Help Without Price: Community Mental Health Program

Hogg Foundation for Mental Healt

Studying clinical reasoning, part 2: Applying social judgement theory

Part 1 of this paper (Harries and Harries 2001) examined the reasoning studies of the 1980s and 1990s and critiqued the ethnographic and informationprocessing approaches, based on stated information use. The need for an approach that acknowledged the intuitive nature of experienced thinkers’ reasoning was identified. Part 2 describes such an approach ± social judgement theory ± and presents a pilot application in occupational therapy research. The method used is judgement analysis. The issue under study is that of prioritisation policies in community mental health work. The results present the prioritisation policies of four occupational therapists in relation to managing community mental health referrals

Community mental health care

Worldwide, mental health care has gone through foureras and four revolutions: The era of the Dark Ages of superstition when mental illnesses were thought to be an affliction of the spiritual world. This was the era of the papal-sponsored 1487 publication ‘Malleus Maleficarum’(‘Hammer of Witches’) during the period of the Inquisition, which allowed the burning of suspected witches among whom were persons with mental illness. This era ended with the revolution that led to the unchaining and moral treatment offered by Pinel in 1793. Thesecond revolution was the era of scientific understanding of the mind, demonstrated by the studies and theories of Sigmund Freud (1856 to 1939) and other collaborators, through to the invention of electroconvulsive therapy (ECT) in the year 1938, by Cerletti and Bini

'Paperwork': Its implications for community mental health nurses' practice

This study aims to examine the real life documentary practices of community mental health nurses to enable a better understanding of the impact of paperwork on their nursing practice.The work on the research proposal was supported by the Community Psychiatric Nurses' Association. Data colleaction and analysis was supported through the University of Chester's small research grant scheme

Sustaining a focus on occupation in community mental health practice

Occupational therapists working in community mental health teams (CMHTs) are often challenged to justify their unique approach to health through occupation, within an environment that tends to press for generic working. Such a challenge requires practitioners to identify and communicate evidence that supports their unique occupational contribution. In the absence of extensive robust and relevant research evidence, it is suggested that the contribution of theoretical evidence be considered. This paper, therefore, explores the potential of occupational justice and its related concepts to provide the profession with a theoretical justification for occupational therapists adopting an occupation-focused role in CMHTs. It begins with an overview of how CMHTs, generic working and occupational science have evolved. The concept of occupational justice and its related risk factors are then analysed in relation to practice. The potential conflict between the professional commitment to client-centred practice and the generic worker model is also discussed. The paper concludes with recommendations for further exploration and consideration

Community Mental Health in Singapore

Field Placement Experience, Summer 2017 -- Ang Mo Kio, Singapore -- Partner Agencie(s): National University of Singapore; AMKFSC Community Services; Mindcarehttps://deepblue.lib.umich.edu/bitstream/2027.42/138990/1/Proudman_Poster.pd

Attitude towards drug therapy in a Community Mental Health Center evaluated by the Drug Attitude Inventory

Introduction: Negative attitude towards drug therapy can foster limited adherence to treatment, which remains one of the biggest obstacles for implementing effective treatments, especially long term. Purposes: The purposes of the study were 1) to evaluate the attitude towards drug therapy among a representative sample of patients treated in a community psychiatric service using 30-item Drug Attitude Inventory (DAI-30); 2) to evaluate the DAI-30 dimensions, applying factorial analysis; and 3) to highlight the socio-demographic and clinical variables correlated to DAI-30 score and factors. Methods: The DAI was administered, over a 7-month period, to all patients treated in our psychiatric outpatient services who agreed to participate in this study and provided their informed consent. Data were statistically analyzed. Results: With a response rate of 63.3%, 164 females and 136 males completed the DAI-30 with an average score of 14.24 (±10.46 SD), indicating moderately positive attitude towards drug therapy. The analysis of DAI-30 internal consistency confirmed its reliability (Cronbach’s alpha=0.84). Our factorial analysis highlighted three factors: Factor 1 (Cronbach’s alpha=0.81), composed of 7 items which indicate positive, trustful attitude; Factor 2 (Cronbach’s alpha=0.78), composed of 5 items indicating negative attitude of suspiciousness; and Factor 3 (Cronbach’s alpha=0.66), composed of 4 items suggesting defensive and control attitude towards drug therapy. Discussion: Among the selected variables, “monotherapy” and “total number of hospitalizations” were negatively correlated to the final score of DAI-30, whereas being “married” was positively correlated to it, in a statistically significant way, using the multiple linear regression model. These correlations suggest that positive attitude towards drug therapy could be reinforced by the condition of being married and reduced by relapses with hospitalization, as literature highlighted, and, paradoxically, by a monotherapy, which could suggest a sort of psychological dependence on therapy and, indirectly, on psychiatric service, potentially correlated to the long-term treatments of our patients

Professional Autonomy in Community Mental Health Centers

Professional community mental health workers want considerable autonomy in doing their work, but too much autonomy can lead to frustration and less satisfaction with work. This finding of a study of 93 mental health professionals in three community mental health centers is in sharp contrast with a comparison group of 60 professionals in a chemical plant. The article cautions against the direct translation of research on all professionals to community mental health professionals