P. Lenihan - Academia.edu (original) (raw)

Papers by P. Lenihan

Research paper thumbnail of Guidelines and literature review for psychologists working therapeutically with sexual and gender minority clients

Guidelines and literature review for psychologists working therapeutically with sexual and gender minority clients, 2012

These guidelines have been developed in recognition of the importance of guiding and supporting a... more These guidelines have been developed in recognition of the importance of guiding and supporting applied psychologists around their work with sexual and gender minority clients in order to enable their inclusion in clinical practice at a high standard. They also aspire to engender better understanding of clients who may have suffered social exclusion and stigmatisation in order to reduce the possibility of this in the clinical arena. The guidelines reflect where psychologists and society in the UK have reached in terms of legislation and advances in insight into the clinical issues faced by sexual and gender minority clients. This includes: new core training standards for sexual orientation training developed by the Department of Health (DOH, 2006) for the NHS making it an essential part of diversity training for staff as a part of the knowledge and skills framework; the Public Health White Paper ‘Choosing Health’ (DOH, 2004) and the Sexual Health Strategy recommendations (DOH, 2001) identify training and workforce capacity issues as integral to the sexual health agenda; guidance for GPs, other clinicians and health professionals on the care of gender variant people (DOH, 2008) and guidance on clear sexual boundaries between health care professionals and patients: responsibilities of health care professionals in order to safeguard patients (CHRE, 2008). The Government at the time of writing has also taken steps to ensure greater equality for Lesbian, Gay, Bisexual and Transgender People in terms of legislation (Government Equalities Office, 2010)

Research paper thumbnail of Who watches the watchmen? A critical perspective on the theorization of trans people and clinicians

Feminism & Psychology, 2014

This paper, made from an explicitly academic-practitioner stance, aims to highlight some of the p... more This paper, made from an explicitly academic-practitioner stance, aims to highlight some of the problematic ways in which academic writing on trans people, and on the clinicians working in trans healthcare, has been presented in recent years. We argue that much work theorizes trans people and clinicians whilst failing to recognise the full and complex humanity of the people concerned. Also, such work frequently universalises a small number of accounts as if they were representative of ‘the trans person’ or ‘the medical/psy profession' as a whole. We call upon future writers and researchers to pay more attention to the multiplicity and diversity of accounts, and to consider the potential damage of perpetuating certain accounts as fixed or universal.

Research paper thumbnail of Priorities in identifying unmet need in older people attending general practice: a nominal group technique study

Family Practice, 2007

Cohen S, Myerson S and Iliffe S for the SPICE research group. Priorities in identifying unmet nee... more Cohen S, Myerson S and Iliffe S for the SPICE research group. Priorities in identifying unmet need in older people attending general practice: a nominal group technique study. Family Practice 2007; 24: 454-460.

Research paper thumbnail of The development of a short instrument to identify common unmet needs in older people in general practice

The British Journal of …, 2004

Background: No structured needs assessment tool exists that is appropriate for older people and a... more Background: No structured needs assessment tool exists that is appropriate for older people and also suitable for use in routine consultations in general practice. Aims: To engage older people in the development of a brief, valid, practical, and acceptable instrument to help identify common unmet needs suitable for use in routine clinical practice in primary care. Design of study: User involvement in a multi-stages approach to heuristic development. Setting: General practices, voluntary groups, and community organisations in north and central London. Method: Subjects included patients aged 65 years and over in purposively selected practices, voluntary organisations for older people in the same localities, community organisations involving older people, general practitioners and community nurses. Data were collected through mixed methodology interviews using a structured assessment tool (Camberwell Assessment of Need for the Elderly), a postal questionnaire, and focus groups. Synthesis and interpretation of results was done through a consensus conference followed by a Delphi process involving primary care professionals. Results: Five domains of unmet need were identified as priority areas by all three data collection methods, the consensus conference, and the Delphi process: senses (vision and hearing), physical ability (mobility and falls), incontinence, cognition, and emotional distress (depression and anxiety) (SPICE). Conclusions: Public involvement in the design of clinical tools allowed the development of a brief assessment instrument that could potentially identify common, important, and tractable unmet needs in older people.

Research paper thumbnail of Can primary care identify an ‘at risk’ group in the older population

British Journal of Community Nursing, 2007

The promotion of health and independence for older people through preventative strategies is risi... more The promotion of health and independence for older people through preventative strategies is rising up the public health agenda in many countries and has been made a government policy objective in the UK. Despite forty years of experimentation, community nursing and general practice involvement in this field has been characterized by a lack of evidence to support broad screening and surveillance programmes and a failure to reach consensus on the most effective approaches to health promotion in later life. One initiative brought together community nursing, general practice and the voluntary social welfare sector in an inner urban setting to proactively identify and address unmet need and promote health through short term case management in an older population. This paper reports on the ability of the primary care teams to identify 'at risk' groups in the older population, which can then be targeted for comprehensive assessment.

Research paper thumbnail of Guidelines and literature review for psychologists working therapeutically with sexual and gender minority clients

Guidelines and literature review for psychologists working therapeutically with sexual and gender minority clients, 2012

These guidelines have been developed in recognition of the importance of guiding and supporting a... more These guidelines have been developed in recognition of the importance of guiding and supporting applied psychologists around their work with sexual and gender minority clients in order to enable their inclusion in clinical practice at a high standard. They also aspire to engender better understanding of clients who may have suffered social exclusion and stigmatisation in order to reduce the possibility of this in the clinical arena. The guidelines reflect where psychologists and society in the UK have reached in terms of legislation and advances in insight into the clinical issues faced by sexual and gender minority clients. This includes: new core training standards for sexual orientation training developed by the Department of Health (DOH, 2006) for the NHS making it an essential part of diversity training for staff as a part of the knowledge and skills framework; the Public Health White Paper ‘Choosing Health’ (DOH, 2004) and the Sexual Health Strategy recommendations (DOH, 2001) identify training and workforce capacity issues as integral to the sexual health agenda; guidance for GPs, other clinicians and health professionals on the care of gender variant people (DOH, 2008) and guidance on clear sexual boundaries between health care professionals and patients: responsibilities of health care professionals in order to safeguard patients (CHRE, 2008). The Government at the time of writing has also taken steps to ensure greater equality for Lesbian, Gay, Bisexual and Transgender People in terms of legislation (Government Equalities Office, 2010)

Research paper thumbnail of Who watches the watchmen? A critical perspective on the theorization of trans people and clinicians

Feminism & Psychology, 2014

This paper, made from an explicitly academic-practitioner stance, aims to highlight some of the p... more This paper, made from an explicitly academic-practitioner stance, aims to highlight some of the problematic ways in which academic writing on trans people, and on the clinicians working in trans healthcare, has been presented in recent years. We argue that much work theorizes trans people and clinicians whilst failing to recognise the full and complex humanity of the people concerned. Also, such work frequently universalises a small number of accounts as if they were representative of ‘the trans person’ or ‘the medical/psy profession' as a whole. We call upon future writers and researchers to pay more attention to the multiplicity and diversity of accounts, and to consider the potential damage of perpetuating certain accounts as fixed or universal.

Research paper thumbnail of Priorities in identifying unmet need in older people attending general practice: a nominal group technique study

Family Practice, 2007

Cohen S, Myerson S and Iliffe S for the SPICE research group. Priorities in identifying unmet nee... more Cohen S, Myerson S and Iliffe S for the SPICE research group. Priorities in identifying unmet need in older people attending general practice: a nominal group technique study. Family Practice 2007; 24: 454-460.

Research paper thumbnail of The development of a short instrument to identify common unmet needs in older people in general practice

The British Journal of …, 2004

Background: No structured needs assessment tool exists that is appropriate for older people and a... more Background: No structured needs assessment tool exists that is appropriate for older people and also suitable for use in routine consultations in general practice. Aims: To engage older people in the development of a brief, valid, practical, and acceptable instrument to help identify common unmet needs suitable for use in routine clinical practice in primary care. Design of study: User involvement in a multi-stages approach to heuristic development. Setting: General practices, voluntary groups, and community organisations in north and central London. Method: Subjects included patients aged 65 years and over in purposively selected practices, voluntary organisations for older people in the same localities, community organisations involving older people, general practitioners and community nurses. Data were collected through mixed methodology interviews using a structured assessment tool (Camberwell Assessment of Need for the Elderly), a postal questionnaire, and focus groups. Synthesis and interpretation of results was done through a consensus conference followed by a Delphi process involving primary care professionals. Results: Five domains of unmet need were identified as priority areas by all three data collection methods, the consensus conference, and the Delphi process: senses (vision and hearing), physical ability (mobility and falls), incontinence, cognition, and emotional distress (depression and anxiety) (SPICE). Conclusions: Public involvement in the design of clinical tools allowed the development of a brief assessment instrument that could potentially identify common, important, and tractable unmet needs in older people.

Research paper thumbnail of Can primary care identify an ‘at risk’ group in the older population

British Journal of Community Nursing, 2007

The promotion of health and independence for older people through preventative strategies is risi... more The promotion of health and independence for older people through preventative strategies is rising up the public health agenda in many countries and has been made a government policy objective in the UK. Despite forty years of experimentation, community nursing and general practice involvement in this field has been characterized by a lack of evidence to support broad screening and surveillance programmes and a failure to reach consensus on the most effective approaches to health promotion in later life. One initiative brought together community nursing, general practice and the voluntary social welfare sector in an inner urban setting to proactively identify and address unmet need and promote health through short term case management in an older population. This paper reports on the ability of the primary care teams to identify 'at risk' groups in the older population, which can then be targeted for comprehensive assessment.