World Mental Health Day 2014: or...

https://www.time-to-change.org.uk/WMHD

http://www.mentalhealth.org.uk/our-work/world-mental-health-day/world-mental-health-day-2014/

or - World Parity of Esteem Day 2014?

Mental health & Psychology resources
(Links I - Hodges' model)

Privacy: Open Data, Individual and Group

The vertical axis of Hodges' model is the individual - group, or self through to collective. Health and social care constantly negotiates this from the ideals and delivery of person-centred care to public mental health. So often for health professionals the emphasis is on the individual, the person's care needs, their strengths, their rights, outcomes and feedback on care received. The same individual focus is also ascribed to records and information. Protection of data, maintaining confidentiality is an essential duty of health care  professionals.  

Earlier this year the government's care.data scheme was placed on hold. 'Open' is the way of the world: open access, open source, open data and open government. Increasingly the group as an entity needs to considered in what may be a new way, as Floridi writes:

The idea that groups may have a right to privacy is not new, and it is open to debate, but it has not yet received all the attention it deserves, although it is becoming increasingly important.

 ...

Open data is more likely to treat types (of customers, users, citizens, demographics population, etc.) rather than tokens (you, Alice, me), and hence groups rather than individuals. But re-identifiable groups are ipso facto targetable groups.It is therefore a very dangerous fallacy to think that, if we protect personal data that identify individuals, the protection of the groups will take care of itself. p.23.

Luciano Floridi. Group Privacy. The Philosophers' Magazine. Issue 65, 2nd Quarter 2014. Pages 22-23.

Here is a related book (on my list) a BMJ award winner:

The Private Life, Josh Cohen

The war over private life spreads inexorably. Some seek to expose, invade and steal it, others to protect, conceal and withhold it. Either way, the assumption is that privacy is a possession to be won or lost.

But what if what we call private life is the one element in us that we can't possess? Could it be that we're so intent on taking hold of the privacy of others, or keeping hold of our own only because we're powerless to do either? ...

Bits of information in 2049

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

Who?	Kill the Moon
1 0 0 1	Dr

1 in 3 will be older adults by 2025 in Japan

In June Dr Mayumi Hayashi described Japan's vision of 'total care' for its older population in HSJ. The article that prompts this post follows another with lessons for England.

Referring to a "2025 vision" this forward thinking has its roots in established systems of healthcare set up in 1961 and social care established in 2000 (p.25).

Care integration is not new as a fundamental issue in health and social care. It is for me a career legacy issue. As a student nurse it was discussed and debated, closely allied with multidisciplinary and holistic (joined up physical and mental health) care. Even now 37 years later it will drive many arguments and policy deliberations in the run up to the next election here.

Many nations are faced with stark demographics. As the population ages and works its way through wooden blocks, Rubik cubes, it is the population pyramid that takes on increasing significance.


Dr Hayashi lists the need for inclusion, integration and continuation of four components that are essential to the realisation of this vision:

• maximising the integration of healthcare and social care;
• promoting policies for prevention and outreach together with safeguarding;
• embedding supported living programmes and dementia friendly community initiatives; and
• addressing “late life specific” housing needs.

I have mapped these to Hodges' model below:

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

embedding supported living programmes and dementia friendly community initiatives	integration of health and social care
"late life specific" housing needs (integration of health and social care)	promoting policies for prevention and outreach, together with safeguarding

It becomes clear to see in Japan, China and other nations how telecare and smart homes have a role to play. Getting the basics of integrated care resolved firstly is the prerequisite whatever the culture.

Where achieved the integration of health and social care can act as a diagonal brace as it straddles two care domains. Perhaps the model also reflects the ongoing challenges of parity in esteem in mental health care and physical care; and the funding ambiguity for people living with dementia as opposed to other medical conditions?

In January 2014 the FT Weekend magazine also featured an article on ageing in Japan.

Hayashi, M. (2014) Japan's vision of a 'total care' future looks bright, Health Service Journal, 124, 6404, 25-27. 

FT magazine cover image:
https://www.facebook.com/financialtimes/photos/a.10150157857040750.297340.8860325749/10152119294570750/?type=1

Interviews: In the political melee don't forget the green corner...!

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

Therapeutic alliance

"Sir Robin cited research conducted by two psychologists on interviews during the 1987 general election campaign. Dr Peter Bull and Kate Mayer found that Kinnock and Thatcher avoided more than half the questions put to them. They concluded the party leaders used 31 different forms of evasion, among them ignoring the question, acknowledging the question without answering, questioning the question, attacking the question, attacking the interviewer, declining to answer, giving an incomplete answer, repeating a previous answer and claiming already to have answered the question." FT Weekend. p.1

Source:
Katz, Ian, (2014) The death of the political interview. FT Weekend, Life & Arts, September 6-7th. p.1.

Welcome to the QUAD to be archived by The British Library

The old website is archived on the Internet Archive Wayback Machine going back to 1999 and so is W2tQ.

The British Library also has a web archive, UK based of course. The website's there and now I've news that Welcome to the QUAD will be too.

In a 'paperless NHS' - let's not forget...

The benefits of information technology across all sectors are well recognised when they are realised:

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

creativity usability readiness to hand context	information storage and retrieval, access, efficiency, space, security, information sharing, patient safety, legibility
digital inclusion	cost, savings, governance, reporting (locally, nationally, internationally), policy integration

As we head towards a paperless NHS let's not forget that health care is both an art and a science.

Links:

The Digital Challenge (due for an update?)

Digitising the NHS by 2018 - One Year On. techUK report | March 2014.

What of the impact of the pending election 2015? Time inconsistency problem:
The NHS needs a 'Bank of England moment' HSJ.

drawMD Pediatrics - Patient Education by Drawing on Medical Artwork for Healthcare Providers

Medical-Artist

Compare and contrast potential - Energy for Change Index and Hodges' model

The biopsychosocial model is quite all encompassing used as it is to help explain and represent pain, explain human development and balance the physical excesses of psychiatry.

For all its scope the biopsychosocial model is two domains short of Hodges' model.

Hodges' model is dated though, a child of the mid-1980s. The biopsychosocial model predates Hodges' and as models of nursing have fallen out of favour in terms of the attention they receive the biopsychosocial is subjected to critique as per:

Ghaemi, S.N. (2009). The rise and fall of the biopsychosocial model. Br J Psychiatry.195(1):3–4.

Hatala, A.R. (2012). The status of the “biopsychosocial” model in health psychology: Towards an integrated approach and a critique of cultural conceptions. Open Journal of Medical Psychology, 1, 51-62. doi: 10.4236/ojmp.2021.14009

A cursory check reveals a diverse and current literature on the biopsychosocial model. If this is positive for the general role of 'models' in health and social care education and learning then there is another encouraging source in the five energies for change with its five domains, as per the figure:

The five energy domains

• Spiritual
• Social
• Physical
• Psychological
• Intellectual

There is clearly great similarity with Hodges' model although in h2cm the spiritual combines all the four domains of which the political also replaces the intellectual. I would equate the intellectual with the psychological, accepting of course the existence of individual and group psychologies. Being intellectual and becoming intellectual to the extent of an individual realising their potential has long been recognised as a political matter and consequence (Freire). As such the Political domain within Hodges' model is central to its relevance within the field of engagement and innovation and beyond.

Whilst the energy for change domains have a specific derivation and (instrumental) purpose I would suggest that a possible strength for Hodges' might lie in the notion (which it is) that there is an underlying conceptual structure from which the domains arise. This structure might support the model's application in time, as well as assuring its longevity and the stamina of its champion.


My prompt: Land, M., et al. (2014) Pedal to the metal to improve the NHS. HSJ, 124, 6389, 26-27.

Image: (please see title and image link)

Global Research Nurses competition: win attendance to UK research nursing conference

The Global Research Nurses’ network is pleased to announce the second competition for nurses working in clinical research …

THE WINNER WILL BE INVITED TO ATTEND THE ROYAL COLLEGE OF NURSING INTERNATIONAL NURSING RESEARCH CONFERENCE IN NOTTINGHAM, UK, 20th – 22nd APRIL 2015, ALL EXPENSES PAID.

SECOND PRIZE – ONE YEAR’S SUBSCRIPTION TO 2 ONLINE JOURNALS:

THE JOURNAL OF ADVANCED NURSING & THE JOURNAL OF CLINICAL NURSING

To enter, research nurses should write a 1,000-1,500 word article to discuss the role of the research nurse: “Using examples from research projects that you have worked on discuss what skills nurses contribute to a clinical research team.”

Full information and criteria, as well as information on how to upload your entry, can be found at https://globalresearchnurses.tghn.org/extra/competition-2015/

Entries must be received by 31st October 2014. Please share this opportunity widely!

Thanks and kind regards
Tamzin

Tamzin Furtado
Project Manager
The Global Health Network

HIFA profile (and source): Tamzin Furtado is Project Manager of Global Health Trials, UK. Professional interests: Global health, clinical trials. tamzin.furtado AT ndm.ox.ac.uk

Heat maps and hotbeds in Hodges' model

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

	"Out of area placements are a good indicator of heat within the system and how over-stretched it is." p.5 Prof. Paul McCrone, Lintern (2014).

Sources:
Image: http://www.usability.gov/sites/default/files/images/eye-tracking-full-option1.jpg

Lintern, S. (2014) Analysis reveals mental health trust funding cuts, Health Service Journal. 124, 6411, 4-5.

HIFA Voices Database - launched 12 August 2014

The HIFA Voices database will bring together the experiential knowledge of HIFA members: more than 12,000 professionals from over 2500 organisations in 170 countries, ranging from senior executives at the World Health Organization in Geneva to community health workers in rural Gambia. Our common vision is a world where every person and every health professional has access to the information they need to protect their own health and the health of those for whom they are responsible. HIFA Voices will be launched on 12 August 2014.

HIFA Voices harnesses the practical expertise of providers and users of healthcare information, together with relevant health information sciences literature. This helps us to understand the healthcare information needs of different users in different contexts and how these needs can be more effectively addressed. Further information about HIFA Voices.

Read the blog about HIFA Voices on the ElsevierConnect website, and the press release from mPowering Frontline Health Workers and Intel Corporation.

We are currently seeking further financial and technical support to enable us to develop HIFA Voices through 2015 and beyond. Please contact us for details.

My source: HIFA2015 list.

Health and Social Care Policy: Always - from a distance

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

"Cura te ipsum." - "Take care of your own self."

mental health	physical
social	policy

Additional link:
http://en.wikipedia.org/wiki/Cura_te_ipsum


Latin source: Mediawatch, tpm the philosophers' magazine, 2nd quarter 2014, p.14.

(which cites: http://www.3ammagazine.com/3am/cura-te-ipsum/ )

Trade winds and time: The Clock of the South

S
INTERPERSONAL : SCIENCES

E --------------------------------------- W

SOCIOLOGY : POLITICAL

N
G7
G8
 ..

Alt	trade-winds
Socio- (political)	Clock of the South

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

C/o BBC: Bolivian Congress clock changed to turn anti-clockwise

The clock displayed on the Bolivian Congress building, located in the city of La Paz, has been re-set to run in reverse.

Its hands turn left and the numbers have been inverted to go from one to twelve to the left.

It's the latest measure taken by the government of President Evo Morales to promote the indigenous identity of the Andean country. ...

http://www.bbc.co.uk/news/world-latin-america-28040065

Additional link:
World Economic Forum

updated 26 August 2014
BBC Radio 4 20:00: Whatever Happened to Global Governance?
http://www.bbc.co.uk/programmes/b04f9rdr

Original image source:
http://bubblear.com/wp-content/uploads/2014/06/clock1-1110x400.jpg

why - { Ctrl Alt Del } ?

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

Alt	Del
Why?	Ctrl

Ctrl provides the power to decide what/who is 'Alt' and What/Who is 'Del' -eted.
The masses are left to ask why?

My source: Peter Kurilecz - RECORDS-MANAGEMENT-UK at JISCMAIL.AC.UK

A Fresh Start: Ctrl + Alt + Delete - Neatorama

One of the programmers’ pet peeves was that whenever the computer encountered a coding glitch, they had to manually restart the entire system. Turning the machine back on automatically initiated a series of memory tests, which stole valuable time. “Some days, you’d be rebooting every five minutes as you searched for the problem,” Bradley says. The tedious tests made the coders want to pull their hair out.

So Bradley created a keyboard shortcut that triggered a system reset without the memory tests. He never dreamed that the simple fix would make him a programming hero, someone who’d someday be hounded to autograph keyboards at conferences. And he didn’t foresee the command becoming such an integral part of the user experience.

http://m.neatorama.com/2014/08/01/A-Fresh-Start-Ctrl-Alt-Delete/#!buNWwY


Additional link: The Holographic Principle
http://apod.nasa.gov/apod/ap090913.html

Book: The social atlas of Europe

See Europe as never before!

The social atlas of Europe

Dimitris Ballas, University of Sheffield

Danny Dorling, University of Oxford

Benjamin Hennig, University of Oxford

"An insightful look at today's Europe - through the underlying realities that Europeans live every day, all brought to life in charts and maps that reveal the human geography of this vitally important area of the world." Robert B. Reich, University of California at Berkeley.

The social atlas of Europe is the first human geography atlas to consider the European economy, culture, history, human and physical geography as a single land mass and a more unified European people. It provides an accessible overview of Europe and a human geography contribution to debates about a wide range of topics. It includes:

- Maps on over 80 topics ranging from life expectancy, greenhouse gas emissions to Eurovision Song Contest voting patterns

- Uses innovative full colour visualisation methods

- Explores Europe's society, culture, economy, politics and the environment

- State-of-the-art Geographical Information Systems (GIS) and new human cartography techniques

More information about the book is available on its website www.europemapper.org

Available at the special price of £19.99 (plus p&p) at www.policypress.co.uk/display.asp?K=9781447313533

Kathryn King

Marketing Manager

Policy Press, University of Bristol

6th Floor, Howard House, Queen's Avenue, Clifton, Bristol BS8 1SD

Tel: +44 (0) 117 331 5369

www.policypress.co.uk

Email: kathryn.king AT bristol.ac.uk

My source: EUROPEAN-SOCIOLOGIST list at JISCMAIL.AC.UK

For portals, speak patients' language ( c/o Healthcare IT News )

Mike Miliard's 

For portals, speak patients' language 

in Healthcare IT News is a reminder of accessibility and engagement at the level of a communities languages.

This is one of the reasons why I am committed to using Drupal, to try to make use of its Internationalization capabilities amongst others. 

Thanks to Mike's post I'm now familiar with a 'full court press' as a hospital - enterprise wide no less - seeks to achieve defined patient engagement levels by accessing their electronic health record.

This begs the question of what constitutes the patients' language? I don't just mean the purely linguistic forms of Chinese, Korean, Russian and Greek mentioned in the article. The effort is driven by the statutory demands of meaningful use, but what of the patient's general literacy, IT and health literacies? How do patients make sense of their own health (or another in the role of a carer) not just in a given language, but culturally from a medical sociological and public health perspective? What is the community's vocabulary when it comes to health?

How can we assure that meaningfulness? How can we affirm that use and critically translate use into patient benefits and self-efficacy?

You could also entitle Mike's article as

4 portals speak patients' language

individual

INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

Health Literacy, Accessibility	Measures (health literacy, patient engagement, health and well-being, clinical outcomes)
Cultural Diversity, Languages, Carer	Internationalization 'Meaningful Use', Standards, Legislation, Policy

When we focus on languages we must remember that listening is a great gift. Whether as health and IT professionals, educators, patients and carers, listening to the care domains can help us integrate diverse social, clinical, policy and technical objectives.

What do these portals say to you?

Mike Miliard twitter

disABLED: What's behind a symbol?

individual

INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

	NY State

Well done NY excellent MOVE!

(and hope to visit next year)

My source: James Moore, Clash of Symbols, The Independent 20 June 2014, p.35.
 
Image source from upper right:
http://in-abled.com/blog/2014/04/would-martin-luther-king-jr-care-about-disabilities/
http://en.wikipedia.org/wiki/Disability

Book: The Empathy Exams & Michel Serres Institute

individual
INTERPERSONAL : SCIENCES
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL

group

	The Natural Sciences
Local, Society & Socio-	-Economic

As recent posts reveal I'm overwhelmed with reading at present. Material that is essential for the TEL course and reading more tangential and yet potentially enjoyable titles. It will be a busy summer as all this is brought together(!?). Especially as I've a literature search in mind as a module submission - progress permitting.

The publication of Jamison's book this (N) spring sits well after the findings last year about the benefits of reading fiction in increasing empathy.

Since 2008-2009 I've lost touch with the work of Michel Serres:

Jones, Peter, Exploring Serres’ Atlas, Hodges’ Knowledge Domains and the Fusion of Informatics and Cultural Horizons (Aug 15, 2007). SOCIAL INFORMATION TECHNOLOGY CONNECTING SOCIETY AND CULTURAL ISSUES. Available at SSRN: http://ssrn.com/abstract=1842504 or http://dx.doi.org/10.2139/ssrn.1842504

- having only just found the Institute. I only scratched the surface of Serres' oeuvre in the above paper and must recharge my reflective capacity.

Book cover image: http://www.ew.com/ew/article/0,,20800427,00.html

My source: The Empathy Exams
FT Weekend, June 7-8, 2014.

Book: Mapping It Out An - Alternative Atlas of Contemporary Cartographies

Published today [UK ]

Mapping It Out

An Alternative Atlas of Contemporary Cartographies

http://89plus.com/

Jobey, J.  The Shape of Things, FT Weekend Magazine, May 31 / June 1 2014,26-29.

Image source:
http://www.exhibitionsinternational.org/img/9780500239186.jpg

Psychiatric Bulletin - Letter: Psychiatry for medical students: need for a more holistic approach to teaching?

From: Psychiatric Bulletin -

http://pb.rcpsych.org/content/38/3/138.2.full

Kristina Rodney and Laura Wilkinson

Kristina Rodney and Laura Wilkinson are both ST4 medical students, Newcastle University, Newcastle, UK, email:k.rodney AT newcastle.ac.uk.

We are two medical students who wish to offer a perspective on undergraduate education and psychiatry.

During our student placement, we attended the old age psychiatry module at the Northern Deanery MRCPsych programme focusing on dementia and ethics. This was aimed at trainees and not specifically medical students but we were surprised to find that this was not above our level of knowledge. This prompted discussion of undergraduate psychiatry training more broadly, which we felt focused too heavily on the diagnosis of mental illness and less so on the holistic approach to the patient and their presentation as covered by the MRCPsych course. From our experience of undergraduate psychiatry we feel that the assessment by means of a logbook of conditions encourages students to find patients with a certain diagnosis, and in doing so overlooks the true essence of psychiatry. To our mind this incorporates the ability to consider all aspects of a patient’s life and formulating these, while demonstrating compassion for another person at a time of most need.

Through choosing a 6-week placement in old age psychiatry we have been able to explore the specialty more thoroughly and broadly than facilitated within the standard undergraduate programme, and we have realised how little of psychiatry we have been exposed to as undergraduates. We have become more aware of the importance of considering the patient’s personal and social circumstances alongside their diagnosis, and how these can influence each other. Specifically, the importance of a sound ethical approach to practice has been highlighted through the higher-level teaching we experienced, where the Mental Capacity Act was discussed in detail.

We believe that it would benefit undergraduates to experience a more realistic and rounded placement in psychiatry and truly consider the social implications of mental illness. As it currently stands, undergraduate education in psychiatry is oversimplified to focus on diagnosis and does not acknowledge the capabilities of medical students to adopt a holistic approach. An opportunity to consider all aspects of a psychiatrist’s role may encourage more students to consider a career in this field.

<>

I have contacted the authors of this letter to inform them of Hodges' model and its scope in assuring holistic and integrated care. The model could also facilitate curriculum development. The authors of the letter are not endorsing Hodges' model, I am seeking to highlight the need for such a resource.

Thanks to:

Lucy Alexander
Rights and Permissions Manager
Royal College of Psychiatrists