A description and evaluation of a challenging behaviour workshop

Berry, Katherine; Barrowclough, Christine; Innes, Carla; Fitzgerald, Martin; Hartley, Samantha; Haddock, Gillian

doi:10.3109/09638237.2012.705920

Cited by 6 publications

(5 citation statements)

References 13 publications

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“…This provides a good example of psychological therapists using their clinical skills in an organizational context. The findings from this study and previous research also highlight the essential role that managers play in ensuring the successful uptake and implementation of interventions on a long‐term basis (Berry et al., ; Berry & Haddock, ).…”

Section: Discussionsupporting

confidence: 64%

“…However, to facilitate future implementation of formulation, it would be important to identify and engage more resistant staff. The authors’ previous experience suggests that motivational interviewing strategies, including rolling with resistance and identifying staff strengths and skills through positive affirmations, work well in engaging resistant staff members (Berry et al., ).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Understanding Outcomes in a Randomized Controlled Trial of a Ward‐based Intervention on Psychiatric Inpatient Wards: A Qualitative Analysis of Staff and Patient Experiences

et al. 2016

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Objectives. Team formulation is advocated to improve quality of care in mental health care and evidence from a recent UK based trial supports its use in inpatient settings. This study aimed to identify the effects of formulation on practice from the perspectives of staff and patient participating in the trial, including barriers and enhancers to implementing the intervention.Method. We carried out semi-structured interviews with 57 staff and 20 patients. Data were analyzed using thematic analysis.Results. Main outcomes were: improved staff understanding of patients, better team collaboration and increased staff awareness of their own feelings. Key contextual factors were: overcoming both staff and patient anxiety, unwelcome expert versus collaborative stance, competing demands and management support. Conclusions.Team formulation should be implemented to improve quality of care in inpatient settings and larger definitive trials should be carried out to assess the impact of this intervention on patient outcomes.Key words: psychiatric inpatient; qualitative analysis; therapeutic relationships; psychosis; formulation SHORTENED TITLE: The pressing need for more compassionate and person-centered care across health care settings is well-acknowledged (Australian College of Nursing, 2014; Department of Health, 2013;Epstein & Street, 2011). The quality of psychiatric care in the UK is under particular scrutiny due to negative independent inquiries (Schizophrenia Commission, 2012; Mind, 2011) and the 'parity of esteem' agenda (Royal College of Psychiatrists, 2013). As in many other developed countries, current inpatient psychiatric care is noted as being exceptionally anti-therapeutic, with high associated costs when people are detained for long periods due to poor outcomes (Schizophrenia Commission, 2012). Improving quality of care and ultimately outcomes in psychiatric inpatient settings is therefore a priority (Schizophrenia Commission, 2012). One organizational intervention for improving inpatient care that is growing in popularity in the UK is 'team formulation'. This involves all ward staff setting aside dedicated time to work together to identify the full range of biopsychosocial factors responsible for each patients' difficulties and using this information to plan treatment (Kinderman, 2005). The practice of engaging in team formulation is consistent with the principles of person-centered care. It encourages staff to look beyond the patient's symptoms of illness and appreciate his or her unique life experiences, needs, strengths, goals and values.As a result treatments plans informed by formulations are tailored to the patient's unique needs and circumstances at that particular point in time. From a theoretical perspective, we hypothesize that team formulation enables staff to develop more helpful beliefs about patients' difficulties and thus promote more positive responses to service users' distress or problems. For example, a staff member may believe that a patient finds it hard to engage with treatm...

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Understanding Outcomes in a Randomized Controlled Trial of a Ward‐based Intervention on Psychiatric Inpatient Wards: A Qualitative Analysis of Staff and Patient Experiences

et al. 2016

Self Cite

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Section: Discussionmentioning

confidence: 92%

“…This is an interesting finding since the healthcare system in the UK has moved from mixed to single sex wards. Other interventions, such as challenging behaviour workshops and team reflective practice did not significantly reduce stress or burnout (Berry et al, 2012;Blumenthal et al, 2011). Howard (2009) found that staff working in a forensic unit had slightly higher levels of emotional exhaustion than those who worked in the community.…”

Section: Effect Of Interventionsmentioning

confidence: 97%

Work-related stress in forensic mental health professionals: a systematic review

Brown

Igoumenou

Mortlock

et al. 2017

JFP

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The purpose of this paper is to investigate the prevalence of stress and burnout among forensic mental health professionals (FMH). Design/methodology/approach A systematic review of the available literature accessed by relevant databases was conducted. Findings This study concluded that FMH suffer from moderate levels of both stress and burnout. There is insufficient evidence to establish that they suffer from higher levels of stress than their non-forensic colleagues. Interventions such as PSI (psychosocial intervention) training have been reported to demonstrate an improvement in staff knowledge and attitudes toward patients, whilst reducing burnout. Practical implications Stress in FMH is a cause of concern. Conclusions drawn are applicable only to nursing staff as other professions were not adequately represented. As most studies used the burnout scores, results were directly comparable. Further

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“…These studies suggest that the CIES/WAS might be described as responsive. It should be noted, however, that 2 studies did not detect changes that would theoretically be expected after an intervention designed to improve the quality of staff and patient relationships (change would theoretically be expected because staff-resident interactions are a key part of social climate; Berry et al, 2012) and after residents moved to a new purpose-built building (Long, Langford, Clay, Craig, & Hollin, 2011).…”

Section: Cies/wasmentioning

confidence: 99%

A Review of Questionnaire Measures for Assessing the Social Climate in Prisons and Forensic Psychiatric Hospitals

Tonkin

2015

Int J Offender Ther Comp Criminol

101

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Significant time and resources are devoted to the monitoring of social climate in secure settings. However, if these efforts are to help (rather than hinder) attempts to improve the functioning of such units, the monitoring of social climate must be based on sound psychometric methods. The aim of this review was to determine what questionnaires exist to measure the social climate in secure settings and what evidence exists regarding their psychometric properties. Twelve questionnaire-based measures of social climate were identified. The Essen Climate Evaluation Schema has received the most consistent empirical support, but this questionnaire does not provide as much of an in-depth, detailed insight into social climate as that provided by other social climate questionnaires. Although more extensive measures of climate exist, they have not yet received sufficient validation to justify their routine use in practice. Nevertheless, there is growing evidence that some questionnaire-based measures can provide a reliable and valid assessment of the social climate in secure settings, which has important clinical and theoretical implications.

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A description and evaluation of a challenging behaviour workshop

Abstract: Building up positive relationships with staff, addressing negative expectations and seeking support from all levels of management are essential in terms of reducing barriers to training in psychiatric settings.

Cited by 6 publications

References 13 publications

Understanding Outcomes in a Randomized Controlled Trial of a Ward‐based Intervention on Psychiatric Inpatient Wards: A Qualitative Analysis of Staff and Patient Experiences

Understanding Outcomes in a Randomized Controlled Trial of a Ward‐based Intervention on Psychiatric Inpatient Wards: A Qualitative Analysis of Staff and Patient Experiences

Work-related stress in forensic mental health professionals: a systematic review

A Review of Questionnaire Measures for Assessing the Social Climate in Prisons and Forensic Psychiatric Hospitals

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