient’s mental and physical health and document this in real time.
Valerie Provan is a Nurse Consultant on Ruskin Unit, an assessment unit in Carlisle for older adults with organic mental illnesses such as Dementia. It is the only nurse led treatment centre of its kind in the country and several other trusts have visited to see how it could be replicated elsewhere.
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Open access. Trauma-informed approaches emerged partly in response to research demonstrating that trauma is widespread across society, that it is highly correlated with mental health and that this is a costly public health issue. The fundamental shift in providing support using a trauma-informed approach is to move from thinking ‘What is wrong with you?’ to considering ‘What happened to you?’. This article, authored by trauma survivors and service providers, describes trauma-informed approaches to mental healthcare, why they are needed and how barriers can be overcome so that they can be implemented as an organisational change process.
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In collaborative care models between psychiatry and general practice, mental health nurses are used as care managers who carry out the treatment of patients with anxiety or depression in general practice and establish a collaborating relationship with the general practitioner. Although the care manager is the key person in the collaborative care model, there is little knowledge about this role and the challenges involved in it.. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Research shows that changing from white to blue plates enables patients with dementia to see food better as sometimes, they experience difficulties with their sight and perception. For example, chicken, mashed potatoes, porridge, white bread and other typically pale-coloured foods stand out more on blue plates and encourage individuals to eat more. In turn, this will reduce food wastage.
COMMENTARY ON: Walter F, Carr MJ, Mok PLH, et al. Premature mortality among patients recently discharged from their first inpatient psychiatric treatment. JAMA Psychiatry 2017;74:485–92.. To read the full article, log in using your NHS OpenAthens details.
The stages of change model suggests that individuals seeking treatment are in the ‘preparation’ or the ‘action’ stage of change, which is the desired outcome of successful Motivational Interviewing (MI) interventions. MI is known to enhance treatment attendance among individuals with mental health problems. To read the full article, log in using your SSSFT NHS OpenAthens details.
People with learning disabilities and a mental health condition are now getting more support to look after their physical health thanks to a team of specialist mental health nurses working in GP practices across Suffolk.
We’ve just heard that SSOTP will not be renewing their agreement with SSSFT LKS for library services for this financial year. Because of this we will be reviewing our Be Aware bulletins. Sadly we won’t be accepting any new sign-ups from SSOTP staff and will be withdrawing some of the physical healthcare bulletins that we…
Research and evidence from service users has consistently reported that service users are not involved in care planning, despite mental health policy that advocates a collaborative process and evidence that involvement facilitates recovery (Bee et al, 2015; Simpson et al, 2016). Service users want the care plan to go beyond being a record of clinical decisions and include aspects of their lives in which they need support, such as housing, employment and benefits.
Grundy et al (2016) looked at what ‘user-involved’ care planning might look like. They found that meaningful relationships were key to the successful involvement of service users in care planning. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Care planning and co-ordination are central to the delivery of comprehensive mental health care especially where individuals have complex health and social care needs. Although the terms are often used together they clearly imply different sets of processes, practices and ultimately experiences for individuals using and working in services. Care planning involves professionals (nurses, doctors, social workers and others) and the person needing care collaborating on goals, making shared written records and agreeing when to review progress. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The new CPA process uses Dialog + to ensure that the views and goals of service users are absolutely central to the assessment and care planning process. The new My Recovery Care Plan is intended to provide service users with an individualised and understandable care plan which reflects their concerns and priorities.
Staff on Heather ward, based at Airedale Centre for Mental Health, which supports people with complex mental health problems ‘huddle’ twice a day so they can identify any ways they can better support people on the ward in the day ahead and keep people safe.
A new initiative has been launched on Meadow Ward at Penn Hospital to encourage staff to take frequent breaks to help improve their health and wellbeing.
The ‘taking a break' initiative aims to help make staff aware that taking enough breaks can also help them to provide the highest standard of patient care, by putting them in a position to make the best decisions for patients and helping to strengthen morale and create relationships.
This article presents to implementation service evaluation/quality improvement initiative in one NHS trust which involved the implementation of the Modified Early Warning Scoring System (MEWS) that enables staff to assess, recognise and respond to the physical health needs of people with mental health problems or a learning disability in an inpatient setting.
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A caseload management tool was developed with the aim of creating a straightforward, unbiased way of assessing a clinician's caseload for the community mental health teams (CMHTs) in Aneurin Bevan University Health Board. For the first time, the tool developed allows for individual clinicians to record caseloads electronically, enabling decision makers and their teams to assess caseloads.To read the full article, log in using your NHS OpenAthens details
This essay addresses common arguments against implementing smoke-free policies in mental health facilities drawing on the international research evidence. Key arguments supporting implementation of smoke-free policies in mental health facilities are also outlined. This commentary provides policy makers, researchers, and clinicians with information to dispel myths about smoke-free policies in mental health facilities and provides arguments advocating for implementation of these policies. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Mental Health Street Triage is a partnership between the Trust, Bedfordshire Police, East of England Ambulance Trust, Bedfordshire Clinical Commissioning Group, Luton Clinical Commissioning Group and mental health charities Mind BLMK and the Samaritans.
Gail Dearing, ELFT’s Bedfordshire Mental Health Street Triage lead: “The focus of the street triage partners is to make sure people experiencing a mental health crisis get the right care at the earliest possible opportunity.
The service will provide an advice and guidance service to all health professionals, support to women already using secondary mental health services where psychiatric disorder predates pregnancy and is expected to continue beyond, plus new referrals of perinatal presentations.
In this blog Kiri Quinn a senior mental health practitioner and Charlotte Jackson an occupational therapist talk about their experiences of working in the new care models programme and the changes that have been made through working in a newly formed multi-disciplinary team.
These registered mental health nurses are working as wellbeing practitioners in teams with social workers, pharmacists, physiotherapists, care support workers, voluntary services and GPs.
Our practitioners will see people in their own homes or residential care homes, to help reduce referrals into secondary care or hospital for people with mental ill health including dementia, delirium and depression.
As well as providing mental health care, they’ll also carry out some standard wound care and physical health care checks, and support people with long term conditions. The practitioners will also help to educate other health staff in the community care teams, such as district nurses and healthcare support workers, about mental health issues.
A new model for the workforce across our secure estate is delivering both cost improvements and better career opportunities.
Typically across the NHS, band 5 nurses are supported by staff at band 3. Our trust is pioneering a new approach which sees staff at bands 2 and 4 added to the workforce, a model which is rarely seen across the NHS.
The trust’s secure mental health services are piloting the approach. They first starting establishing a workforce of ward–based staff at bands 2 and 3 in 2014. Band 4s are starting in the service for the first time this month.
Vulnerable drug users will be given additional support to access treatment services thanks to a new partnership which will see mental health staff work alongside police to take help direct into people’s homes.
From Monday (23 January), nurses from Norfolk and Suffolk NHS Foundation Trust (NSFT) and officers from Norfolk Constabulary will together visit the homes of drug users where there is a suspicion that out-of-county drug dealers have taken over the property.
Older adult patients undergoing hospital treatment for mental health problems in Lincolnshire can now take ‘time-out’ to relax and unwind in a new bespoke Mindfulness Suite.
Staff working at the Trust’s Rochford Unit, based at Pilgrim Hospital in Boston, have spent the last few months transforming a former therapy room into a brand new relaxation area for patients on the ward.
A Trust project designed to make it easier for people using our inpatient services to independently charge and monitor their mobile devices has been highly commended at this year’s HSJ Awards.
Earlier this year, bespoke mobile charging stations, called ChargeBoxes, were installed on four inpatient wards at Farnham Road Hospital to reduce the significant amount of nursing time which was being taken up by facilitating charging. It also gave people staying on the wards more autonomy when charging devices and allowed them to stay better connected with what was happening outside of the ward.
The police liaison scheme is run in Kirklees and Calderdale and involves mental health nurses working alongside officers at Halifax and Huddersfield police stations to recognise the signs of mental illness. This ensures fewer people with mental health conditions are placed on Section 136 of the Mental Health Act, held in a cell or admitted to A&E when there are more appropriate ways of providing health care for them. The scheme also enables practitioners to visit victims and witnesses at home and support police officers at the scene of an incident.
or three years Sussex Police and Sussex Partnership have operating street triage teams, which started in Eastbourne, and has expanded across East and West Sussex. This scheme sees a specially allocated police officer and a specialist mental health nurse responding to incidents where a mental health intervention is needed. It has been an enormous success meaning less people have been detained under s136 and those that have are far more likely to be taken to a hospital place of safety.
The police liaison scheme is run in Kirklees and Calderdale and involves mental health nurses working alongside officers at Halifax and Huddersfield police stations to recognise the signs of mental illness. This ensures fewer people with mental health conditions are placed on Section 136 of the Mental Health Act, held in a cell or admitted to A&E when there are more appropriate ways of providing health care for them. The scheme also enables practitioners to visit victims and witnesses at home and support police officers at the scene of an incident.