Showing posts with label mental health. Show all posts
Showing posts with label mental health. Show all posts

Friday, 10 October 2014

WMHD II c/o LSE: Investing in crisis care for people with schizophrenia makes moral and economic sense

“When someone has a mental health crisis, it is distressing and frightening for them as well as the people around them. Urgent and compassionate care in a safe place is essential – a police cell should never need to be used because mental health services are not available. For me, crisis care is the most stark example of the lack of equality between mental and physical health.” 
(The Rt Hon Norman Lamb MP, Care and Support Minister)
There is a strong moral and economic case for investing in innovative approaches that support people with schizophrenia to live independently in the community. Crisis resolution and home treatment teams and crisis houses can help reduce the need for expensive hospital admissions with some studies suggesting that the costs of care can be reduced by up to 30% through these service models. There is a clear potential for Clinical Commissioning Groups to make better use of their resources by investing in home treatment teams and crisis houses as approaches to crisis resolution.
My source: The London School of Economics and Political Science, Health and Social Care blog email

Hodges' model in recovery ...
Jones P. (2014) Using a conceptual framework to explore the dimensions of recovery and their relationship to service user choice and self-determination. International Journal of Person Centered Medicine. Vol 3, No 4, (2013) pp.305-311.

Saturday, 27 September 2014

Rijksmuseum Amsterdam - health in art : art in health

I arrived in Amsterdam last night and spent today, 8 hours in the Rijksmuseum. It is an amazing experience, even to just scratch the surface. Early on it was not busy! Entering the building, is as publicised, to discover a remarkable series of spaces.

There are so many highlights of a rewarding day. One must be within the final hour 1610 finding one of Van Gogh's self portraits. Van Gogh finds himself placed in the interpersonal domain not just by virtue of this self portrait, but his struggle with mental health and  hospitalisations.
individual
INTERPERSONAL : SCIENCES
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
group
http://www.vangoghmuseum.nl/en



The Anemic Woman
Samuel Dirksz van Hoogstraten [Public domain], via Wikimedia Commons
There were many other (ill-)health related examples (and many that are also bright and humorous).

The sick child. The Sick Woman....

When initially viewing Visiting the Sick you have some searching to do. The sick individual themselves and the doctor are rather lost in the background. The painting stresses the sociological, domestic aspects of health past and present.

In Visiting the Sick and The Anemic Woman we get a view of the way outside (possibly of spiritual significance?) and another room through doorways. From TV, reading and my visit today, this is a common device within Dutch genre painting. If we have a diagnosis now in the 21st century, we still need to look through the windows and doors that relate to the individual and their social situation. In the age of the interface and partitions we still need to negotiate themDoorways, windows and portals as changes in knowledge content, can in the form of care domains illuminate the boundary of what is objective and subjective. This is central in health and social care.


Van Gogh self portrait source:
http://historiek.net/chinezen-zeer-geinteresseerd-in-van-gogh/13217/#.VCb5mRbivTo

The Anemic Woman image source:
http://commons.wikimedia.org/wiki/File:Samuel_van_Hoogstraten_-_The_Anaemic_Lady_-_WGA11719.jpg

Saturday, 13 September 2014

In political hands person-centred care is a quantum phenomena (entanglement)

individual
INTERPERSONAL : SCIENCES
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
group
Acute mental health needs
RISK
Self-harm

Local care?
Empowering the individual?
Accessibility
Cognitive distance
Let therapy commence
Continuity
(dist-ress)
Remote policy touch
Organisational (distance) dementia?

threshold  
RISK
 Self-neglect
personal hygiene
domestic environment


local-regional-national? 

metrics: Km or Miles or time?
Gallons or Litres?
Cost?
Illusory savings?

threshold
RISK 
 Harm to others


to integrated care 
multidisciplinary care




     threshold
Beds

Lintern, S. (2014) Mental health patients sent hundreds of miles for a bed, HSJ, 14 August.

Beds shortage = Gathered Sobs
Mental Health = Lethal Anthem?
Mental health = Lean Halt Them

Bed image:
By kieran jones (http://www.clker.com/clipart-bed-icon.html) [Public domain], via Wikimedia Commons

Thursday, 4 September 2014

Monday, 25 August 2014

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.

Thursday, 14 August 2014

Paper: Low-cost strategies to improve dementia care

An interest in health and science invites some thought about chaos, complexity and catastrophe theory. These suggest quite a cold - mechanistic - perspective of reality. So trying to think of clinical and nursing examples beyond fluid dynamics, the heart muscle... to more socially oriented applications demands some creative thinking.

In my work within intermediate support in the community for decades my colleagues and I come across cases were husband, wife, partner have looked their significant other to the nth degree. That degree can include hiding the extent of a person's cognitive problems from other family members. Suddenly there is a real catastrophe as the carer is taken acutely ill and hospitalised.

Left at home soon the dependency is revealed. Trying to negotiate care at home can then be a real challenge.

Alternately, when people living with dementia are hospitalised for physical reasons another host of challenges arise.

I've a relative who works over at Warrington General Hospital and it's great to be able to help highlight a paper written by Michelle Beavan their dementia champion and published in Nursing Times:

Beavan M (2014) Low-cost strategies to improve dementia care. Nursing Times; 110: online issue.


Thursday, 17 July 2014

The Global Health Research Process Map

As a conceptual ready reckoner Hodges' model helps us locate, isolate and contextualise the commonly cited 4Ps. In the h2cm matrix below I have related the 4Ps, as before, to the four care domains:
individual
INTERPERSONAL : SCIENCES
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
group
PURPOSEPROCESS
PRACTICEPOLICY

I raise this learning of a new process oriented resource for global research produced by The Global Health Network.

Processes are critical.  

Think of the relationship of purpose, practice and policy in relation to triage and emergency care? When I reflect on a situation even if the priority, context is process driven I am mindful of the bigger picture.

+++++++++++++++

The Global Health Network has launched a brand new, interactive Global Health Research Process Map, the first digital toolkit designed to enable researchers anywhere in the world to initiate rigorous global health research studies.

As the HIFA community know all too well, health research is often lacking in the regions where evidence to improve health is needed most. Crucial evidence is not being generated because doctors and nurses lack access to training, information, and support. Effort is also regularly duplicated or conducted using different criteria in different territories and studies, and sometimes it falls by the wayside from lack of simple resources and guidance on best practice. The Global Health Research Process Map (http://processmap.org/) is set to change this. It’s an open-access internationally-available online resource that guides every process and method needed to initiate a health research study. For each step researchers and their staff are provided with the information, support and training that they need to successfully run a health study. Researchers will also gain the opportunity to engage with their peers along the way, aiding collaboration and the spread of ideas.

The Process Map was released just over one week ago, and has already generated nearly 2,500 views from around the world. It is the product of four years of best practice gathered and refined by the research community who use the pioneering Global Health Network to guide and support their effort to conduct research in challenging settings. The Global Health Network works like an online science park for exchanging knowledge, sharing research methods and facilitating collaboration among global health professionals to fuel faster and better evidence to improve health. The Global Health Network facilitates global partnerships between researchers ­ allowing researchers in low-resource settings and those with more support to learn from each other ­ and conduct research studies in places where this is difficult and unusual.

The Process Map is a pioneering research tool that centralises the information and resources that researchers anywhere in the world need to develop and initiate rigorous and effective global health studies. It has the potential to revolutionise the current process, speeding the development of new drugs and vaccines, and improving how diseases are managed. With this toolkit, researchers can access the guidance, training and support that they need in order to run their own studies. This is important because there is much evidence that shows that locally-led research rarely happens in low-income settings because health workers lack research skills and any access to training and support. Therefore the Global Health Network is meeting that gap and the Global Health Research Process Map will take them through the process of conducting accurate research, step-by-step. 

Visit the tool today, and click on each node to access formally written information, links to eLearning courses, guidance articles, discussions, blogs, up-to-date news, and all sorts of tools and templates which will help you complete each step. As with everything else on the Global Health Network, it’s completely free and open-access, and always will be. Your feedback is always greatly appreciated, so feel free to have a look and leave comments, either here* or on the map itself.

Thank you!
Tamzin

Tamzin Furtado
Project Manager
The Global Health Network

*My source: HIFA2015
 

Wednesday, 9 July 2014

ERCIM News No. 98 Special theme: "Smart Cities"

http://ercim-news.ercim.eu/en98
ERCIM NEWS #98
Dear ERCIM News Reader,

ERCIM News No. 98 has just been published at:
http://ercim-news.ercim.eu/en98

Special Theme: "Smart Cities"
http://ercim-news.ercim.eu/en98/special/

featuring a keynote by Eberhard van der Laan, Mayor of Amsterdam
http://ercim-news.ercim.eu/en98/keynote-smart-cities

Guest editors:
- Ioannis Askoxylakis, ICS-FORTH, Greece
- Theo Tryfonas, Faculty of Engineering, University of Bristol, UK

This issue is also available for download as:
pdf:  http://ercim-news.ercim.eu/images/stories/EN98/EN98-web.pdf
epub: http://ercim-news.ercim.eu/images/stories/EN98/EN98.epub

Next issue: No. 99, October 2014 - Special Theme: "Quality Software"
(see Call at http://ercim-news.ercim.eu/call)

Thank you for your interest in ERCIM News.
Feel free to forward this message to others who might be interested.

Best regards,
Peter Kunz
ERCIM News central editor

Includes:
Urban Civics - Democratizing Urban Data for Healthy Smart Cities
CityLab@Inria - A Lab on Smart Cities fostering Environmental and Social Sustainability
‘U-Sense’, A Cooperative Sensing System for Monitoring Air Quality in Urban Areas 
---------------------------------
ERCIM News
is published quarterly by ERCIM, the European Research Consortium for Informatics and Mathematics.
The printed edition will reach about 6000 readers.
This email alert reaches over 7500 subscribers.
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About ERCIM
ERCIM - the European Research Consortium for Informatics and Mathematics - aims to foster collaborative work within the European research community and to increase co-operation with European industry. Leading European research institutes are members of ERCIM. ERCIM is the European host of W3C.
http://www.ercim.eu/

Follow us on twitter http://twitter.com/#!/ercim_news
and join the open ERCIM LinkedIn Group
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Sunday, 29 June 2014

"ICU" - Technical Haemorrhage & Chlorophyllic Clots

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













ICU - Intensive Care Unit
GIS - Geographical Information System

Saturday, 21 June 2014

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

Tuesday, 17 June 2014

Book: The Empathy Exams & Michel Serres Institute

individual
INTERPERSONAL : SCIENCES
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
group
http://www.lesliejamison.com/
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.

http://institutmichelserres.ens-lyon.fr/
Book cover image: http://www.ew.com/ew/article/0,,20800427,00.html

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

Thursday, 12 June 2014

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

Monday, 9 June 2014

h2cm - Latest paper published in International Journal of Person Centered Medicine

http://www.ijpcm.org/index.php/IJPCM/index

The latest paper on Hodges' model is now published online:

Using a conceptual framework to explore the dimensions of recovery and their relationship to service user choice and self-determination

Abstract

The concept of recovery is widely applied within service delivery in the field of mental health. The dimensions of recovery were explored using a singular conceptual framework known as Hodges’ model, which is shown to be suited to this particular task. This arises from the model’s structure, in that it encompasses the individual-group and a care domain specific to the political aspects of both health and social care. The evidence was found by relating recovery to the model’s care domains, which is also relevant to the experience of mental health service users and developments over the past decade in mental health service provision. Particular attention is given to the ‘Recovery Star’. This can be used as a key-working and outcomes tool. The discussion is also placed in a context of the current socio-economic climate, notably the ‘politics of recovery’ at a time of austerity.

With thanks to the editors, referees and to Gerry Bennison and Dawn Talbot for assisting in the beginning of this paper including their directions on the Recovery STAR; and for very helpful advice on the final drafts provided by Dr. Andrew Shepherd, and Prof. George Kernohan.

Tuesday, 3 June 2014

Never give up on someone ...

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

Never give up on someone with Mental Illness – 

when 'I' is replaced with -





'We' 
'illness' becomes 'Wellness'







Thanks to colleague Julie Draper - apparently this is doing the rounds on Facebook and elsewhere.

Sunday, 18 May 2014

ICN International Conference 19-23 June 2015 Seoul, Republic of Korea - Global Citizen, Global Nursing

http://www.icn2015.com

The International Council of Nurses is pleased to send you the link to the Call for Abstracts for the ICN Conference to be held in Seoul, Republic of Korea, 19-23 June 2015.  With the theme “Global Citizen, Global Nursing”, the ICN 2015 Conference will provide a global platform for the dissemination of nursing knowledge and leadership across specialities, cultures and countries.

The extensive ICN 2015 Conference scientific programme will feature keynote and main session invited speakers as well as a wide range of concurrent sessions including dynamic papers accepted through our highly competitive abstract selection process.

To share your ideas, research and expertise on how to provide quality care, improve populations’ equity and access to health care or contribute to further advance nursing knowledge and practice, you are invited to submit an abstract.

The Call for Abstracts provides you with all necessary information to enable you to actively contribute to the scientific and educational content of the ICN 2013 Congress by submitting an abstract on-line at www.icn2015.com

CALL FOR ABSTRACTS NOW AVAILABLE AT www.icn2015.com

Key dates

15 April 2014:
Online submission of abstracts opens
7 October 2014:
Online submission of abstracts closes (midnight GMT)
7 October 2014: 
Registration opens
9 December 2014:
Applicants notified of abstract acceptance
11 February 2015:
Deadline for registration of abstract presenters

My source: PAHO

Friday, 16 May 2014

If you must rumple the care domains - rumple them together

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

'A Man’s body and his mind, 
with the utmost reverence to both I speak it, 
are exactly like a jerkin, and a jerkin’s lining; – 
rumple the one – you rumple the other.’ 1





1 Sterne L. The Life and Opinions of Tristram Shandy, Gentleman (1761), vol. 3, ch. 4 (eds M New, J New). University of Florida Press, 1978.

Source: Royal College of Psychiatrists (2013) Whole-person care: from rhetoric to reality Achieving parity between mental and physical health. Occasional Paper 88, March 2013. p.2.

Tuesday, 29 April 2014

Don't RAID on my Care Domains

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

Assessment
Person-centred, Holistic, Equality of Esteem in Care, Self-care, Literacies
Rapid
Co-ordination, Speed, Synchronization, Length of Stay, Physical access, Systems
Discharge
Communities of practice, Resources, After-care, Communications, Education
Interface
Policy, Infrastructure, Integration, Choices, Liaison, E-records, Information Sharing


Additional links:

RAPID ASSESSMENT INTERFACE DISCHARGE (RAID) Prof George Tadros

With money in mind: The benefits of liaison psychiatry, MHN