Consultant learning groups in psychiatry

Spurrell, Mark

doi:10.1192/pb.24.10.390

Cited by 6 publications

(4 citation statements)

References 3 publications

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“…The therapeutic alliance is an area in which psychiatrists have developed skills that reflect the particular conditions of the specialty. These specialised skills are passed down to medical students and trainees but are rarely explicitly shared between consultant colleagues, who appear to work in relative isolation (Spurrell, 2000). Further exploration is needed of the sharing of skills among consultants to improve their encounters with patients and of their personal influence on patient outcomes.…”

Section: Discussionmentioning

confidence: 99%

Negotiating styles adopted by consultant psychiatrists when prescribing antipsychotics

Chaplin¹,

Lelliott²,

Quirk³

et al. 2007

Adv. psychiatr. treat

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A good therapeutic alliance between mental health professionals and patients with psychosis can enhance adherence to medication regimens and improve clinical outcome. This article explores how the therapeutic alliance might be developed with respect to decisions to prescribe antipsychotic medication. It does this by presenting the implications for practice that arise from a recent qualitative interview study with consultant psychiatrists. We consider strategies for strengthening the therapeutic alliance, occasions when it might be appropriate to suspend shared decision-making temporarily, techniques used to enable discussion of symptoms and side-effects, and how issues of adherence are uncovered and addressed. Psychiatrists already possess considerable skills in these areas. The dissemination of these to colleagues forms an important opportunity for CPD.Robert Chaplin is a research fellow at the Royal College of Psychiatrists' Research and Training Unit (CRTU) (21 Mansell Street, London E1 8AA, UK. Email: rchaplin@cru.rcpsych.ac.uk) and a consultant in general adult psychiatry at Oxfordshire Mental Healthcare NHS Trust. He has interests in audit and learning disability. Paul Lelliott is Director of the CRTU and a consultant psychiatrist employed by Oxleas NHS Trust, where he works as a member of a community mental health team. Alan Quirk is a research fellow at the CRTU. As a research sociologist he has used qualitative methods to study psychiatrist-patient communication in a range of situations, including Mental Health Act assessments, ward rounds on acute wards and out-patient consultations. Clive Seale is a professor of sociology at Brunel University. He is author of many books and articles on aspects of medical sociology and social research methods. He is presently pursuing projects in the fields of psychiatry, end-of-life care and treatment of health issues by the mass media.

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Section: Discussionmentioning

confidence: 99%

Negotiating styles adopted by consultant psychiatrists when prescribing antipsychotics

Chaplin¹,

Lelliott²,

Quirk³

et al. 2007

Adv. psychiatr. treat

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“…Their role in appraisal will mean that they become the key mechanism by which lifelong To this end, it can be seen that peer groups may assume a wider remit than simply generating PDPs and might usefully evolve into something akin to an 'action learning set'. This concept is borrowed from the business world and Spurrell (2000) explains how it has been successfully adapted to set up consultant learning groups in psychiatry.…”

Section: Discussionmentioning

confidence: 99%

Personal development plans: making them work, making them count

Newby¹

2003

Adv. psychiatr. treat

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and revalidation, covering '360-degree' techniques such as Ramsey questionnaires (which may ultimately figure in revalidation mechanisms). It then describes the practicalities of generating PDPs, especially in peer group settings. Experience from pilot workshops is used to illustrate how PDPs can be made to work and how learning/ developmental objectives can be made meaningful. AbstractA number of recent policy initiatives in the health service converge on the issue of personal development plans (PDPs) and make it essential that all psychiatrists have a system for generating PDPs that is robust and accountable as well as effective and efficient. Such policy initiatives include:

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“…ALSs are an integral PAR facilitating tool (Bergold & Thomas, 2012;Sullivan, Hegney & Francis, 2013), providing a formal structure for participants to meet regularly in small learning groups over a fixed program cycle to collaboratively discuss issues relevant to their workplace realities, undertaking program strategies between ALSs to address identified issues (Smith & O'Neill, 2003). Positive findings have been reported in relation to peer support with sharing of experiences and identification of topics for discussion (Spurell, 2000). Emotional discomfort related to disclosure, biased opinions, perceptions of participant powerlessness and lack of management support for initiating and maintaining groups impact on successful outcomes, along with the ability of participants to maintain regular attendance (Douglas & Machin, 2004;Lee & Porteous, 2010).…”

Section: Designmentioning

confidence: 99%

Peer-led Aboriginal parent support: Program development for vulnerable populations with participatory action research

et al. 2017

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Aboriginal peer support workers (PSWs) and community support agencies identified three important elements central to their capacity to engage and work within the PAR methodology. This research has provided innovative data, highlighting processes and recommendations for child health nurses to engage with the PSWs, parents and community agencies to explore culturally acceptable elements for an empowering methodology for peer-led home visiting support. There is potential for this nursing research to credibly inform policy development for Aboriginal child and family health service delivery, in addition to other vulnerable population groups. Child health nurses/researchers can use these new understandings to work in partnership with Aboriginal communities and families to develop empowering and culturally acceptable strategies for developing Aboriginal parent support for the early years. Impact Statement Child health nurses and Aboriginal communities can collaborate through participatory action research to develop peer-led support for the early years. Indigenous Australian peoples are people who identify as Aboriginal or Torres Strait Islander. Respectfully, throughout this paper, they will be described as Aboriginal.

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Consultant learning groups in psychiatry

Cited by 6 publications

References 3 publications

Negotiating styles adopted by consultant psychiatrists when prescribing antipsychotics

Negotiating styles adopted by consultant psychiatrists when prescribing antipsychotics

Personal development plans: making them work, making them count

Peer-led Aboriginal parent support: Program development for vulnerable populations with participatory action research

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