The Journal of Mental Health Training, Education and Practice

Gournay, Kevin

2007 The Journal of Mental Health Training, Education and Practice

doi:

Rogers, Paul ; Miller, Gail ; Paterson, Brodie ; Bonnett, Clive ; Turner, Peter ; Brett, Sue ; Flynn, Karen ; Noak, Jimmy

2007 The Journal of Mental Health Training, Education and Practice

doi:

Breakaway training is a mandatory training programme for mental health staff in both NHS and private services. However, the question that remains outstanding from the recent guidance on the management of short-term violence published by the National Institute for Clinical Excellence (NICE) (NICE, 2005a; 2005b) is whether breakaway training is effective? This paper provides a history of and evidence for breakaway training, and a study examining the content of breakaway training in one English high secure hospital is provided.

Paul Rogers; Gail Miller; Brodie Paterson; Clive Bonnett; Peter Turner; Sue Brett; Karen Flynn; Jimmy Noak

2007 The Journal of Mental Health Training Education and Practice

doi: 10.1108/17556228200700008

Breakaway training is a mandatory training programme for mental health staff in both NHS and private services. However, the question that remains outstanding from the recent guidance on the management of short‐term violence published by the National Institute for Clinical Excellence (NICE) (NICE, 2005a; 2005b) is whether breakaway training is effective?This paper provides a history of and evidence for breakaway training, and a study examining the content of breakaway training in one English high secure hospital is provided.

Nicholls, Daniel ; Love, Mervyn ; Daniel, Jeffrey

2007 The Journal of Mental Health Training, Education and Practice

doi:

This paper explores the workforce development issues that arose in the course of an Australian repeat pilot study. The aim of the pilot study was to introduce, within a different setting, a planned approach to the assessment of, and interventions in, emotional states of service users that may lead to episodes of behavioural disturbance within psychiatric units. The pilot study necessitated training of staff in the use of an assessment tool. During the course of the study, a novel element was encountered with regard to staff understanding of service user involvement in treatment. This element, presented here as 'integral self-intervention', emerged in conjunction with the development of two wall charts: an acute arousal management process chart for staff, and a patient safety chart for service users. The paper will outline the collaborative process towards the partial realisation of this element of integral self-intervention, and associated workforce development issues.

Daniel Nicholls; Mervyn Love; Jeffrey Daniel

2007 The Journal of Mental Health Training Education and Practice

doi: 10.1108/17556228200700009

This paper explores the workforce development issues that arose in the course of an Australian repeat pilot study. The aim of the pilot study was to introduce, within a different setting, a planned approach to the assessment of, and interventions in, emotional states of service users that may lead to episodes of behavioural disturbance within psychiatric units. The pilot study necessitated training of staff in the use of an assessment tool. During the course of the study, a novel element was encountered with regard to staff understanding of service user involvement in treatment. This element, presented here as 'integral self‐intervention', emerged in conjunction with the development of two wall charts: an acute arousal management process chart for staff, and a patient safety chart for service users. The paper will outline the collaborative process towards the partial realisation of this element of integral self‐intervention, and associated workforce development issues.

Trisha Nichols

2007 The Journal of Mental Health Training Education and Practice

doi: 10.1108/17556228200700010

In the present climate of risk assessment and management, the risk posed by the mentally disordered offender might be considered central to the role of mental health professionals working with this population. To discipline risk is a challenge that involves making something uncertain somehow quantifiable, so that decisions about the short‐longer‐term future of another individual can be made and justified (Rose, 1998). Although unauthorised patient absence from secure hospitals in the UK is an infrequent phenomenon, there are often prominent repercussions, perpetuated by negative media coverage, often resulting in responses from the highest political level. This article will attempt to highlight known statistics on absconsion from secure hospitals, including frequency and consequences, and impact of negative media coverage and various reviews, inquiries and proposed recommendations, which have resulted in the proposed reforms of the Mental Health Act 1983. Finally, the article will outline the work conducted by the social work department at Chadwick Lodge and Eaglestone View (medium secure hospitals) in the development of an 'absconsion pack'. This development provides an example of safe practice through its use of collaborative inter‐professional and multidisciplinary team working, resulting in a procedure that should reduce the risks in the event of an absconsion from a medium secure hospital. The wider implications of this work will be discussed.

Nichols, Trisha

2007 The Journal of Mental Health Training, Education and Practice

doi:

In the present climate of risk assessment and management, the risk posed by the mentally disordered offender might be considered central to the role of mental health professionals working with this population. To discipline risk is a challenge that involves making something uncertain somehow quantifiable, so that decisions about the short-longer-term future of another individual can be made and justified (Rose, 1998). Although unauthorised patient absence from secure hospitals in the UK is an infrequent phenomenon, there are often prominent repercussions, perpetuated by negative media coverage, often resulting in responses from the highest political level. This article will attempt to highlight known statistics on absconsion from secure hospitals, including frequency and consequences, and impact of negative media coverage and various reviews, inquiries and proposed recommendations, which have resulted in the proposed reforms of the Mental Health Act 1983. Finally, the article will outline the work conducted by the social work department at Chadwick Lodge and Eaglestone View (medium secure hospitals) in the development of an 'absconsion pack'. This development provides an example of safe practice through its use of collaborative inter-professional and multidisciplinary team working, resulting in a procedure that should reduce the risks in the event of an absconsion from a medium secure hospital. The wider implications of this work will be discussed.

Joe Curran; Paul Lawson; Simon Houghton; Kevin Gournay

2007 The Journal of Mental Health Training Education and Practice

doi: 10.1108/17556228200700011

Behavioural activation is a contemporary behavioural treatment for depression that has the potential advantages of being more readily adopted in psychiatric inpatient environments than more complex psychological treatment approaches and requiring less intensive training than these approaches. In this article the theoretical and empirical foundations of behavioural activation are described along with an outline of the therapeutic process and key interventions used. Consideration is then given to factors influencing the implementation of BA in psychiatric inpatient environments.

Curran, Joe ; Lawson, Paul ; Houghton, Simon ; Gournay, Kevin

2007 The Journal of Mental Health Training, Education and Practice

doi:

Behavioural activation is a contemporary behavioural treatment for depression that has the potential advantages of being more readily adopted in psychiatric inpatient environments than more complex psychological treatment approaches and requiring less intensive training than these approaches. In this article the theoretical and empirical foundations of behavioural activation are described along with an outline of the therapeutic process and key interventions used. Consideration is then given to factors influencing the implementation of BA in psychiatric inpatient environments.

Hughes, Elizabeth ; Robertson, Neil ; Kipping, Cheryl ; Lynch, Claire

2007 The Journal of Mental Health Training, Education and Practice

doi:

Dual diagnosis poses particular challenges for inpatient mental health services. Workers have low levels of training, clinical experience and support to deliver integrated care that combines mental health and substance use interventions. In addition, inpatient workers have to balance being therapeutic with ensuring that illicit substance use does not occur on the wards. This often leads to confrontation and poor engagement. In order to improve the capabilities of the workers to deliver more effective interventions for this group of service users, dual diagnosis training should be a high priority for acute inpatient services. However, there are a number of challenges in the implementation of this including lack of resources to fund training and specialist roles, lack of time to attend training (and supervision), and lack of time to implement learning in routine care. This paper will describe the policy drivers for the improvement of dual diagnosis care in acute psychiatric inpatient services, and how two initiatives in London are overcoming some of the obstacles and showing some promising initial outcomes. This paper will make recommendations for future research and developments.