Developments In Managing Mental Health Care: A Review Of The Literature

Hall, Julie; Callaghan, Patrick

doi:10.1080/01612840802370533

Cited by 10 publications

(13 citation statements)

References 22 publications

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“…Mental health care planning is a process whereby any issues raised in an assessment (such as problems, strengths, goals and planned interventions) are put into a plan of care, which is then implemented and regularly reviewed (Hall & Callaghan ). International mental health policy initiatives dictate that this process becomes a collaborative one involving the service user, any close family member or carer, and associated mental health professionals (Healthcare Commission , Commonwealth of Australia , Department of Health , World Health Organisation ).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a co‐delivered training package for community mental health professionals on service user‐ and carer‐involved care planning

Grundy

Walker

Meade

et al. 2017

Psychiatric Ment Health Nurs

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Accessible summaryWhat is known on the subject? There is consistent evidence that service users and carers feel marginalized in the process of mental health care planning.Mental health professionals have identified ongoing training needs in relation to involving service users and carers in care planning.There is limited research on the acceptability of training packages for mental health professionals which involve service users and carers as co‐facilitators. What does this paper add to existing knowledge? A co‐produced and co‐delivered training package on service user‐ and carer‐involved care planning was acceptable to mental health professionals.Aspects of the training that were particularly valued were the co‐production model, small group discussion and the opportunity for reflective practice.The organizational context of care planning may need more consideration in future training models. What are the implications for practice? Mental health nurses using co‐production models of delivering training to other mental health professionals can be confident that such initiatives will be warmly welcomed, acceptable and engaging.On the basis of the results reported here, we encourage mental health nurses to use co‐production approaches more often.Further research will show how clinically effective this training is in improving outcomes for service users and carers. AbstractBackgroundThere is limited evidence for the acceptability of training for mental health professionals on service user‐ and carer‐involved care planning.AimTo investigate the acceptability of a co‐delivered, two‐day training intervention on service user‐ and carer‐involved care planning.MethodsCommunity mental health professionals were invited to complete the Training Acceptability Rating Scale post‐training. Responses to the quantitative items were summarized using descriptive statistics (Miles, 2013), and qualitative responses were coded using content analysis (Weber, 1990).ResultsOf 350 trainees, 310 completed the questionnaire. The trainees rated the training favourably (median overall TARS scores = 56/63; median ‘acceptability’ score = 34/36; median ‘perceived impact’ score = 22/27). There were six qualitative themes: the value of the co‐production model; time to reflect on practice; delivery preferences; comprehensiveness of content; need to consider organizational context; and emotional response.DiscussionThe training was found to be acceptable and comprehensive with participants valuing the co‐production model. Individual differences were apparent in terms of delivery preferences and emotional reactions. There may be a need to further address the organizational context of care planning in future training.Implications for practiceMental health nurses should use co‐production models of continuing professional development training that involve service users and carers as co‐facilitators.

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Section: Introductionmentioning

confidence: 99%

Evaluation of a co‐delivered training package for community mental health professionals on service user‐ and carer‐involved care planning

Grundy

Walker

Meade

et al. 2017

Psychiatric Ment Health Nurs

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“…Overall, this question on leadership and the clinical milieu elicits strident responses about RN in management who do not work in the interests of ward nurses or patients. Participants in our study perceived a schism between patient‐focused care effort and energy and higher‐status managerial RN whose priorities are administrative duties (Hall & Callaghan 2008); some participants alleged that they: ‘are increasingly divorced from difficult issues’ (RN5) and ‘when people are doing work and feel management are out of touch then people don't feel valued as team members’ (RN16). Furthermore, it seems that hard working nurses who face the brunt of patient distress every day want nurse managers to be leaders for them or with them, but designated managers do not or cannot take up these responsibilities.…”

Section: Discussion Of Qualitative Datamentioning

confidence: 98%

Leadership, support and acknowledgement of registered nurses work in acute mental health units

Cleary

Horsfall

O’Hara-Aarons

et al. 2012

Int J Mental Health Nurs

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In acute mental health inpatient units, it is not surprising that culture, peers, immediate management, and sources of support and acknowledgment all contribute to positive nursing outcomes. In this qualitative study, four questions targeting leadership, culture, support, and acknowledgement of work well done were asked of 40 registered nurses (RN) working in acute mental health units. Findings convey a mixed picture indicating variation across units. Three-quarters believe that senior nursing staff actively contribute to a positive working environment. Almost half of the RN nominated peers as the providers of counsel and support when required, and a similar percentage believed that senior nursing staff fulfil these roles. Of interviewees, 33% said their nursing achievements are never, or rarely, acknowledged. For these RN, management, peers, and nurse unit managers are the preferred personnel to provide appropriate positive feedback. Thus, there is a gap between the expectations and hopes that nurses have for senior management approaches and behaviours and the reality of their daily experience. Overall, the responses portray a culture that underpins and enables both subtle interpersonal interactions that might arise out of necessity given the perceived lack of support from non-hands-on RN and administrators.

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“…Difícil generalización de los resulta dos 10,7072 , sobre todo en los modelos que conllevan reorganizaciones asistenciales, de personal y de financiación 27,30,51 y en los que precisan personal exper to 11,37,42,46,47,49,67,73 .…”

Section: Tabla 2 Evaluación De La Calidad De Las Revisionesunclassified

Modelos de colaboración entre atención primaria y salud mental en la asistencia sanitaria a las personas con depresión: resultados principales y retos metodológicos de una meta-revisión sistemática

Gómez

Mosquera

Gea

et al. 2014

Rev. Esp. Salud Publica

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RESUMENFundamentos: Las carencias en la colaboración entre Atención Primaria (AP) y Salud Mental (SM) constituyen un problema relevante en la atención a los pacientes con depresión. Resulta necesario analizar y evaluar los mode los de colaboración existentes para valorar su aplicabilidad en el sistema de salud español. El objetivo del presente estudio es conocer las principales ca racterísticas de los distintos modelos de colaboración APSM en la atención a los pacientes diagnosticados de depresión y la calidad de la evidencia cientí fica acerca de su efectividad.Métodos: Metarevisión sistemática de los estudios secundarios publi cados entre 2001 y 2010 en MEDLINE, PsycINFO, Embase, LILACS, IBECS, IME y la Biblioteca Cochrane. Las revisiones se evaluaron mediante la herramienta AMSTAR. Se realizó una síntesis aproximativa de la calidad de las evidencias encontradas.Resultados: Se evaluaron 69 estudios. La variabilidad según contextos y las carencias metodológicas condicionan que la calidad de las evidencias sea en general baja o dudosa. Las estrategias más efectivas integran intervencio nes de responsabilización en el seguimiento de los pacientes, rediseños en la gestión, e información y comunicación compartidas. Las metarevisiones de estudios secundarios sobre modelos colaborativos favorecen la accesibilidad a las evidencias publicadas, pero conllevan importantes retos metodológicos.Conclusiones: La calidad de la evidencia sobre la efectividad de los mo delos de colaboración APSM durante la atención sanitaria a las personas con depresión es predominantemente baja o dudosa y su significado y aplicabili dad son menores cuanto más se simplifica el análisis de sus componentes, procesos y circunstancias de implementación.

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Developments In Managing Mental Health Care: A Review Of The Literature

Cited by 10 publications

References 22 publications

Evaluation of a co‐delivered training package for community mental health professionals on service user‐ and carer‐involved care planning

Evaluation of a co‐delivered training package for community mental health professionals on service user‐ and carer‐involved care planning

Leadership, support and acknowledgement of registered nurses work in acute mental health units

Modelos de colaboración entre atención primaria y salud mental en la asistencia sanitaria a las personas con depresión: resultados principales y retos metodológicos de una meta-revisión sistemática

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