Chapter 13: Caring for the person with mental health needs in the community. In. Community and public health nursing. Eds Sines et al (2013), 5 th Edition. Wiley Blackwell, UK (original) (raw)
Related papers
Mental Health Recovery: a case study
Community mental health nurses are part of community mental health teams that offer care and support to service users with mental distress. They are generally described as "gate keepers" because they ensure service users` timely assessment and access to appropriate therapeutic services. Because service users` needs are unique and constantly changing, community mental health nurses are required to reconceptualise their approaches to care.
Community mental health work: Negotiating support of users' recovery
International Journal of Mental Health Nursing
Mental health services have changed over the last decades through an increased emphasis on deinstitutionalization and normalization, and with recovery processes situated in everyday life as a new locus of support. These changes have led to a need for new knowledge and methods concerning provision of community mental health services. The aim of this study was to explore how community mental health workers provide support to users, by investigating professionals' own narratives of how they work. Seven community mental health workers participated in narrative interviews, which were subject to a qualitative, interpretive analysis. A primary finding was that community mental health workers provide flexible and individually adjusted support through engaging in negotiations with users, management and others. Our findings show both opportunities and challenges of negotiating support, raising this question for discussion: How and when are negotiations a valuable way for professionals and users to collaborate?
Myth of mental health nursing and the challenge of recovery
International Journal of Mental Health Nursing, 2011
Although the concept of 'mental health nursing' has grown in popularity over the past 35 years, it remains a myth. People believe that they know what it is and value it highly, but cannot describe or define it other than in vague terms. This paper briefly charts the rise of 'mental health nursing', emphasizing its political implications, and in particular, the drive towards an embrace of a person-centred, recovery-focused approach to care. If nurses are to realize such ambitions, they must resolve their historical association with psychiatric nursing. The concept of the 'mental health nurse' might signal the emergence of a new vision for human services, but might also signal the need for 'mental health nurses' to negotiate a formal separation from the traditional 'psychiatric' family.
2017
Mental health recovery is a prominent topic of discussion in western mental health settings. The concept and application of mental health recovery has been perceived as a guiding vision for many mental health services. However, there is an absence of input on mental health recovery from stakeholders such as carers and family members, service providers and policy makers globally, and a paucity of literature within the Australian context. The overall aim of this study was to explore the meaning and elements of mental health recovery as it is understood by consumers of mental health services (hereafter referred to as 'consumers'), carers and mental health nurses within the Australian context. The four research objectives were to: (i) explore participants' meaning and understanding of mental health recovery, (ii) identify the enablers to mental health recovery, (iii) identify any barriers to mental health recovery and (iv) explore participants' views on recovery-oriented...
The Role of Nursing in Community Mental Health
2020
Community mental health is the integrated approach to mental health that uses social resources to ensure that people with mental health problems have the right to accessible care and are supported in their own environment to work on their recovery. The European Community Mental Health Service providers network (EuCoMS, www.eucoms.net ) describes community mental health from 6 perspectives. In this paper, we describe these perspectives and discuss the implications for nursing. Ethics perspective: The focus on human rights is a fundamental principle in community mental health care, based upon the United Nations’ Convention of the Rights of Persons with Disabilities (UN CRPD, 2008). In nursing this implies an approach based on ethics and human rights. Public health perspective: Community mental health services work for the health of all citizens in their catchment area. In nursing this implies a structural contact with social stakeholders, primary care and a focus on destigmatization. ...
Shaping a recovery-oriented mental health system: Insights of consumers, carers and nurses
International Journal of Mental Health Nursing, 2014
Although the aim of care for mental health consumers is to be treated within the community, some will require care in an acute inpatient facility from time to time. Nevertheless the specific roles of acute inpatient units continue to be debated. The emphasis of acute inpatient units has evolved to providing assessment and short intense management to consumers as a care continuum approach, especially for those who cannot receive adequate treatment in community settings. Thus, the direction of acute inpatient units is toward reduction of symptoms within a short time. The aim of this study was to gain a unique insight into the role of mental health nurses in acute inpatient settings and the range of models of care they utilise in these units in Australia and the Kingdom of Saudi Arabia (KSA). This mixed method study used interviews, focus groups, surveys and non-participant observation to describe the current role and models of care. This paper reports the results of the observations. Findings indicate that nurses from both countries tended to focus on patients' physical and safety needs more than mental health needs. Australian nurses are more educated and have greater resources at their disposal but they do not utilise them to their advantage. Moreover, the medical model of care is the dominant model in both Australia and KSA. In conclusion, despite quite different health service systems and culture, nurses in acute inpatient mental health units in KSA and Australia resort to "safe" practices and limit their scope and role.
Nurse education today, 2015
This critical review addresses the question of how the concepts of recovery and social inclusion may inform mental health nurse education curricula at Master's level in order to bring about significant and positive change to practice. This is a literature-based critical review incorporating a rapid review. It has been said that if done well, this approach can be highly relevant to health care studies and social interventions, and has substantial claims to be as rigorous and enlightening as other, more conventional approaches to literature (Rolfe, 2008). In this review, we have accessed contemporary literature directly related to the concepts of recovery and social inclusion in mental health. We have firstly surveyed the international literature directly related to the concepts of recovery and social inclusion in mental health and used the concept of emotional intelligence to help consider educational outcomes in terms of the required knowledge, skills and attitudes needed to pro...
Recovery practice in community mental health teams: national survey
The British Journal of Psychiatry
Background There is consensus about the importance of ‘recovery’ in mental health services, but the link between recovery orientation of mental health teams and personal recovery of individuals has been underresearched. Aims To investigate differences in team leader, clinician and service user perspectives of recovery orientation of community adult mental health teams in England. Method In six English mental health National Health Service (NHS) trusts, randomly chosen community adult mental health teams were surveyed. A random sample of ten patients, one team leader and a convenience sample of five clinicians were surveyed from each team. All respondents rated the recovery orientation of their team using parallel versions of the Recovery Self Assessment (RSA). In addition, service users also rated their own personal recovery using the Questionnaire about Processes of Recovery (QPR). Results Team leaders (n = 22) rated recovery orientation higher than clinicians (n = 109) or patients...
A national survey of recovery practice in community mental health teams
British Journal of Psychiatry, 2016
Citing this paper Please note that where the full-text provided on King's Research Portal is the Author Accepted Manuscript or Post-Print version this may differ from the final Published version. If citing, it is advised that you check and use the publisher's definitive version for pagination, volume/issue, and date of publication details. And where the final published version is provided on the Research Portal, if citing you are again advised to check the publisher's website for any subsequent corrections.