Mental Health Professionals In Relation Research Articles

Review: Transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS): a meta-synthesis of parental and professional perspectives.

Transition between Child and Adolescent Mental Health Services (CAMHS) and Adult Mental Health Services (AMHS) can be stressful for the young person and family alike. Previous reviews have focused on specific aspects of transition or perspectives of young people, or have not used systematic approaches to data identification and analysis. The objective of this review was to develop the understanding of the transition between CAMHS and AMHS by systematically identifying and synthesising evidence regarding professionals' and parents/carers' perspectives. A systematic search in July 2018 was conducted on Medline, PsycINFO and CINAHL. Google Scholar and references of selected articleswere also searched. Papers were included if they presented empirical qualitative research in peer-reviewed journals with a primary focus on experiences of parents/carers and/or mental health professionals in relation to adolescents making the CAMHS-AMHS transition. Data were extracted from each full-text paper. The quality of included studies was appraised using an expanded Critical Appraisal Skills Programme (2018) tool, and studies' results were synthesised using meta-ethnography. Fourteen studies of variable quality were identified. Four main third-order constructs were developed through synthesis: (a) Service cultures; (b) Service resources and gaps; (c) Working relationships between the services; and (d) Leaving secure relationships for new ones. Professionals and parents experience adolescents' transition from nurturing and comprehensive CAMHS to more individualistic AMHS as having many barriers. There is desire for better preparation for transition between services and relationships, more joint working and better CAMHS-AMHS communication. AMHS service gaps exist, for example for those with neurodevelopmental conditions.

Profiling mental health professionals in relation to perceived interprofessional collaboration on teams.

Objectives:This study aims at identifying profiles of mental health professionals based on individual, interactional, structural and professional role characteristics related to interprofessional collaboration.Methods:Mental health professionals (N = 315) working in primary health care and specialized mental health teams in four Quebec local service networks completed a self-administered questionnaire eliciting information on individual, interactional, structural and professional role characteristics.Results:Cluster analysis identified four profiles of mental health professionals. Those with the highest interprofessional collaboration scores comprised two profiles labeled “highly collaborative female professionals with fewer conflicts and more knowledge sharing and integration” and “highly collaborative male professionals with fewer conflicts, more participation in decision-making and mutual trust.” By contrast, the profile labeled “slightly collaborative professionals with high seniority, many conflicts and less knowledge integration and mutual trust” had the lowest interprofessional collaboration score. Another profile positioned between these groups was identified as “moderately collaborative female psychosocial professionals with less participation in decision-making.”Discussion and conclusion:Organizational support, participation in decision-making, knowledge sharing, knowledge integration, mutual trust, affective commitment toward the team, professional diversity and belief in the benefits of interdisciplinary collaboration were features associated with profiles where perceived interprofessional collaboration was higher. These team qualities should be strongly encouraged by mental health managers for improving interprofessional collaboration. Training is also needed to promote improvement in interprofessional collaboration competencies.

Identifying and addressing sexual health in seriousmental illness: Views of mental health staff working in two National Health Service organizations in England.

People with serious mental illness (service users) have needs related to sexual health and sexuality, yet these have been poorly addressed in mental health services. In the present study, we report the current practice of mental health professionals in relation to sexual health. Focus groups conducted in two mental health trusts explored routine practice in relation to discussing, assessing, and planning care in relation to sexual health. A thematic analysis identified seven themes: (i) sexual health provision is a complex issue; (ii) mental health staff are aware of sexual health needs; (iii) current provision regarding sexual health is 'neglected'; (iv) barriers to sexual health provision; (v) enabling a discussion around sexual health; (vi) sexual health provision is a role for mental health professionals; and (vii) training needs. Mental health staff are aware of complex issues related to sexual health for service users, but this is mainly seen through the lens of risk management and safeguarding. We need to develop the mental health workforce to be able to incorporate sexual health into routine health care.

Geographic distribution of California mental health professionals in relation to sociodemographic characteristics.

To determine whether geographic access to licensed mental health providers in California is a barrier for underserved populations. Data from the master file of the California Board of Psychology and Board of Behavioral Sciences were merged with U.S. Census data to determine the correlations between the concentration of providers and the corresponding sociodemographic characteristics of places in California. This article shows that the concentration of licensed mental health providers in the communities of California varies systematically with the racial, ethnic, age, education, and economic characteristics of those places. Specifically, licensed mental health providers are more concentrated in places that are wealthier, Whiter, older, and more educated. Policy and advocacy efforts in health service psychology can help assure more equitable distribution of mental health services. (PsycINFO Database Record

Ethics, patient rights and staff attitudes in Shanghai's psychiatric hospitals

BackgroundAdherence to ethical principles in clinical research and practice is becoming topical issue in China, where the prevalence of mental illness is rising, but treatment facilities remain underdeveloped. This paper reports on a study aiming to understand the ethical knowledge and attitudes of Chinese mental health professionals in relation to the process of diagnosis and treatment, informed consent, and privacy protection in clinical trials.MethodsA self-administered survey was completed by 1110 medical staff recruited from Shanghai’s 22 psychiatric hospitals. Simple random selection methods were used to identify target individuals from the computerized registry of staff.ResultsThe final sample for analysis consisted 1094 medical staff (including 523 doctors, 542 nurses, 8 pharmacologists and 21 other staff). The majority reported that their medical institutions had not established an Ethics Committee (87.8%) and agreed that Ethics Committees should be set up in their institutions (72.9%). Approximately half (52%) had not received systematic education in ethics, and almost all (89.1%) of the staff thought it was necessary. Nearly all participants (90.0%) knew the Shanghai Mental Health Regulations which was the first local regulations relating to mental health in China, but only 11% and 16.6% respectively knew of the Nuremberg Code and the Declaration of Helsinki. About half (51.8%) thought that the guardian should make the decision as to whether the patient participated in clinical trials or not.ConclusionsThe study indicates that most psychiatric hospitals in Shanghai have no Medical Ethics Committee. More than half the medical staff had not received systematic education and training in medical ethics and they have insufficient knowledge of the ethical issues related to clinical practice and trials. Training in ethics is recommended for medical staff during their training and as ongoing professional development.

Prosecuting violent in-patients: the importance of staff attitudes

The editorial by Wilson et al [1][1] highlights important dilemmas faced by mental health professionals in relation to reporting violence perpetrated by mentally disordered patients. We welcome the proposals made by the authors, but unless there is a significant change in staff attitudes to

Preferences of dress and address: views of attendees and mental health professionals of the psychiatric services.

The aim of this study was to determine the views of both individuals attending the mental health services (attendees) and mental health professionals in relation to how attendees and staff should be addressed, how attendees should be described, and how staff should be attired. We surveyed 132 attendees of the West Galway Mental Health Services and 97 mental health professionals in relation to how they prefer to be addressed (first name/ title and surname/ no preference) the description of attendees (patient / client / service user / no preference) and the attire of mental health staff (casual / smart / no preference). We also ascertained how mental health professionals believed attendees would view these issues. Attendees preferred to be described as patients rather than clients or service users by all mental health professionals, with 46-54% of attendees preferring this term "patient" compared to 14-17% preferring the term "client", 11-13% preferring the term "service user" and 20-25% having no preference (p < 0.001). They preferred to address doctors by their title and surname (61%) but other mental health professionals by their first names (60-69%) (p < 0.001). Attendees had a strong preference for being addressed by their first names by all the mental health professionals (86-91%) (p < 0.001). Doctors preferred to be attired formally (88%), compared to nurses (50%) or other mental health professionals (42%) (p = 0.002). Attendees had no preference in relation to the attire of doctors but preferred other mental health professionals to be attired informally. The study demonstrates that despite the increased use of several non-medical terms to describe attendees of mental health services; the preferred term of attendees of the psychiatric services in both in-patient and out-patient settings remains 'patient'. However, this is not universally the case, and the ascertainment of the preference of the attendee at the first encounter with the health professional should be ascertained. We also demonstrated that attendees preferences in relation to both "dress and address" of doctors is significantly different to their preference for nurses or other allied mental health professionals; which may reflect a wish for a less familiar and more formal interaction with doctors.

An investigation of gay men's experiences with HIV counselling and peer support services

Although the length and quality of life for people living with HIV/AIDS has improved dramatically in recent years because of antiretroviral medications, these individuals still need to make significant psychosocial adjustments in order to improve their quality of life and the HIV trajectory. Mental health professionals can play an important role in this process. The present study investigated the experiences of 12 gay men living with HIV or AIDS who received counselling and peer support services. The findings are drawn from a larger phenomenological study that explored participants' experiences of receiving counselling and peer support services. This paper offers a description of these services and the participants' reactions. The authors report several important considerations for mental health professionals in relation to counselling and peer support programs.

Dr. Olfson and Colleagues Reply

Back to table of contents Previous article Next article Letter to the EditorFull AccessDr. Olfson and Colleagues ReplyMARK OLFSON, M.D., M.P.H., MARC J. GAMEROFF, Ph.D., PETER S. JENSEN, M.D., and STEVEN C. MARCUS, Ph.D., MARK OLFSONSearch for more papers by this author, M.D., M.P.H., MARC J. GAMEROFFSearch for more papers by this author, Ph.D., PETER S. JENSENSearch for more papers by this author, M.D., and STEVEN C. MARCUSSearch for more papers by this author, Ph.D., New York, N.Y.Published Online:1 May 2004https://doi.org/10.1176/appi.ajp.161.5.932-aAboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail To the Editor: Dr. Evans suggests that mental health professionals in the United States and United Kingdom favor diagnosing white children with ADHD and black children with conduct disorder. To support this assertion, he cites our recent finding of a higher rate of treatment of ADHD in white than black youth in the United States and a British epidemiological study that reported a statistically nonsignificant higher rate of conduct disorder in black than white children. The British study also found that across all ethnic groups, conduct disorders were highly comorbid with ADHD, with an odds ratio of 38.43 (95% confidence interval=26.87–54.96). However, bias in routine diagnostic practices cannot be established by analyzing patterns in community prevalence or treatment rates. Such diagnostic biases can be measured only by studying the behavior of mental health professionals in relation to a criterion standard.The possibility of widespread ethnic bias in routine clinical diagnostic practice merits careful scientific study. Such research might involve comparisons of ethnically sensitive independent expert diagnostic assessments (1) with clinical diagnoses in routine care or sampling the diagnostic judgments of mental health professionals with standardized clinical patients or vignettes that systematically vary patient ethnicity (2). In the absence of such research, the politically charged speculation offered by Dr. Evans runs the risk of trivializing what may be an important issue in the delivery of child mental health services.

The role of mental health professionals in relation to the children act 1989

Child Abuse ReviewVolume 1, Issue 2 p. 126-130 Mentel Health Note The role of mental health professionals in relation to the children act 1989 Arnon Bentovim, Arnon Bentovim Dept. of Psyschological Medicine, Hospital for Sick Children, Gt. Ormond Street, London Wc1 3JHSearch for more papers by this author Arnon Bentovim, Arnon Bentovim Dept. of Psyschological Medicine, Hospital for Sick Children, Gt. Ormond Street, London Wc1 3JHSearch for more papers by this author First published: August 1992 https://doi.org/10.1002/car.2380010210Citations: 1AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Citing Literature Volume1, Issue2August 1992Pages 126-130 RelatedInformation

The Mental Health Act Code of Practice

The Mental Health Act 1983 makes provision for the treatment of mentally disordered patients by allowing for the informal admission of patients who do not resist treatment which is deemed necessary in their best interests, and for the detention of those who would refuse such interventions. The term 'informal' does not mean the same as voluntary, since there are in psychiatric hospitals many informal patients (especially profoundly mentally handicapped and elderly people suffering from confusional disorders) who lack the capacity validly either to consent to, or to refuse, admission.' In practice, the vast majority of patients are admitted informally. Out of over 200,000 admissions in 1986, approximately 7 per cent took place under compulsory powers.2 The rest were informal. Because the exercise of the powers to detain and treat in the 1983 Act entails achieving a delicate balance between respect for people's civil liberties and the protection of their welfare or that of other people, the Act sets safeguards by requiring that before a person can be detained they must be suffering from mental disorder, and the mental disorder must be of a nature or degree which warrants detention in the interests of the health or safety of the patient or for the protection of others. Furthermore, detained patients have the right to appeal against detention to a Mental Health Review Tribunal, and to make complaints about treatment or other matters to the Mental Health Act Commission (the Commission), the independent multi-disciplinary body set up to oversee the operation of the consent to treatment arrangements in the Act and to protect the rights and welfare of detained patients. In addition to these safeguards, the Act puts a duty on the Secretary of State for Health to prepare and revise a Code of Practice for the guidance of mental health professionals in relation to the admission of patients to both National Health Service and private psychiatric hospitals, and in relation to the medical treatment of all patients suffering from mental disorder.3 Since medical treatment for the purposes of the 1983 Act includes 'nursing, care, habilitation and rehabilitation under medical supervision,'4 this was an extremely wide brief.