Academic literature on the topic 'Community psychiatry Australia'
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Journal articles on the topic "Community psychiatry Australia"
1
Kaplan, Robert M. "Psychiatry in Australia." South African Journal of Psychiatry 10, no. 2 (October 1, 2004): 3. http://dx.doi.org/10.4102/sajpsychiatry.v10i2.143.
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Psychiatry has been practised in Australia in one form or another since the peopling of the continent, originally with the practices of the Aboriginal shamans, and later with the psychiatric treatment necessitated by convict transportation.Over most of the last half-century psychiatry has been administered by the Royal Australian and New Zealand College of Psychiatrists.There are over 2 000 psychiatrists in Australia, and num- bers are expected to increase in future.As in many other countries, there is ongoing pressure between the private and public sectors, with endemic under- funding of public and community services.Despite its small number of practitioners and relative isola- tion from major centres, Australian psychiatry has a distin- guished record in the field of research. The most famous dis- covery, by John Cade, was the use of lithium for treatment of mania.Recently governments at state and federal level have acknowledged the effect of psychiatric illness on patients and their families. This has led to the development of pro- grammes to improve public information and eliminate preju- dice.It is anticipated that the practice of psychiatry will flourish in Australia and that the country will remain a leading centre of excellence in psychiatric research and training.
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Reilly, Stephen P. "Australian Sojourn." Bulletin of the Royal College of Psychiatrists 9, no. 8 (August 1985): 155–56. http://dx.doi.org/10.1192/pb.9.8.155.
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Community psychiatry means different things to different people. Since the 1970s the American model of community psychiatry based on mental health clinics has attracted heavy criticism, whilst the UK concept of rooting community psychiatric services firmly within primary health care has gained increasing support. The need for community-orientated psychiatric services is generally agreed upon but definition of community and the mode of delivery are not. In Australia both free and private health care are available; community health centres and community mental health clinics exist (sometimes literally) side by side.
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Couper, Jeremy. "Chronic Fatigue Syndrome and Australian Psychiatry: Lessons from the UK Experience." Australian & New Zealand Journal of Psychiatry 34, no. 5 (October 2000): 762–69. http://dx.doi.org/10.1080/j.1440-1614.2000.00810.x.
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Objective: The aim of this paper is to outline the opportunities and dangers the chronic fatigue syndrome (CFS) issue presents to Australian psychiatry. Method: The scientific literature of the last 50 years on CFS in adults was reviewed and samples of recent media portrayals of CFS in the UK and Australia were collected. The author has worked in both the UK and Australia managing adult CFS patients in specialist outpatient consultation–liaison (C–L) psychiatry settings. Results: Chronic fatigue syndrome has been at the heart of an acrimonious debate in the UK, both within the medical profession and in the wider community. UK psychiatry has been drawn into the debate, at times being the target of strong and potentially damaging criticism, yet UK psychiatry, especially the C–L subspecialty, has played a crucial role in clarifying appropriate research questions and in devising management strategies. The issue has served to enhance and broaden psychiatry's perceived research and clinical role at the important medicine–psychiatry interface in that country. Conclusions: Handled properly, the CFS issue offers Australian psychiatry, especially C–L psychiatry, an opportunity to make a useful contribution to patient care in a clinically difficult and contentious area, while at the same time serving to help broaden psychiatry's scope in the Australian medical landscape.
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Boyce, Philip, and Nicola Crossland. "The Royal Australian and New Zealand College of Psychiatrists." International Psychiatry 2, no. 10 (October 2005): 19–21. http://dx.doi.org/10.1192/s1749367600007529.
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The vision of the Royal Australian and New Zealand College of Psychiatrists (RANZCP) is of ‘a fellowship of psychiatrists working with and for the general community to achieve the best attainable quality of psychiatric care and mental health’. It is the principal organisation representing the specialty of psychiatry in Australia and New Zealand; it currently has around 2600 Fellows, who account for approximately 85% of psychiatrists in Australia and 50% of psychiatrists in New Zealand. The RANZCP sets the curriculum, accredits training and training programmes, and assesses trainee psychiatrists. In addition, it administers a continuing professional development programme for practising psychiatrists, has a role in policy development, publishes two scientific journals – the Australian and New Zealand Journal of Psychiatry and Australasian Psychiatry – and holds an annual scientific congress.
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Dedman, Paul. "Community Treatment Orders in Victoria, Australia." Psychiatric Bulletin 14, no. 8 (August 1990): 462–64. http://dx.doi.org/10.1192/pb.14.8.462.
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It is one of the failures of contemporary psychiatry that many patients who respond well to neuroleptic medication given to them when they are in-patients relapse after discharge due to not taking any further medication. Those working closely with the acute psychiatric patient in the community are often forced to stand by powerlessly as a patient deteriorates, causing damage to himself and his social milieu until such a point is reached when he is again ill enough to warrant compulsory admission and treatment. This process is, of course, devastating for a patient's family and also disheartening for professionals involved, and is perhaps partly responsible for the high turnover of staff involved in front line services. Even if assertive outreach methods are employed such as those involved in a number of comprehensive community-based programmes (Stein & Test, 1980; Borland et al, 1989) so that contact with the patient is not lost, it is not possible without the necessary legislation to enforce treatment in the community.
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Dax, E. Cunningham. "The Evolution of Community Psychiatry." Australian & New Zealand Journal of Psychiatry 26, no. 2 (June 1992): 295–301. http://dx.doi.org/10.3109/00048679209072042.
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Community Psychiatry is sometimes regarded as a separate and even as a recent study. The history of its evolution in Australia shows it to have resulted from a logical progression since the earliest days of the psychiatric services. The demand for care completely outstripped the accommodation available so two separate but parallel methods of dealing with this problem were evolved. The first explored how the numbers in the overcrowded hospitals could be reduced, and the second, the ways in which admission could be avoided. Both methods resulted in the expansion of community services. Present day activities must be viewed in this light and community services recognised to be an indivisible portion of a professionally organised total mental health organisation.
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Lien, On. "Attitudes of the Vietnamese Community towards Mental Illness." Australasian Psychiatry 1, no. 3 (August 1993): 110–12. http://dx.doi.org/10.3109/10398569309081340.
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There are approximately 155,000 Vietnamese born people in Australia, with 46,000 in Victoria. The majority came to Australia as refugees. Many were subjected to the reality or threat of war, persecution, imprisonment, discrimination, economic deprivation, violence, the loss of family or other major stressors. These stressors have included the hazards of the escape, lengthy stays in refugee camps and, on arrival in Australia, lack of familiarity with English and with the culture. The Vietnamese Community in Australia was expected to have a high prevalence of mental illness, especially when newly arrived from refugee camps. In a study published in 1986 as “The Price of Freedom” [1] 32% of the young Vietnamese adult group was found to suffer from psychiatric disorder. At follow-up two years later, the prevalence of psychiatric disorder, without any major intervention, had dropped to 5–6%, a prevalence lower than that in the Australian-born community. In addition, the Vietnamese community's use of mental health services (inpatient and community-based) is lower than that of any other ethnic group.
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Peters, A. "Owning the brand of psychiatry." European Psychiatry 41, S1 (April 2017): S740. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1362.
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In Australia and New Zealand, conversations around mental health are playing out in the public space with increasing frequency. Mental health promotion campaigns and organizations are embraced by mainstream and other forms of media, and supported by government. Whilst public knowledge of mental illness is increasing, the profile of psychiatrists as leaders and medical experts in mental illness is a more difficult brand to sell. With a somewhat tarnished history behind us, the modern evidence-based practice of psychiatry is not always at the forefront of public impression. Furthermore, in Australia, more than half of the population (56%) is unaware that psychiatrists have undertaken medical training as a doctor. This presentation will outline Royal Australian and New Zealand college of psychiatrists (RANZCP) action to improve community information about psychiatry, psychiatrists and treatment experiences.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
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Cammell, Paul. "Emergency psychiatry: a product of circumstance or a growing sub-speciality field?" Australasian Psychiatry 25, no. 1 (September 26, 2016): 53–55. http://dx.doi.org/10.1177/1039856216665286.
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Objectives: This article reviews recent trends in the provision of psychiatric services to the emergency departments of tertiary hospitals in Australia, involving the establishment of specialised in-reach or liaison services as well as various forms of short stay unit attached to emergency departments. The Emergency Psychiatry Service at Flinders Medical Centre, South Australia, is described as a case example. Its specialised models of assessment and clinical care are described, highlighting how these are differentiated from more traditional models in inpatient, community and general hospital consultation–liaison psychiatry. Conclusions: Emergency psychiatry, and in particular the application of specialised psychiatric models of in-reach service and short stay units, is an increasingly important and growing field of psychiatry that warrants further exploration in research. The Emergency Psychiatry Service at Flinders Medical Centre has developed a distinct group of assessment and treatment approaches that exemplifies this growing field.
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Kamieniecki, Gregory W. "Prevalence of Psychological Distress and Psychiatric Disorders Among Homeless Youth in Australia: A Comparative Review." Australian & New Zealand Journal of Psychiatry 35, no. 3 (June 2001): 352–58. http://dx.doi.org/10.1046/j.1440-1614.2001.00910.x.
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Objective: To review the prevalence literature on psychological distress and psychiatric disorders among homeless youth in Australia, and to compare these rates with Australian youth as a whole. Method: Computerized databases were utilized to access all published Australian studies on psychological distress (as measured by standardized symptom scales and suicidal behaviour) and psychiatric disorders among homeless youth; in addition, unpublished Australian studies were utilized whenever accessible. A total of 14 separate studies were located, only three of which have included non-homeless control groups. In the current review, prevalence data from uncontrolled youth homelessness studies are compared with data from Australian community and student surveys. Results: Homeless youth have usually scored significantly higher on standardized measures of psychological distress than all domiciled control groups. Youth homelessness studies have also reported very high rates of suicidal behaviour, but methodological limitations in these studies make comparisons with community surveys difficult. Furthermore, rates of various psychiatric disorders are usually at least twice as high among homeless youth than among youth from community surveys. Conclusions: Homeless youth in Australia have extremely high rates of psychological distress and psychiatric disorders. As homeless youth are at risk of developing psychiatric disorders and possibly self-injurious behaviour the longer they are homeless, early intervention in relevant health facilities is required.
Dissertations / Theses on the topic "Community psychiatry Australia"
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Maude, Phillip M. "The development of community mental health nursing services in Western Australia : A history (1950-1995) and population profile." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1996. https://ro.ecu.edu.au/theses/935.
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This descriptive• study discusses the development of community mental health (CMH) in Western Australia (WA) and describes the current practising population of CMH nurses. The study explores literature pertaining to the emergence of the CMH movement and the deinstitutionalisation of the mentally ill. A conceptual framework was developed by adapting Lewin's change theory. CMH nurses practising in WA (n= 130), were invited to participate in the study and were asked to complete a survey questionnaire. This resulted in a 66% response rate (n = 86). Quantitative data was analysed using the Statistical Package for the Social Sciences (SPSS). Open ended questions were analysed using Colaizzis steps. The study found that mental illness has been treated according to contemporary beliefs. In the 1950s multiple forces within society led to the movement away from institutionalisation of the mentally Ill toward deinstitutionalisation. The first community clinic was established in 1956 to manage the deficit between the ever expanding population needing mental health care and the paucity of available hospital beds. The need for follow up of clients in the community resulted in the development of CMH nursing. The study also provides a profile of the current practicing population of CMH Nurses in WA, demographic details, qualifications, the work environment, educational needs, work role and job satisfaction have been described. Recommendations have been developed from the findings and are directed towards, the dissemination of information, the need for role identification/development, staff development needs, future education needs, industrial issues, clinical practice issues and areas for further nursing research
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Dunlop, Robyn. "‘Psychiatry at the Coal Face’: patients and the development of community mental health services in New South Wales, Australia, 1960–1980." Thesis, 2021. http://hdl.handle.net/1959.13/1432897.
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Research Doctorate - Doctor of Philosophy (PhD)The second half of the twentieth century was a period of major reform in the administration of mental health in Western democracies, when the orientation of state mental health services turned from legally certified to voluntary patients and psychiatric treatment moved from hospital to community settings. This thesis tells the story of reform of the administration of mental health during the development of community mental health services from 1960 to 1980. It positions the changing role of the patient as crucial to these reforms. I argue that Newcastle and the surrounding Hunter Valley region in New South Wales, Australia, was a site of particular importance in genealogies of patients. Newcastle, an industrial, regional city, was undergoing shifts representative of wider demographic and economic trends in the West during this period, and was the location for experimentation in the administration of mental health. These developments were linked to the emergence of patient rights and obligations, and developments influenced psychiatry and medical education. While the changing authority of patients in the administration of mental health has received little scholarly attention, in this study I argue that it has a central place in mental health histories. I demonstrate this by reconstructing the rollout of voluntary patient and community mental health services for implied patients in New South Wales in 1960-1980, with particular reference to Newcastle. I read source material against the grain to bring social and cultural perspectives to developments that shaped, and were negotiated by, patients. I draw on material from academic, health administration and community sectors, held in the David Maddison Collection in the University of Newcastle Archives, New South Wales, Australia; oral history interviews with former mental health staff and family members of patients; government reports; and interviews and published material by patients available in the public domain. In doing so I expose the lineage of twenty-first century mental health patient roles. I argue that changes in patients and services reflected an expansion in what mental health services were seen to address, and that approaches trialled in the administration of mental health have had a powerful influence on public health policy over time.
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McFarlane, Alexander Cowell. "The psychiatric sequelae of a natural disaster : the 1983 Ash Wednesday bushfires / Alexander Cowell McFarlane." 1990. http://hdl.handle.net/2440/38364.
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Typescript (Photocopy)Includes bibliographies
3 v. ;
Title page, contents and abstract only. The complete thesis in print form is available from the University Library.
Thesis (M.D.)--Dept. of Psychiatry, University of Adelaide, 1990
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Kordes, Doris. "The arts of care in an asylum and a community 1925-2004: Kenmore Hospital, New South Wales and Canberra, the Australian Capital Territory." Phd thesis, 2009. http://hdl.handle.net/1885/155196.
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This thesis examines the arts of care in an asylum in New South
Wales (NSW) and a mental health community in the Australian
Capital Territory in twentieth-century Australia, and describes
and compares a range of governmental responses for responding to
persons deemed to be in need of care. The thesis explores
similarities between twentieth-century Australian care techniques
and the key principles underpinning a ‘care system’ that was
developed over 200 years ago. It proposes three twentieth-century
care regimes, each one characteristic of a certain period: Herd
Care, set in an asylum era that emphasised custodialism and
confinement (1925-1958); Therapeutic Community, a period during
which the asylum was reconfigured into a facilitative community
(1959-1983); and Community Care, beginning around 1983, when NSW
asylums were ‘rationalised’, their care techniques fragmented
and outsourced in diverse settings generally referred to
collectively as the mental health community.
Some of the dynamics, continuities and ruptures in
twentieth-century care regimes are analysed. Chapters describe
the landscapes of care. They explore how environmental settings
have been designed to reinforce the care regimes in which they
are mobilised and how they ‘make up’ the possibilities for
action of the subject of care. The dynamics of care between care
providers and their recipients are examined. Some of the
continuities and discontinuities of meanings associated with
‘family’ and ‘community’ in each of the care regimes are
observed. Fieldwork findings are combined with the cultural
narrative of psychiatric primitivism to consider why subjects
have been deemed in need of care, at times in need of protection
and training and at other times in need of discipline and
restraint. The new possibilities for action that have emerged in
Australian twentieth-century mental health governance are
considered, when subjects of care have been encouraged to learn
how to be free
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Petrie, Eileen Margaret. "Action research in preventing workplace burnout in rural remote community mental health nursing." 2008. http://hdl.handle.net/2440/51601.
Full textAbstract:
The social phenomenon of stress and workplace burnout has spanned over five decades. Despite a plethora of literature that exists, there still remain problematic issues that neither scientific investigation or government legislation have been able to resolve. The literature examined throughout this research is extensive and does reflect this 50-year period. It demonstrates that studies into this phenomenon have attempted to define stress, identify causal factors of workplace stress, workplace burnout and environmental congruence; and discusses strategies (focused on both the individual and organizational levels) that have been implemented to effect beneficial outcomes for individuals affected by any one of these. As this thesis continues, the more recent literature gives a greater recognition to violence in the workplace and legislative enactments as preventative measures to reduce the heavy burden of costs, both physical and financial, to organizations. This extensive literature review indicates no answer to the problem has been identified to date and that this phenomenon remains, giving a clear indication that further scientific investigation is required to find a solution to what was described as the most serious health issue of the 20th century. Based on the literature examined this health issue has now gone well beyond the 20th century, giving relevance to the research study described in this thesis. The investigation is validated as vital and should be used as a basis for further research. This study undertook a collaborative social process, action research, empowering participants to identify and change stressful factors identified within their practice indicative to rural remote community mental health teams. A critical social theory arose out of the problems within the context of the research setting, based on the ideal that the significant issues for this group of individuals within this organization could be solved through the action research process. The group ‘existed’ within the issues indicative to this rural remote area, however these issues were outside their control. Through the implementation of the action research process courses of actions were undertaken that provided enlightenment in self-knowledge with dialogue heightening collective empowerment to effect change within their practice. The action research process, being a holistic process, facilitated this change in practice, developed and refined theory as it proceeded in a cyclic fashion within this local setting. It concerned actual not abstract practices in the social world in which these participants practice. This methodology facilitated examining the significant stressors identified by the Community Mental Health Support Team (CMHST) that caused distress, allowing them to implement changes in their practice. The forum provided an avenue that could reduce stressors significantly and prevent ongoing occupational stress that contributes to workplace burnout. It offered an opportunity to work with a group of participants in a nonhierarchical and non-exploitative manner and enabled members of this group to identify their roles as effective practitioners, empowering them to effect the changes they deemed as essential criteria to reduce the stress they were experiencing indicative to their remoteness. Critical reviewing throughout the data collection attempted to understand and redefine these significant issues. It aimed to acknowledge the way things were relative to how things could be improved from organizational, personal and wider community perspectives. Simple principles and guidelines of action research were followed potentiating acceptance as a rigorous research approach from a positivist perspective whilst retaining the attributes that characterise action research. There are solutions to the dilemma of the employee overcoming the debilitating effects of stress leading to workplace burnout. This includes the cooperation of managers, policy makers, academic researchers and government officials working collaboratively to reduce the impact of occupational stress. Through this collaborative process, changes can be effected to ensure the health of the nation improves and that relevant recognition is given to the fact that there is a significant threat to a healthy workforce. Examining the nursing profession from a social perspective provides alternatives to medicalising workplace injuries and illnesses.Thesis (Ph.D.) - University of Adelaide, School of Population Health and Clinical Practice, 2008
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Petrie, Eileen Margaret. "Action research in preventing workplace burnout in rural remote community mental health nursing." Thesis, 2008. http://hdl.handle.net/2440/51601.
Full textAbstract:
The social phenomenon of stress and workplace burnout has spanned over five decades. Despite a plethora of literature that exists, there still remain problematic issues that neither scientific investigation or government legislation have been able to resolve. The literature examined throughout this research is extensive and does reflect this 50-year period. It demonstrates that studies into this phenomenon have attempted to define stress, identify causal factors of workplace stress, workplace burnout and environmental congruence; and discusses strategies (focused on both the individual and organizational levels) that have been implemented to effect beneficial outcomes for individuals affected by any one of these. As this thesis continues, the more recent literature gives a greater recognition to violence in the workplace and legislative enactments as preventative measures to reduce the heavy burden of costs, both physical and financial, to organizations. This extensive literature review indicates no answer to the problem has been identified to date and that this phenomenon remains, giving a clear indication that further scientific investigation is required to find a solution to what was described as the most serious health issue of the 20th century. Based on the literature examined this health issue has now gone well beyond the 20th century, giving relevance to the research study described in this thesis. The investigation is validated as vital and should be used as a basis for further research.
This study undertook a collaborative social process, action research, empowering participants to identify and change stressful factors identified within their practice indicative to rural remote community mental health teams. A critical social theory arose out of the problems within the context of the research setting, based on the ideal that the significant issues for this group of individuals within this organization could be solved through the action research process. The group ‘existed’ within the issues indicative to this rural remote area, however these issues were outside their control. Through the implementation of the action research process courses of actions were undertaken that provided enlightenment in self-knowledge with dialogue heightening collective empowerment to effect change within their practice.
The action research process, being a holistic process, facilitated this change in practice, developed and refined theory as it proceeded in a cyclic fashion within this local setting. It concerned actual not abstract practices in the social world in which these participants practice. This methodology facilitated examining the significant stressors identified by the Community Mental Health Support Team (CMHST) that caused distress, allowing them to implement changes in their practice. The forum provided an avenue that could reduce stressors significantly and prevent ongoing occupational stress that contributes to workplace burnout. It offered an opportunity to work with a group of participants in a nonhierarchical and non-exploitative manner and enabled members of this group to identify their roles as effective practitioners, empowering them to effect the changes they deemed as essential criteria to reduce the stress they were experiencing indicative to their remoteness.
Critical reviewing throughout the data collection attempted to understand and redefine these significant issues. It aimed to acknowledge the way things were relative to how things could be improved from organizational, personal and wider community perspectives. Simple principles and guidelines of action research were followed potentiating acceptance as a rigorous research approach from a positivist perspective whilst retaining the attributes that characterise action research.
There are solutions to the dilemma of the employee overcoming the debilitating effects of stress leading to workplace burnout. This includes the cooperation of managers, policy makers, academic researchers and government officials working collaboratively to reduce the impact of occupational stress. Through this collaborative process, changes can be effected to ensure the health of the nation improves and that relevant recognition is given to the fact that there is a significant threat to a healthy workforce. Examining the nursing profession from a social perspective provides alternatives to medicalising workplace injuries and illnesses.Thesis (Ph.D.) - University of Adelaide, School of Population Health and Clinical Practice, 2008
Books on the topic "Community psychiatry Australia"
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Graham, Meadows, and Singh Bruce, eds. Mental health in Australia: Collaborative community practice. Oxford: Oxford University Press, 2001.
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(Editor), Graham Meadows, and Bruce Singh (Editor), eds. Mental health in Australia: Collaborative Community Practice. OUP Australia and New Zealand, 2001.
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Mental Health in Australia: Collaborative Community Practice. Oxford University Press Australia & New Zealand, 2012.
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Meadows, Graham, Bruce Singh, and Margaret Grigg. Mental Health in Australia: Collaborative Community Practice. 2nd ed. Oxford University Press, USA, 2007.
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Dr, Meadows Graham, Singh Bruce, and Grigg Margaret, eds. Mental health in Australia: Collaborative community practice. 2nd ed. South Melbourne, Vic: Oxford University Press, 2007.
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6
Buchanan, Alec, Steve Kisely, Daniel D. Moseley, Jorun Rugkåsa, Jeffrey W. Swanson, and Marvin S. Swartz. Community psychiatric treatment under legal mandates: The international experience. Edited by Alec Buchanan and Lisa Wootton. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198738664.003.0013.
Full textAbstract:
During the last 30 years, new ways of legally mandating psychiatric treatment for patients living in the community have emerged. Changes to law and practice have occurred in various jurisdictions and cultures. The simultaneous introduction in a range of settings of new approaches to mandating community treatment suggests that there may be shared causes for these changes. This chapter reviews the experience of mandated community treatment in the United States, Australia, and the United Kingdom. For each of these countries, we examine the measures and prevalence of their use, the evidence for their effectiveness, and the most likely explanation of any differences between the results in their jurisdiction and experience elsewhere.
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She won't be right, mate!: The impact of managed care on Australian psychiatry and the Australian community. Psychiatrists Working Group, 1997.
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George, Halasz, and Psychiatrists Working Group, eds. She won't be right mate!: The impact of managed care on Australian psychiatry and the Australian community. Camberwell, Vic: Psychiatrists Working Group, 1997.
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9
Hungerford, Catherine, Donna Hodgson, Richard Clancy, Chris Hart, and Anthony Harrison. Mental Health Care: An Introduction for Health Professionals in Australia. Wiley & Sons, Incorporated, John, 2014.
Find full textBook chapters on the topic "Community psychiatry Australia"
1
Kotze, Beth. "The Policy Context and Governance." In Longer-Term Psychiatric Inpatient Care for Adolescents, 161–67. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-1950-3_18.
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AbstractThe Walker Unit opened in 2009 as the first of its kind in Australia to provide an intensive longer stay secure psychiatric inpatient rehabilitation programme for adolescents with severe mental illness who had not benefited from at least one but generally repeated admissions or prolonged care in other tertiary inpatient unit settings. Unusually, this happened at a time when the focus of reform in mental health at a State and National level is on community models, early intervention and community residential care rather than extended inpatient care in the specialist clinical sector. As a first of its kind, the Unit is an important innovation in inpatient mental health care and has garnered a reputation in the clinical sector for creating value in mental health care.
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Gournay, Kevin. "Psychiatric nursing techniques." In New Oxford Textbook of Psychiatry, 1403–8. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199696758.003.0177.
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Psychiatric nursing as an entity has really only evolved since the Second World War. Psychiatric nurses (now often referred to as mental health nurses in the United Kingdom and Australasia) can now be found in most countries of the developed world, although in the developing world, psychiatric nursing is still not defined as a specific discipline. In many countries, psychiatric hospitals are still staffed by untrained ‘Attendants’ who may have some supervision from general trained nurses. Nevertheless, a number of initiatives, notably those of the Geneva Initiative in Psychiatry in Eastern Europe and the former Soviet Union and the World Health Organization in African countries, have provided specific training in psychiatric nursing techniques. The development of psychiatric nursing across the world needs to be seen in the context of changing and evolving patterns of mental health care. De-institutionalization, with the attendant setting up of community mental health teams, has prompted a range of innovations in psychiatric nursing and the psychiatric nurse of today, who in the United States and Europe is likely to be a university graduate, is a very different person to that of the nurse working in the post-Second World War asylums of 40 years ago. In this chapter, we examine the development of psychiatric nursing in some detail and particularly emphasize the role of psychiatric nurses working in the community. Community psychiatric nursing first developed in the United Kingdom nearly 50 years ago and this model has been followed in countries such as Australia and New Zealand. However, this community role has not developed to any great extent in the United States, where the main presence of psychiatric nursing remains in hospital-based care. Furthermore, in the United Kingdom and Australasia, the development of community initiatives has seen the role of the psychiatric nurse blurring with that of other mental health professionals. Chapters such as this cannot really do justice to the whole range of techniques used by psychiatric nurses; neither can it examine in any detail the differences between psychiatric nursing practices across the world. However, a description of psychiatric nursing in six important areas will provide the reader with an appreciation of the range and diversity of psychiatric nursing skills:♦ Inpatient care ♦ Psychosocial interventions in the community ♦ Prescribing and medication management ♦ Cognitive behaviour therapy ♦ Primary care ♦ Psychiatric nursing in the developing world.
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Sun, Jing, and Nicholas Buys. "Effectiveness of Participative Community Singing Intervention Program on Promoting Resilience and Mental Health of Aboriginal and Torres Strait Islander People in Australia." In Essential Notes in Psychiatry. InTech, 2012. http://dx.doi.org/10.5772/38468.
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Fisher, Philip A., and Elizabeth A. Stormshak. "Caregiver-mediated interventions for children and families." In New Oxford Textbook of Psychiatry, 1787–93. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199696758.003.0235.
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This chapter summarizes interventions that have been developed to address child and adolescent behaviour problems and externalizing disorders within the therapeutic milieu of the family. Although it has long been recognized that caregiver-mediated treatments can be employed to address children's problems, research with families in the past two decades has resulted in numerous systematic, theory-driven approaches that have been subjected to rigorous scientific evaluation and have been found to be effective at improving outcomes. Although no intervention is certain to work for every child and it is not possible to engage every family in the intervention process, caregiver-mediated interventions are among the most promising approaches currently available to practitioners. In recent years, progress in the field of caregiver-mediated interventions has included an expansion of the evidence base supporting specific intervention practices for use with the general population, with high-risk segments of the population (e.g. children in foster care and children in Head Start settings), and with underserved populations (e.g. girls and racial/ethnic minorities). In addition, an increasing emphasis has been placed on the dissemination of proven interventions on large-scale bases within community settings in North America, Europe, and Australia. Evidence is currently being gathered to evaluate the impact of many of these large-scale dissemination efforts. The chapter that follows contains background information on the theoretical underpinnings of caregiver-mediated interventions to address child behaviour problems. Specific interventions that have been developed for children in specific age groups—prenatal through early childhood, the school-age period, and adolescence—are then described. Finally, we discuss adaptations that have been made to address issues of gender and cultural diversity within this field.
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Burns, Tom. "Planning and providing mental health services for a community." In New Oxford Textbook of Psychiatry, 1452–63. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199696758.003.0185.
Full textAbstract:
The aim of this chapter is to assist clinicians and managers review and plan services effectively for their local population. Severe psychiatric disorders manifest themselves in social relations and often disrupt social structures; they have wide-ranging consequences and services need to be comprehensive. Health and social care have been intertwined in psychiatry from its origins—it is neither feasible nor sensible to ignore the wider context of their management. The last 30 years have seen an explosion of Mental Health Services Research alongside the shrinking and closure of mental hospitals (see Chapter 7.6). Policy considerations, particularly cost containment and public safety, have influenced the research agenda which is disproportionately Anglophone (from the United States, United Kingdom, and Australasia) and focused on new services developed as alternatives to institutional care with staffing and motivation that are not easily generalizable. More routine practices, crucial for safe and effective care, have been relatively neglected by researchers. This chapter is mainly devoted to describing the essential components of a mental health service—its ‘building blocks’. It will then consider how they relate to one another, how they can be prioritized, and how integrated into an effective local service linking into other essential services. Lastly it will stress how their inevitable evolution should be monitored. Services for adults (increasingly referred to as ‘adults of working age’ indicating 18–65 years) will be used as the template. In many settings these may be the only services, stretching to accommodate all comers. In better resourced health care systems a range of specialized services have evolved from this basic model and are described elsewhere in this section (refugees 7.10.1, homeless 7.10.2, and ethnic minorities 7.10.3).