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Frueh, B. Christopher; Dalton, Marc E.; Johnson, Michael R.; Hiers, Thomas G.; Gold, Paul B.; Magruder, Kathryn M.; Santos, Alberto B.

doi:10.1023/a:1026611608299

Cited by 36 publications

(3 citation statements)

References 17 publications

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“…We identified ‘sanctuary harm’ and ‘sanctuary trauma’ among our sample. These experiences are generated from fearful contact with other service users and iatrogenic induced harm from seclusion, constraint, and coercion (Robins et al 2005; Frueh et al 2000; Johnson et al 2004). The former can arise from witnessing actual aggression but also from accepting the dominant discourse connecting ‘mental illness’ and violence, in the absence of knowledge of others or evidence to the contrary (Stenhouse 2013).…”

Section: Discussionmentioning

confidence: 99%

‘Recovery’ in the Real World: Service User Experiences of Mental Health Service Use and Recommendations for Change 20 Years on from a First Episode Psychosis

O’Keeffe¹,

Sheridan

Kelly³

et al. 2018

Adm Policy Ment Health

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Little is known about how recovery oriented policy and legislative changes influence service users’ perceptions of mental health care over time. Although the recovery approach is endorsed in many countries, qualitative research examining its impact on service use experiences has been lacking. This study aimed to explore this impact as well as experiences of service utilisation and suggestions for change with people diagnosed with a First Episode Psychosis between 1995 and 1999. Participants had used services during the 10 year period prior to, and 10 years post, policy and legislative shifts to the recovery approach. Semi-structured interviews were conducted with 10 participants who met criteria for ‘full functional recovery’ and 10 who did not. Data were analysed using Thematic Networks Analysis to develop Basic, Organising, and Global Themes. Over time, recovered participants perceived an improvement in service quality through the ‘humanising’ of treatment and non-recovered participants experienced their responsibility in recovery being recognised, but felt abandoned to the recovery approach. Findings suggest the importance of viewing service users as demonstrating personhood and having societal value; examining the personal meaning of psychotic experiences; and matching expectations with what services can feasibly provide. The implementation and the principal tenets of the recovery approach warrant further investigation.

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Section: Discussionmentioning

confidence: 99%

‘Recovery’ in the Real World: Service User Experiences of Mental Health Service Use and Recommendations for Change 20 Years on from a First Episode Psychosis

O’Keeffe¹,

Sheridan

Kelly³

et al. 2018

Adm Policy Ment Health

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“…Such education may reduce the likelihood of re-traumatisation that may escalate to aggressive and violent behaviour [ 6 , 7 ], risk of harm to self and others [ 8 ] and the subsequent use of restrictive interventions [ 1 ]. Restrictive interventions may include the use of seclusion, physical restraint, or mechanical restraint and are known to exacerbate symptoms of past trauma for people with mental illness [ 9 – 11 ]. Nurses practicing within a TIC framework have reduced the use of restrictive interventions within inpatient settings [ 12 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

Educating emergency department nurses about trauma informed care for people presenting with mental health crisis: a pilot study

et al. 2016

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BackgroundPracticing with trauma informed care (TIC) can strengthen nurses’ knowledge about the association of past trauma and the impact of trauma on the patient’s current mental illness. An aim of TIC is to avoid potentially re-traumatising a patient during their episode of care. A TIC education package can provide nurses with content that describes the interplay of neurological, biological, psychological, and social effects of trauma that may reduce the likelihood of re-traumatisation. Although mental health nurses can be TIC leads in multidisciplinary environments, the translation of TIC into clinical practice by nurses working in emergency departments (EDs) is unknown. However, before ED nurses can begin to practice TIC, they must first be provided with meaningful and specific education about TIC. Therefore, the aims of this study were to; (1) evaluate the effectiveness of TIC education for ED nursing staff and (2) describe subsequent clinical practice that was trauma informed.MethodsThis project was conducted as exploratory research with a mixed methods design. Quantitative data were collected with an 18-item pre-education and post-education questionnaire. Qualitative data were collected with two one-off focus groups conducted at least three-months after the TIC education. Two EDs were involved in the study.ResultsA total of 34 ED nurses participated in the TIC education and 14 ED nurses participated in the focus groups. There was meaningful change (p < 0.01, r ≥ 0.35) in 9 of the 18-items after TIC education. Two themes, each with two sub-themes, were evident in the data. The themes were based on the perceived effectiveness of TIC education and the subsequent changes in clinical practice in the period after TIC education.ConclusionEmergency department nurses became more informed of the interplay of trauma on an individual’s mental health. However, providing care with a TIC framework in an ED setting was a considerable challenge primarily due to time constraints relative to the day-to-day ED environment and rapid turnover of patients with potentially multiple and complex presentations. Despite this, nurses understood the effect of TIC to reduce the likelihood of re-traumatisation and expressed a desire to use a TIC framework.

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“…7,8 They may have previous TE and are vulnerable to additional TE in psychiatric settings. [9][10][11] Routine or control procedures such as seclusion and restraint may cause recall of previous TE, leading to highly a distressing experience for the patient. [12][13][14][15] Psychotic symptoms and involuntary commitment may be associated with PTSD.…”

Section: Introductionmentioning

confidence: 99%

Patients’ Reports of Traumatic Experience and Posttraumatic Stress in Psychiatric Settings

Cheng

Leung

et al. 2020

East Asian Arch Psychiatry

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Objective: To determine the prevalence of traumatic experience (TE) among patients in psychiatric settings in Hong Kong and the associations between TE, levels of distress, and anxiety and depressive symptoms. Methods: 129 patients who have received inpatient psychiatric services were recruited. Their lifetime TE was assessed using the Life Event Checklist (LEC), and TE in psychiatric settings using the Psychiatric Experiences Questionnaire (PEQ). Their level of distress symptoms was assessed using the Impact of Event Scale-Revised (IES-R), and the level of anxiety and depressive symptoms using the Hospital Anxiety and Depression Scale (HADS). Results: The prevalence of direct and indirect TE was 84.5%, as was the prevalence of TE in psychiatric settings. Common TE in psychiatric settings included witnessing another patient being taken down (61.2%), being put in restraints of any kind (41.1%), and witnessing another patient being physically assaulted by another patient (36.4%). TE in psychiatric settings associated with high prevalence of severe or extreme distress 1 week after the event included being forced to take medication against their will (52.2%), being threatened with physical violence (52.2%), and experiencing a physical assault (50.0%). Lifetime TE (the total number of LEC items reported) was associated with severity of distress, and anxiety and depressive symptoms, whereas TE in psychiatric settings (the total number of PEQ items reported) was associated with severity of distress only. The total number of LEC items reported is the only predictor of levels of distress, and anxiety and depressive symptoms. Conclusions: Lifetime TE and TE in psychiatric settings are common among patients with SMI. Traumainformed care is suggested for mental health services.

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Untitled

Cited by 36 publications

References 17 publications

‘Recovery’ in the Real World: Service User Experiences of Mental Health Service Use and Recommendations for Change 20 Years on from a First Episode Psychosis

‘Recovery’ in the Real World: Service User Experiences of Mental Health Service Use and Recommendations for Change 20 Years on from a First Episode Psychosis

Educating emergency department nurses about trauma informed care for people presenting with mental health crisis: a pilot study

Patients’ Reports of Traumatic Experience and Posttraumatic Stress in Psychiatric Settings

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