Irish Medical Organisation Doolin Memorial Lecture 2019: rhetoric and reality in mental health—Ireland and the world

Kelly, Brendan D.

doi:10.1007/s11845-019-02163-9

Cited by 4 publications

(5 citation statements)

References 43 publications

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“…Coercive measures could be reduced by enhancing training and education for all involved in mental healthcare including service users, family members and service providers. The commencement of the Assisted Decision-Making (Capacity) Act, 2015 would also be a useful step in maximising individual capacity (Kelly, 2019). Finally, increased funding and staffing would allow for additional training, greater flexibility in delivery of care and provision of more person-centred services – all of which would hopefully reduce the use of coercive measures over the coming years.…”

Section: Discussionmentioning

confidence: 99%

Can the World Health Organisation’s ‘QualityRights’ initiative help reduce coercive practices in psychiatry in Ireland?

Duffy

Kelly

2020

Ir. j. psychol. Med.

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The treatment of mental illness is undergoing a paradigm shift, moving away from involuntary treatments towards rights-based, patient-centred care. However, rates of seclusion and restraint in Ireland are on the rise. The World Health Organisation’s QualityRights initiative aims to remove coercion from the practice of mental health care, in order to concord with the Convention on the Rights of Persons with Disabilities. The QualityRights initiative has recently published a training programme, with eight modules designed to be delivered as workshops. Conducting these workshops may reduce coercive practices, and four of the modules may be of particular relevance for Ireland. The ‘Supported decision-making and advance planning’ and the ‘Legal capacity and the right to decide’ modules highlight the need to implement the Assisted Decision-Making (Capacity) Act, 2015, while the ‘Freedom from coercion, violence and abuse’ and ‘Strategies to end seclusion and restraint’ modules describe practical alternatives to some current involuntary treatments.

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Section: Discussionmentioning

confidence: 99%

Can the World Health Organisation’s ‘QualityRights’ initiative help reduce coercive practices in psychiatry in Ireland?

Duffy

Kelly

2020

Ir. j. psychol. Med.

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“…In the initial months of COVID during the global and regional restrictions known as 'lockdowns', many reported a pervasive sense of uncertainty and high levels of stress which appeared linked with increased psychological responses of stress, depression or anxiety; even in those without previous history of psychological difficulties (Kelly, 2020;Shah et al, 2021). This was reflected in participants' experiences while working in a designated COVID healthcare organisation, where they were saturated by high patient numbers, busy and noisy working conditions, and discussions about COVID.…”

Section: Sub-theme2asaturationofexternalstimulimentioning

confidence: 99%

“…Such coping mechanisms may include fear, anger and confusion (Kelly, 2020), or derealisation and numbing (Subtheme 1.C). The unspeakable nature of the trauma, reflected in the theme of Saturation, is supported by literature on post-traumatic stress disorder (PTSD) symptomology regarding alexithymia and hypersensitivity to trauma-focused stimuli (Bell et al, 2017).…”

Section: Sub-theme3bincreasedcompassionin Three Directionsmentioning

confidence: 99%

Retracted: ‘We were on our knees long before COVID’: How healthcare workers experienced the compassionate care model during COVID‐19

Kelleher

McGurk

Hannan

et al. 2022

Couns and Psychother Res

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AimThis qualitative study aimed to explore the impact of a novel compassion‐based intervention on healthcare workers during a pandemic.SampleParticipants were N = 10 healthcare workers (HCW) recruited from a healthcare organisation in Northern Ireland, including nurses, allied health professionals, managerial staff and administrative staff. The sample was 80% female with an average age of 45.1 years.InterventionAll participants engaged in a compassion‐based staff support psychological intervention. The ‘compassionate care’ intervention was based on the compassion‐focussed staff support model. Modalities included face‐to‐face, remote, individual and group intervention, offered by clinical psychologists and psychotherapists.MethodEthical approval was obtained through the researcher’s academic institution. After obtaining informed consent, participants completed individual interviews, analysed using reflexive thematic analysis.ResultsFindings highlighted model appropriateness and feasibility, detailing post‐intervention changes. Three themes were generated. The first two, Preparing for war: A threat without boundary and Masking the pain: Externalising resistance to compassion, describe the transition from an initial burnout state to a state of derealisation via avoidance coping. The final theme, Reconnection: Returning to compassion, highlights how participants rehabilitated via the intervention, reconnecting with relationships and personal values.ConclusionParticipants reported personal and professional experiential changes relating to compassion and resilience, while noting organisational blocks to compassion. The model appears appropriate across a variety of presentations and levels of chronicity of distress, across age, disciplines and gender groups, and for both managers and non‐managerial staff. Participants reported its usefulness in clinical and administrative settings, as well as application of the skills gained to settings outside work.

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“…Significant research has been conducted with healthcare and mental health professionals, exploring the effects of the pandemic on their wellbeing and finding notably high levels of distress, depression, anxiety and burnout in comparison to the general population’s (College of Psychiatrists of Ireland, 2020; Joshi & Sharma, 2020; Kelly, 2020; Vizheh et al, 2020). Less is known about the strain felt by crisis line volunteers.…”

Section: Introductionmentioning

confidence: 99%

Experiences and wellbeing of Samaritans crisis line volunteers in Ireland during the COVID-19 pandemic: A qualitative study

Cooney

McCashin

2022

Int J Soc Psychiatry

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Background: The literature demonstrates that working in a crisis line volunteer role, despite being rewarding, poses a risk of adverse effects on health and additional pressure exists with the COVID-19 pandemic. Despite this, there is limited research on the experiences of such volunteers. Aims: This study aimed to explore the experiences of Samaritans volunteers in Ireland during the COVID-19 pandemic, thereby contributing to the overall knowledge of crisis line volunteering, and gaining an understanding of how this role is impacted by the pandemic. Method: A qualitative approach was taken, and semi-structured interviews were conducted with volunteers from Samaritans branches in Ireland (n = 13). Data were then analysed using thematic analysis. Results: Four overarching themes were identified: (1) responding to calls in the context of COVID-19, with sub-themes being change in the nature of calls, reliance on existing approach in handling calls and varying emotional responses to calls, (2) sense of loss, with sub-themes being loss of older and vulnerable volunteers, reduced social connectedness and restricted aspects of the service, (3) positive experiences, with sub-themes being supportive culture, new personal skills and perspectives and volunteering as an escape from lockdown and (4) adaptation challenges, with sub-themes being logistical changes and concern for sustainability of the service. Conclusions: Findings highlight important insights into the experiences of Samaritans volunteers in Ireland, revealing that the pandemic brought about challenges, but also gave rise to some positive experiences. Implications of these findings are discussed in the context of the existing literature and recommendations made.

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Irish Medical Organisation Doolin Memorial Lecture 2019: rhetoric and reality in mental health—Ireland and the world

Cited by 4 publications

References 43 publications

Can the World Health Organisation’s ‘QualityRights’ initiative help reduce coercive practices in psychiatry in Ireland?

Can the World Health Organisation’s ‘QualityRights’ initiative help reduce coercive practices in psychiatry in Ireland?

Retracted: ‘We were on our knees long before COVID’: How healthcare workers experienced the compassionate care model during COVID‐19

Experiences and wellbeing of Samaritans crisis line volunteers in Ireland during the COVID-19 pandemic: A qualitative study

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