Acute wards: problems and solutions

Davenport, Sarah

doi:10.1192/pb.26.10.385

Cited by 25 publications

(25 citation statements)

References 2 publications

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“…The perceived benefits of influencing patient care, staff^patient relationships, staff satisfaction and team work are in line with benefits suggested previously (Alanen et al, 2000;Davenport, 2002), as is the view that improved understanding of patients may help to achieve these ends.…”

Section: Impact Of Formulation and Mechanisms Of Benefitsupporting

confidence: 85%

“…Formulations are central to some individual psychological therapies and have also been advocated within psychiatric care, where they may help team cohesion and satisfaction, and provide a 'map' to negotiate complex processes of care (Alanen et al, 2000;Davenport, 2002). However, evidence of the impact of formulations is limited and conflicting (Chadwick et al, 2003).…”

Section: Discussionmentioning

confidence: 99%

“…The study setting was one ward of a high-dependency rehabilitation service, where both the service and use of formulations have previously been described (Davenport et al, 2002). In 2003, 2-weekly 'formulation meetings' lasting approximately 90 min were instituted.…”

Section: Study Settingmentioning

confidence: 99%

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Psychological formulations in psychiatric care: staff views on their impact

Summers¹

2006

Psychiatr. bull.

102

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Aims and MethodTo understand the benefits and limitations of using psychological formulations for patients with severe mental illness, a qualitative study of staff views was conducted, based on semi-structured interviews with 25 staff working in a high-dependency rehabilitation service.ResultsParticipants believed that formulations benefited care planning, staff–patient relationships, staff satisfaction and teamworking, through increasing understanding of patients, bringing together staff with different views and encouraging more creative thinking. They particularly valued meeting together to develop the formulations. Some staff accepted formulations as tentative and provisional, whereas others regarded them as statements of conviction.Clinical ImplicationsThe study suggests that using psychological formulations in the care of psychiatric patients may well be valuable, but needs further exploration.

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Section: Impact Of Formulation and Mechanisms Of Benefitsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

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Psychological formulations in psychiatric care: staff views on their impact

Summers¹

2006

Psychiatr. bull.

102

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“…There is, however, research into the process of developing team formulations (Davenport, 2002;Summers, 2006) and a key element of formulations according to (Whomsley, 2010) is having contributions from all team members. It is possible that service constraints due to low staffing numbers may impact on the feasibility of this and may be one reason why some services do not implement them (Johnstone, 2014).…”

Section: Introductionmentioning

confidence: 99%

The impact of case formulation meetings for teams

Whitton

Small

Lyon

et al. 2016

Advances in Mental Health and Intellectual Disabilities

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2016),"The subjective experience of adults with intellectual disabilities who have mental health problems within community settings"If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. , all are based at Forensic Learning Disability Service, Roseberry Park Hospital, Tees Esk Wear Valleys NHS Foundation Trust, Middlesbrough, UK. AbstractPurpose -The purpose of this paper is to investigate the impact of psychological case formulation meetings for staff in a secure forensic learning disability and autism service. Design/methodology/approach -In total, 89 of the attendees completed a questionnaire prior to the formulation meeting and then another questionnaire following attendance at a formulation meeting.Findings -The results indicate that staff found these to be a helpful, informative and a positive experience professionally and personally. The results suggest that the formulation meetings developed staffs' psychological understanding about the patient and their problems, helped to increase their empathy towards the patient, increased consistency in the teams' views, and that the staff felt listened to.Research limitations/implications -Psychological formulation meetings are established in the current service, and therefore this may be a contributing to factor to the lack of significant change found in some of the items. Therefore, it would be beneficial for future services to complete a service evaluation at a much earlier point of implementation, as this may impact the level of significance.Originality/value -The findings of this service evaluation suggest that formulation is a beneficial and useful tool for teams and would be a helpful tool for psychologists to use in the clinical work with teams.

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“…The metaphor of milieu toxicity as described by Kurtz (1979/1991), Friel & Freil (1990), Kellogg (1990), Davenport (2002) and Hammersley (2004) aptly describes those environments that foster an essentially anti‐therapeutic culture of denial, depersonalization, defensiveness, manipulation, scapegoating, blame, insecurity and resistance to change. The following categories of untoward incidents were used in this study as indicators of milieu toxicity:…”

Section: Part One: Launching the Tidal Model In The Birmingham And Somentioning

confidence: 99%

Launching the Tidal Model: evaluating the evidence

Gordon¹,

Morton²,

Brooks

2005

Psychiatric Ment Health Nurs

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Launching the Tidal Model: evaluating the evidence This paper reports on two evaluations of the Tidal Model, in the context of two separate acute admission wards, one in Birmingham (2004) and the other in Newcastle (2001), and makes recommendations concerning the criteria and type of reasoning appropriate to evaluating the evidence the two projects have generated. In the Birmingham study, results showed that in the year following the introduction of the Tidal Model, the total number of serious untoward incidents such as physical assault, violence and harassment, decreased by 57%. Nurse satisfaction with their work also improved with nurses rating the model superior to their previous way of working. Inpatient service user assessment of the overall quality of their care was also positive. These findings are then compared with the positive results of an earlier study of the Tidal Model undertaken in Newcastle in 2001. That study was criticized, however, for not showing conclusively that the positive results of the evaluation correlated with the introduction of the Tidal Model. This criticism is briefly examined in the light of both ancient (Aristotle) and modern (Charles Peirce) understandings of the nature of evidence and suggests that such criticism begs the question of the nature of proof. The paper concludes by arguing that, according to both Aristotle and the procedures of abductive reasoning advocated by Charles Peirce, inferring a positive correlation between the results of both studies and the introduction of Tidal Model is a good example of reasonable inference to the best explanation. The available evidence suggests that the results of both studies render the conclusion probable and thus 'good enough' to warrant serious consideration for implementing the Tidal Model more widely within and across Mental Health NHS Trusts.

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Acute wards: problems and solutions

Cited by 25 publications

References 2 publications

Psychological formulations in psychiatric care: staff views on their impact

Psychological formulations in psychiatric care: staff views on their impact

The impact of case formulation meetings for teams

Launching the Tidal Model: evaluating the evidence

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