Individualised Care in Mental Health and Psychiatric Care

Välimäki, Maritta

doi:10.1007/978-3-319-89899-5_13

Cited by 6 publications

(4 citation statements)

References 43 publications

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“…Some of the needs and experiences of dependent children whose parents have a mental illness will differ from those of adult children who may be parents themselves (Patrick et al, 2019). Indeed, mental health clinicians are trained to adapt their practice to each client's context, including age, culture and risk factors (Välimäki & Lantta 2019). Similarly, we recommend that the promotion of self-compassion assumes a developmental approach, for example using creative approaches to teaching self-compassion, involving art, music or storytelling, especially when promoting self-compassion with children and youth.…”

Section: Discussionmentioning

confidence: 99%

‘It's like they're learning what it is for the very first time’: Clinician's accounts of self‐compassion in clients whose parents experience mental illness

2022

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Objectives Individuals who have a parent with mental illness are more likely to experience mental illness than their contemporaries. As such, it is valuable to examine potential psychological resources, which might assist these individuals to experience good mental health throughout their lifespan. We aimed to learn how clinicians perceive self‐compassion, and how it can be incorporated into therapy with clients who have parents with mental illness. Design A qualitative interview design was employed to explore clinicians' perspectives and experiences. Methods Eight mental health clinicians experienced in working with clients who have parents with mental illness were interviewed. Interpretative phenomenological analysis was used to establish themes representing the clinicians' perspectives and experiences of incorporating self‐compassion into their work. Results This study found that clinicians were generally positive about incorporating self‐compassion into interventions with clients who are children of parents with mental illness. The participants noted barriers to self‐compassion for these clients, namely a poor sense of self and divided loyalty between self and family. Participants recommended taking time and care, building rapport and involving others when cultivating self‐compassion with those who have parents with mental illness. Conclusions This group of clinicians viewed self‐compassion as relevant to clients whose parents have mental illness and believe it can be introduced therapeutically in various ways. Suggestions are made for tailoring self‐compassion training to the needs and experiences of this group.

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Section: Discussionmentioning

confidence: 99%

‘It's like they're learning what it is for the very first time’: Clinician's accounts of self‐compassion in clients whose parents experience mental illness

2022

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“…Work in a mental health clinic is characterized by several elements, such as unpredictability, difficulties in planning treatment and a high degree of discretion and autonomy, because each patient needs individual care Tørseth and Ådnanes BMC Health Services Research (2022) 22:33 [68]. All these elements are based on strong, professional values on which treatment and care rest.…”

Section: Trust and Compatible Norms And Valuesmentioning

confidence: 99%

“…All these elements are based on strong, professional values on which treatment and care rest. First, the elements of autonomy and individuality collide with some of the intentions of the pathway system, such as efficiency, equality and standardization [68,69]. This incongruity makes the implementation of these measures difficult, as Sutcliffe [62] explains, when the actors involved understand, judge and interpret the care pathways from a professional identity.…”

Section: Trust and Compatible Norms And Valuesmentioning

confidence: 99%

Trust in pathways? Professionals’ sensemaking of care pathways in the Norwegian mental health services system

Tørseth

Ådnanes

2022

BMC Health Serv Res

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Background In January 2019, care pathways within specialist mental health and substance abuse treatment services were officially launched in Norway. The care pathway introduced timeframes for assessment and treatment, allowing a maximum of 6 weeks to finish assessment and provide the patient with a diagnosis, in addition to allowing a maximum of 6 weeks from diagnosis to the first evaluation. The different action points required coding. The system was based on goals to improve services by focusing on user participation, coordinated patient flow, avoidance of unnecessary waiting time, improvement of equal access to services regardless of geographic location, and increased emphasis on physical health and lifestyle. The purpose of our study was to examine how mental health professionals made sense of care pathways and furthermore, how issues of trust affected the process of implementation. Methods Our multiple case study included four outpatient clinics for adults in four community mental health centres (CMHCs) in different parts of Norway. Qualitative data were collected through in-depth individual and focus group interviews and analysed using systematic text condensation. The informants were treatment personnel and leaders in four different outpatient clinics for adults. Results The results indicated four distinct themes or reactions to the care pathway and its implementation: 1) lack of clarity regarding the overall goals and content of the care pathway; 2) the increased burden of coding, registration and administrative work, which professionals experienced as a stressor; 3) an IT and medical record system that did not correspond to the coding of the care pathway; and 4) an unrealistic distinction between assessment and treatment. These themes/reactions increased the health professionals’ distrust towards the care pathway, and a process of sensemaking encouraged them to reduce the importance of the care pathway system and its implementation. Conclusion Theories of trust help in understanding how mental health professionals interpret care pathway implementation. Distrust and resistance towards the care pathways overshadow some of the overall quality goals of the care pathway, a view that was indeed shared by mental health professionals.

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“…Individual sessions allow for personalized attention, tailoring the intervention to address the unique needs and challenges of each individual (Välimäki & Lantta, 2018). In psychiatric settings, individuals may require a more focused and individualized approach to address their impulsivity and related emotional and behavioral difficulties.…”

Section: The Setting and Unit Of Deliverymentioning

confidence: 99%

Music therapy for addressing impulsivity among children and adolescents : a scoping review of the literature

Saion

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Impulsivity is a major symptom of several emotional and behavioral disorders that affect children and adolescents. Uncontrolled impulsivity can hinder normal development in many different areas, making it important to find proper interventions to address impulsive behaviors. Music therapy has been considered an effective approach to managing impulsivity, and a comprehensive review of relevant articles can guide the profession and promote the expanded application of music therapy to address impulsive behavioral issues. Thus, this paper aims to identify the characteristics of studies that have investigated the use of music therapy for addressing impulsivity in children and adolescents. A scoping review was conducted, and out of 256 studies identified, 13 met the inclusion criteria. These studies were conducted between 1994 to 2022 in various geographical locations and utilized different methodologies. The diagnoses of the participants varied across studies, including ADHD, ODD, CD, depression, and other emotional and behavioral disorders. The settings of the studies included inpatient units, juvenile offenders, foster care, special residential schools, and psychiatric units. Music therapy interventions ranged from individual sessions to group sessions and incorporated various music modalities. The review paper also analyzed the geographical distribution, research methodology, research design and diagnosis categories, the setting and unit of delivery, and the music therapy interventions employed. In summary, this review highlighted the potential and applicability of music therapy for addressing impulsivity, and also recommends areas for further research.

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Individualised Care in Mental Health and Psychiatric Care

Cited by 6 publications

References 43 publications

‘It's like they're learning what it is for the very first time’: Clinician's accounts of self‐compassion in clients whose parents experience mental illness

‘It's like they're learning what it is for the very first time’: Clinician's accounts of self‐compassion in clients whose parents experience mental illness

Trust in pathways? Professionals’ sensemaking of care pathways in the Norwegian mental health services system

Music therapy for addressing impulsivity among children and adolescents : a scoping review of the literature

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