Individual psychological therapy in an acute inpatient setting: Service user and psychologist perspectives

Small, Catherine B.; Pistrang, Nancy; Huddy, Vyv; Williams, Claire

doi:10.1111/papt.12169

Cited by 24 publications

(60 citation statements)

References 31 publications

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“…The delivery of psychological therapies was of equal priority to developing the therapeutic relationship; hence, a more informal approach to an initial assessment was required. This is in line with the previous research which identified the importance of inpatient psychological therapy being delivered within the context of a human relationship (Small et al, 2018). All adaptations to therapy reflected the need for psychological work to be responsive, delivered in a time-limited manner, and delivered to a population with complex needs.…”

Section: Discussionsupporting

confidence: 92%

“…To the author’s knowledge, only one relevant qualitative study has been conducted to examine psychologist’s experiences of psychological therapies in the acute psychiatric inpatient setting (Small, Pistrang, Huddy, & Williams, 2018). The authors identified that key components of inpatient psychological interventions were psychological formulation and the promotion of a therapeutic relationship.…”

Section: Introductionmentioning

confidence: 99%

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Psychologists’ Perspectives on the implementation of Psychological Therapy for Psychosis in the Acute Psychiatric Inpatient Setting

2019

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Psychological therapies should be delivered in psychiatric inpatient settings to people experiencing psychosis. However, inpatient populations present with complex needs and usually are admitted only briefly. This makes the delivery of psychological therapies for people experiencing psychosis particularly challenging. Our aim was to explore the adaptations required to deliver psychological therapies to this population from the perspective of inpatient psychological practitioners. Twelve participants were recruited, and a qualitative semistructured interview schedule was administered examining their perspectives on important factors required to deliver psychological interventions in this context. Data were analyzed using thematic analysis. Three superordinate themes were identified: “crisis-focused psychological approaches,” “working with and supporting the wider system,” and “environmental adaptations.” Traditional psychological therapies are a challenge to deliver in inpatient environments due to complex needs, essentiality of team working, and brief admission. Several adaptations are required to ensure psychological therapy is effective in this setting.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Psychologists’ Perspectives on the implementation of Psychological Therapy for Psychosis in the Acute Psychiatric Inpatient Setting

2019

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“…These include the restrictive physical environment and treatment options, a service delivery system which is avoidant of emotions and feelings (Bentley, ), and working within a team which adopts a predominantly medical approach (Baguley, Alexander, Middleton, & Hope, ). It has been acknowledged the psychological therapies within the acute inpatient environment cannot be delivered in isolation (Small, Pistrang, Huddy, & Williams, ), and the support or involvement of the multidisciplinary team is crucial (Kerfoot, Bamford, & Jones, ).…”

Section: Introductionmentioning

confidence: 99%

The role of psychology in a multidisciplinary psychiatric inpatient setting: Perspective from the multidisciplinary team

2018

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Objectives. Psychologists routinely work in psychiatric inpatient settings and it is acknowledged that they cannot work in isolation from the multidisciplinary team. The aim of this study was to examine the multidisciplinary team's perspective on the role of psychology within the acute psychiatric inpatient setting.Design. A qualitative approach was taken utilizing semi-structured interviews for data collection.Methods. Interviews were undertaken with 12 multidisciplinary team members (occupational therapists, psychiatric nurses, psychiatrists, and clinical managers) examining their perspectives on the role of psychology within the acute psychiatric inpatient setting. Thematic analysis was used to analyse data.Results. The analysis identified two key themes 'psychological treatments', which describes the perceived function of psychology on the ward, and 'integrated psychological working' outlining key issues that psychologists should consider when working in multidisciplinary teams.Conclusions. Psychology is seen by multidisciplinary team members as an integral, but not first line, treatment option in the psychiatric inpatient setting. Both direct work and indirect work were valued by multidisciplinary staff participants. The multidisciplinary team do not have a clear understanding of the role of psychology. Education dialogue about the role are required. Practitioner pointsThe role of psychology in the psychiatric inpatient setting is valued by the multidisciplinary team. Psychology was not viewed as a first-line treatment option in the psychiatric inpatient setting but an 'add-on' to medical treatment. Psychology was a valued source of support for skilling-up and offering reflective space to the multidisciplinary team. Psychologists need to better promote their role and their skills to the multidisciplinary team.

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“…Data from the survey and interviews were analysed using Braun and Clarke's inductive reflexive thematic analysis (TA) [34]. This transparent technique has been previously used for similar studies because it is a systematic and rigorous approach to organising, describing, and interpreting data [35][36][37][38]. Braun & Clarke's approach to TA was selected because it is theoretically flexible but still gives a step-by-step process for conducting a thorough and transparent analysis.…”

Section: Discussionmentioning

confidence: 99%

Pharmacy professionals’ views regarding the future of NHS patient medicines helpline services: a multimethod qualitative study

Williams

Jordan

Scott

et al. 2021

BMC Health Serv Res

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Background Patient medicines helpline services (PMHS) have been established at some National Health Service (NHS) hospitals, to provide patients with post-discharge medicines-related support. However, findings suggest that many PMHS are provided sub-optimally due to a lack of resources. This study sought to examine pharmacy professionals’ perceptions of the future of PMHS. Methods Participants comprised pharmacy professionals from NHS Trusts in England that provided a PMHS. Invitations to participate in a qualitative survey and then an interview were sent to pharmacy services at all NHS Trusts that provided a PMHS. This resulted in 100 survey participants and 34 interview participants. Data were analysed using Braun and Clarke’s inductive reflexive thematic analysis. Results Two themes were generated: Enhancing value for service users and Improving efficiency. Enhancing value for service users identifies pharmacy professionals’ suggestions for improving the value of PMHS for service users. These include providing access methods extending beyond the telephone, and providing patients/carers with post-discharge follow-up calls from a pharmacist to offer medicines-related support. Improving efficiency identifies that, in the future, and in line with NHS plans for efficiency and shared resources, PMHS may become centralised or provided by community pharmacies. Centralised services were considered to likely have more resources available to provide a patient medicines information service compared to hospital pharmacies. However, such a change was perceived to only increase efficiency if patient information can be shared between relevant healthcare settings. Conclusions PMHS are perceived by pharmacy professionals as likely to become centralised in the future (i.e., provided regionally/nationally). However, such change is dependent upon the sharing of patients’ information between hospitals and the centralised hub/s or pharmacies. To enhance the value of PMHS for service users, providers should consider establishing other methods of access, such as email and video consultation. Considering the uncertainty around the future of PMHS, research should establish the best way to support all patients and carers regarding medicines following hospital discharge.

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Individual psychological therapy in an acute inpatient setting: Service user and psychologist perspectives

Cited by 24 publications

References 31 publications

Psychologists’ Perspectives on the implementation of Psychological Therapy for Psychosis in the Acute Psychiatric Inpatient Setting

Psychologists’ Perspectives on the implementation of Psychological Therapy for Psychosis in the Acute Psychiatric Inpatient Setting

The role of psychology in a multidisciplinary psychiatric inpatient setting: Perspective from the multidisciplinary team

Pharmacy professionals’ views regarding the future of NHS patient medicines helpline services: a multimethod qualitative study

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