4,430 research outputs found
A three-phased model to support the design and development of core competency education for liaison mental health clinicians
Full text linkPurpose
This paper aims to provide an insight into the design, development and delivery proposals for a first of its kind “Liaison Mental Health Training Programme”. In the UK, there has been a significant investment in Liaison Mental Health Services and an expansion of the workforce (NHS England, 2016). However, the complexity and varied presentations of patients who attend to acute physical health services now requires a dedicated strategy to address any skills deficit in the mental health liaison workforce and to support core competency development (DOH, 2016).
Design/methodology/approach
This paper provides an overview of preparations to develop a regional educational pilot programme using a three-phased model: Phase 1 – Review of policy and best practice guidelines; Phase 2 – Stakeholder Data Collection; and Phase 3 – Synthesis and Development.
Findings
An insight into the developmental processes undertaken to shape a core competency liaison mental health training programme is presented. Additionally, the authors provide insight into educational theory and an overview of the LMH Core Competency Curricula.
Practical implications
This paper provides the reader with an insight into our findings and a focussed core competency training model for those working within LMH services. This programme development was reviewed throughout by both those using LMH services and the LMH practitioners working within them, ensuring the curriculum proposed was endorsed by key stakeholders. The three-phased model has transferable benefits to other training development initiatives.
Originality/value
To the best of the authors’ knowledge, this training is the first of its kind in the UK and addresses the education of essential core competencies of a regional liaison mental health workforce. The collaboration of clinical and academic expertise and model of co-production makes this endeavour unique
Michael Rodriguez interviews author Gary Gildner
No full textAuthor Gary Gildner explains why he left his tenured teaching position to move to Idaho to became a full-time writer of poetry. Gildner talks about donating his personal papers to Michigan State University Libraries' Special Collections, his writing style and how he approaches writing. Gildner is interviewed by MSU Librarian Michael Rodriguez for the MSU Libraries' Michigan Writer Series. Held at the MSU Main Library
Author Gary Gildner reads his selected works at the Michigan Writers Series
No full textAuthor Gary Gildner reads "Sleepy time gal," "Pavol Hudak, the poet, is talking," and "Genealogy" then answers questions from the audience. The event is convened by Peter Berg, head of the Michigan State University Libraries' Special Collections. Part of the MSU Libraries' Michigan Writers Series. Held at the MSU Main Library
Clinical effectiveness and cost effectiveness of Structured Psychological Support for people with probable personality disorder in mental health services in England: study protocol for a randomised controlled trial
Full text linkIntroduction: Evidence-based psychological treatments for people with personality disorder usually involve attending group-based sessions over many months. Low-intensity psychological interventions of less than 6 months duration have been developed, but their clinical effectiveness and cost-effectiveness are unclear. Methods and analysis: This is a multicentre, randomised, parallel-group, researcher-masked, superiority trial. Study participants will be aged 18 and over, have probable personality disorder and be treated by mental health staff in seven centres in England. We will exclude people who are: unwilling or unable to provide written informed consent, have a coexisting organic or psychotic mental disorder, or are already receiving psychological treatment for personality disorder or on a waiting list for such treatment. In the intervention group, participants will be offered up to 10 individual sessions of Structured Psychological Support. In the control group, participants will be offered treatment as usual plus a single session of personalised crisis planning. The primary outcome is social functioning measured over 12 months using total score on the Work and Social Adjustment Scale (WSAS). Secondary outcomes include mental health, suicidal behaviour, health-related quality of life, patient-rated global improvement and satisfaction, and resource use and costs. The primary analysis will compare WSAS scores across the 12-month period using a general linear mixed model adjusting for baseline scores, allocation group and study centre on an intention-to-treat basis. In a parallel process evaluation, we will analyse qualitative data from interviews with study participants, clinical staff and researchers to examine mechanisms of impact and contextual factors. Ethics and dissemination: The study complies with the Helsinki Declaration II and is approved by the London—Bromley Research Ethics Committee (IRAS ID 315951). Study findings will be published in an open access peer-reviewed journal; and disseminated at national and international conferences. Trial registration number: ISRCTN13918289
Dress, law and naked truth : a cultural study of fashion and form
No full textWhy are civil authorities in so-called liberal democracies affronted by public nudity and the Islamic full-face 'veil'? Why is law and civil order so closely associated with robes, gowns, suits, wigs and uniforms? Why is law so concerned with the 'evident' and the need for justice to be 'seen' to be done? Why do we dress and obey dress codes at all? In this, the first ever study devoted to the many deep cultural connections between dress and law, the author addresses these questions and more. His responses flow from the radical thesis that 'law is dress and dress is law'. Engaging with sources from The Epic of Gilgamesh to Shakespeare, Carlyle, Dickens and Damien Hirst, Professor Watt draws a revealing history of dress and civil order and offers challenging conclusions about the nature of truth and the potential for individuals to fit within the forms of civil life
Letter from Gary Okihiro, professor, Department of Asian American Studies at Cornell University to Michi Weglyn
No full textA letter from Asian American studies professor Gary Okihiro to Michi Weglyn apologizing for a critical review he wrote of her book "Years of Infamy" in 1977.These materials are from box 73 and 74 of the Frank Chin Papers. The Frank Chin Papers contain personal and professional correspondence between Frank Chin and Michi Weglyn relating to particular projects on which either author was working as well as files related to the Day of Remembrance Tribute to Michi Weglyn
Can a carer (peer) led psychoeducation programme improve mental health carers well-being, reduce burden and enrich empowerment: a service evaluation study
Full text linkPurpose: Carers of people with mental health problems present with high levels of burden, poor mental wellbeing and feelings of disempowerment by mental health services. The aim of this study was to establish whether providing a
psychoeducation skills programme for carers would lead to an improvement of mental wellbeing, reduce the levels of burden that carers sometimes feel in caring for someone with mental illness, and also to increase empowerment. This paper provides a service evaluation study of an innovative carer led psychoeducational intervention that was undertaken.
Design/ Methodology/ Approach: This programme was initiated and led by a carer who had themselves experienced a lack of service provision to support carers and families in understanding and caring for a relative with severe and enduring mental
health diagnoses. A model of co-production was adopted with the carer who led this initiative working closely with an occupational therapist and consultant psychologist in its development and delivery. Data was collected to measure the impact of the training at 5 different time points. The measures employed to measure outcomes were the Warwick- Edinburgh Mental Well-Being Scale (WEMWEBS), the Burden Assessment Scale (BAS) and Family Empowerment Scale (FES).
Findings: Results indicated improved well-being, reduced burden and increased family empowerment in carers who completed this peer led carer initiative psychoeducational programme.
Research Limitations/ Implications: This service evaluation study was conducted in a single site and in the site in which it was developed. The carer consultant who led this evaluation and development of the intervention was also the peer worker
who delivered the interventions. Hence, we are unable to ascertain if the results reported are unique to the individual peer worker. The transferability of this programme and generalisability of the result should therefore be treated with caution
and further replication of this model and research is required. This would be beneficial to be conducted in an alternative site from where it was developed, delivered by different facilitators and include a control group.
Practical Implications: The evidence from this study indicates that carers are able and willing to attend a group psychoeducational programme. The high number of referrals to the programme in a relatively short timeframe, indicates that there is significant demand for such a service. Implementation of the programme is relatively straight forward. The key challenges for practical implementation are to have the of Mental Health Training, Education and Practiceright carer to lead and deliver the programme, and the right support system in place for them (financial and supervision). Co-production also is not without challenges, the peer worker and occupational staff need to ensure mutually valued and respected working relationship develop.
Originality Value: This is the first evaluation of the impact of a carer led psychoeducation intervention for carers of people with mental health difficulties in secondary mental health services
Portrait of Fred Hilmer [transparency] /
No full textCondition: Good.; Title supplied by artist, see acquisition file number 204/08/00063-02.; Part of the collection of photographs of portraits of prominent Australians. "Fred Hilmer (& Prof Lex Donaldson), Prof, associate dean author of the Hilmer Report, AGSM, University of New South Wales."--Note from artist
A qualitative study of the label of personality disorder from the perspectives of people with lived experience and occupational experience
No full textPurpose: The label “Personality Disorder” continues to divide opinion. Challenges to the terminology of personality disorder led by people with lived experience and supported by critical practitioners and academics are tempered by acknowledgement of certain positive social consequences of obtaining a diagnosis. This study aims to engage service users and staff in a process of inquiry to better understand the complexities of views on the terminology of Personality Disorder. Design/methodology/approach: This study set out to qualitatively explore the views of a range of people with lived, occupational and dual lived experience/occupational expertise, relating to the diagnostic label of Personality Disorder, via participatory and critical group debate. The World Café approach is an innovative methodology for participatory inquiry into subjective views suited to exploring the contested subject matter. Findings: This study identified contrasting opinions towards the label of Personality Disorder and provides insight into the concerns described for both keeping and losing the label. Although many felt the words “personality” and “disorder” are not in themselves helpful, certain positive views were also revealed. Perspectives towards the label were influenced by the way in which diagnosis was explained and understood by patients and practitioners, alongside the extent to which service provision and evidence-based interventions were offered. Research limitations/implications: The findings have the potential to contribute to the ongoing critical debate regarding the value of the Personality Disorder construct in the provision of care and support. Specific emphasis upon the relational framing of care provision offers a means to ameliorate some of the negative impacts of terminology. Perspectives are influenced in the way the label is understood, hence, attention is required to enhance these processes in clinical practice. There is much more study required to overcome stigmatisation, prejudice, and lack of knowledge and understanding. Further research identifying means for challenging stigma and the factors contributing to positive clinical interactions are required. Originality/value: This study brings together a wide range of views and experiences of mental health professionals, individuals lived experiences and those who align to both lived and occupational expertise. A safe space was provided via the uniquely co-produced World Café research event to bring together discussion and debates from mixed perspectives makes this a novel study. The focus being on perspectives towards contested language, labelling and social impact adds to scholarship in this field
Portrait of Helen Hughes [transparency] /
No full textCondition: Good.; Title supplied by artist, see acquisition file number 204/08/00063-02.; Part of the collection of photographs of portraits of prominent Australians. Emeritus Professor of Economics Helen Hughes AO joined the CIS staff as a Senior Fellow in April 1998. Helen has had a long association with the Centre, and is co-author of the CIS Monographs Australias Asian Challenge and Working Youth. Helen has worked at the University of New South Wales, the University of Queensland and the World Bank before taking the position of Professor of Economics at the Australian National University in 1983. She was also Director of the National Centre for Development Studies, and presented the Boyer Lectures in 1985
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