Improving Mental Health Care

Learn how to improve the quality of health care offered by your institution using data you already have Improving Health Care Quality: Case Studies with JMP ® teaches readers how to systematically identify problems, collect and interpret data, and solve issues in the real world. Relying on JMP ® software, the authors walk readers through the process of applying quality improvement techniques to real-life health care problems. The case studies provided in the book vary significantly and provide a wide-ranging view of the application of quality improvement techniques in the health care field. Studies regarding length of stay of diabetes patients to benchmarking the costs of hip replacement all serve to illuminate and explain the underlying concepts of statistical analysis. The authors break each case study down into several sections, including: Background and Task Data and Data Management Analysis Summary Concepts and Tools Exercises and Discussion Questions Each section reinforces the lessons learned in each case study and helps the reader learn to apply statistical data to their own health care quality problems.

Mental health is a significant factor in providing effective nursing care for patients in hospital and residential settings. Non-mental health nursing staff often lack the confidence, knowledge and skills to effectively meet the mental health needs of patients who are experiencing psychiatric problems and psychological distress. Mental Health Care for Nurses: Applying mental health skills in the general hospital provides a step-by-step guide which will help nurses identify these needs and address them in practice. The first part of Mental Health Care for Nurses: Applying mental health skills in the general hospital explores the context of mental health care in hospital and residential settings and provides a practical framework for assessment, planning and delivery of mental health care. The second part explores specific topics such as self-harm and suicide prevention, caring for the patient displaying challenging behaviour, maternal and perinatal mental health problems, mental health problems associated with old age, mood disorders, and illicit drug and alcohol dependence.

Mental health concerns are the most serious and prevalent health problems among students in higher education. Increasingly effective psychopharmacological and psychotherapeutic treatments have facilitated matriculation for students with histories of anxiety, mood, personality, eating and substance abuse disorders. This phenomenon has been accompanied by a striking increase in the number of previously undiagnosed students requesting treatment. College and university mental health programs struggle to care for larger numbers of students, necessitating greater interdisciplinary collaboration in treatment, research, outreach, and educational services. This book fills an important gap in the literature and provides a comprehensive resource for nearly every aspect of college mental health. It includes a strong emphasis on the training and education of graduate and professional students for future work in this field. Chapters are devoted to the significant ethical and legal issues related to treatment and associated administrative and policy challenges. Scholarly chapters on the promise of community mental health and public health approaches are especially innovative. There is also a chapter on international issues in college mental health which will be helpful to those students studying abroad. Mental Health Care in the College Community is written by acknowledged experts from mental health, college and university administration, legal and educational disciplines, all with extensive administrative and clinical experience in higher education settings. This book is clearly written and well illustrated with abundant tables, charts, and figures. This text will become essential reading for college mental health clinicians, graduate students in the mental health disciplines (psychiatry, psychology, counselling, nursing, and social work), student affairs deans and their staff, and even presidents or provosts of universities and colleges.

Mental health service users and carers are increasingly involved in the planning and delivery of a mental health education that gives a «real-life» perspective to the practice of mental health care. Teaching and Learning about Mental Health is designed to teach and train new mental health workers, using an interdisciplinary approach. Divided into three parts, the first discusses learning from service users; the second looks at innovative practices in teaching and learning; and the final part examines several approaches in teaching and learning, all illustrated with examples.

There are wide inconsistencies between, and even within, countries in how community-orientated care is defined and interpreted. The analysis presented in this book take as a starting point an evidence-based balanced care model in which services are provided in community settings close to the populations served, with hospital stays being reduced as far as possible, usually located in acute wards in general hospitals. The surprising conclusion from the research is that the same problems arise in all countries, regardless of resource status, and thus the recommendations of this book apply to mental health provision everywhere. This book reviews the implementation of community-orientated care using the balanced care model. It summarizes the steps, obstacles and mistakes that have been encountered in the implementation of community mental health care worldwide and presents guidelines on how to avoid them. It proposes realistic and achievable recommendations for the development and implementation of community-orientated mental health care over the next ten years. These guidelines will be of practical use to psychiatrists and other mental health and public health practitioners at all levels worldwide, including policy makers, commissioners, funders, non-governmental organisations, service users and carers. A core message of the book is that the mental health sector will more powerfully advocate for better services in future through strong and unified alliances, especially with powerful representation from consumer/service user and carer groups. Community-orientated care draws on a wide range of practitioners, providers, care and support systems (both professional and non-professional), though particular components may play a larger or lesser role in different settings depending on the local context and the available resources, especially trained staff. Research by a WPA task force has demonstrated that most of the challenges are common and global, but with local variations. The book is therefore relevant to psychiatrists and mental health workers in developed countries who are trying to deliver better health care on reduced budgets and for those in the developing economies who are in the position to modernise their mental health care. It provides clear, concise guidance on policy and practice decisions, learning from what has and has not worked in regions in the world. The book contains many tables documenting the evidence, supported by an essential reference list, and a Key Points summary for each chapter. Highly Commended in the Psychiatry section of the 2012 BMA Book Awards.

Perinatal Mental Health is an invaluable reference for nurses, midwives and other health professionals working with this client group, covering current thinking on the causes of mothers’ mood disorders and the consequences for her infant, the family, society and most importantly the mother herself. This book covers the recognition, treatment, care and management of perinatal mental health disorders with chapters on the antenatal period; postnatal depression and bipolar disorder; psychosis, personality disorders, eating disorders, sexual issues, self harm and suicide; possible causes of postnatal depression; the multidisciplinary team; and global cultural practices.

Mental health services have changed completely in the UK, and the new edition of ABC of Mental Health has been thoroughly updated and revised to reflect this. Providing clear practical advice on how to recognise, diagnose and manage mental disorders successfully and safely, with sections on selecting drugs and psychological treatments, and improving compliance, ABC of Mental Health also contains information on the major categories of mental health disorders, the mental health needs of vulnerable groups (such as the elderly, children, homeless and ethnic minorities) and the psychological treatments. Fully up to date with recent mental health legislation, this new edition is as comprehensive as it is invaluable. By covering the mental health needs of special groups, this ABC equips GPs, hospital doctors, nurses, counsellors and social workers with all the information they need for the day to day management of patients with mental health problems.

This book is unique in that it specifically addresses the concerns that counsellors and psychotherapists may have about the mental health of their clients. It is published at a time of significant change in the management and treatment of mental illness both within the UK and internationally. In addition the roles of mental health practitioners and counsellors within NHS practice are undergoing notable review. The content provides a comprehensive introduction to contemporary issues in mental health, sign posting the importance and relevance of the topic to those working within the counselling and psychotherapy fields. The background to the current context of mental health care, treatment and management both within the UK and globally is outlined and definitions of mental health are discussed by way of drawing attention to the complex and diverse understanding of what constitutes mental illness.

Improving Health through Nursing Research is a practical guide to research and research utilisation in nursing. The book draws upon international expertise in nursing research, reflecting the worldwide demand for evidence-based practice. Part one offers a global perspective on health and nursing and addresses the development of nursing knowledge and nursing theory. Part two investigates the underlying need for nursing research, focusing on improving patient care, enhancing care delivery and developing the profession of nursing. Parts three and four provide an overview of quantitative and qualitative research methods, their selection, use and interpretation . The last three parts of the book address key issues in research ethics and provide practical guidance as to how to prepare a research proposal, undertake research, present and publish findings, and translate research into practice. Improving Health through Nursing Research; Is a practical, accessible guide for nurse researchers and nurses with an interest in research Draws upon international expertise in nursing research Explores research within the international context Explores issues at local, national and regional level Provides guidelines for developing research Includes global examples This publication in partnership with the International Council of Nurses is the essential resource for nurses seeking to understand research and research utilisation.

Winner of Medical Journalists’ Association Specialist Readership Award 2010 Recovery is widely endorsed as a guiding principle of mental health policy. Recovery brings new rules for services, e.g. user involvement and person-centred care, as well as new tools for clinical collaborations, e.g. shared decision making and psychiatric advance directives. These developments are complemented by new proposals regarding more ethically consistent anti-discrimination and involuntary treatment legislation, as well as participatory approaches to evidence-based medicine and policy. Recovery is more than a bottom up movement turned into top down mental health policy in English-speaking countries. Recovery integrates concepts that have evolved internationally over a long time. It brings together major stakeholders and different professional groups in mental health, who share the aspiration to overcome current conceptual reductionism and prognostic negativism in psychiatry. Recovery is the consequence of the achievements of the user movement. Most conceptual considerations and decisions have evolved from collaborations between people with and without a lived experience of mental health problems and the psychiatric service system. Many of the most influential publications have been written by users and ex-users of services and work-groups that have brought together individuals with and without personal experiences as psychiatric patients. In a fresh and comprehensive look, this book covers definitions, concepts and developments as well as consequences for scientific and clinical responsibilities. Information on relevant history, state of the art and transformational efforts in mental health care is complemented by exemplary stories of people who created through their lives and work an evidence base and direction for Recovery. This book was originally published in German. The translation has been fully revised, references have been amended to include the English-language literature and new material has been added to reflect recent developments. It features a Foreword by Helen Glover who relates how there is more to recovery than the absence or presence of symptoms and how health care professionals should embrace the growing evidence that people can reclaim their lives and often thrive beyond the experience of a mental illness. Comments on German edition: «It is fully packed with useful information for practitioners, is written in jargon free language and has a good reading pace.» Theodor Itten, St. Gallen, Switzerland and Hamburg, Germany «This book is amazingly positive. It not only talks about hope, it creates hope. Its therapeutic effects reach professional mental health workers, service users, and carers alike. Fleet-footed and easily understandable, at times it reads like a suspense novel.» Andreas Knuf, pro mente sana, Switzerland '"This is the future of psychiatry"' cheered a usually service-oriented manager after reading the book. We might not live to see it.' Ilse Eichenbrenner, Soziale Psychiatrie, Germany