Psychological states of mind in acute psychiatric inpatient settings: A model for making sense of the clinical work

Purpose -The purpose of this paper is to evaluate the usefulness of a Healthy Living Group (HLG) for individuals with learning disabilities and mental health problems in an inpatient setting. Design/methodology/approach -Seven sessions were developed. Each session focussed on a different aspect of healthy living, and used psychoeducation and practical skill building to enable individuals to create personalized healthy living plans. Quantitative post-intervention measures and a qualitative focus group were used to determine group participants' learning and enjoyment.Findings -Principles about healthy living were successfully taught in an enjoyable way to individuals with learning disabilities. Factors that enhanced learning and those that created barriers to developing healthy living plans are explored. Practical implications -Individuals with learning disabilities and mental health problems can be supported to develop personalized healthy living plans. Recommendations for further adaptations to the group structure are made, in order to enable others to run successful groups. Originality/value -The HLG is the first of its kind to be developed for individuals with learning disabilities.

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An inpatient Healthy Living Group

Rose

Breen

Webb

2014

Advances in Mental Health and Intellectual Disabilities

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Creating and establishing a recovery-oriented clinical psychology provision across an acute care mental health pathway. Ethical obligation and clinical reality

Mankiewicz

Truter

2014

Mental Health and Social Inclusion

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Purpose – The purpose of this paper is to summarise the development of a recovery-oriented and socially inclusive acute care clinical psychology service in one of the NHS Trusts based in East Anglia. It demonstrates the service's compliance with relevant national policies and guidelines, and addresses some of the criticisms directed at acute mental health care in recent years. Both achievements and difficulties are reflected on. Design/methodology/approach – The paper employs an organisational development case example related to applicable clinical practice model, based on national guidelines and policies, in order to demonstrate that it is possible to develop and implement a recovery-oriented clinical psychology practice in acute inpatient mental health care. This is based on the authors, experiences as a public sector clinical psychologists specialising in complex, severe, and enduring mental health needs. Findings – Clinical psychologists may effectively contribute to the development of psychosocially informed and recovery-based multidisciplinary attitudes towards emotional difficulties of individuals admitted to psychiatric wards. Research limitations/implications – Future service development project of similar nature ought to implement standardised measures (e.g. ward atmosphere scales) to increase validity of findings. Practical implications – Despite limited, and continuously decreasing, resources in the NHS it appears possible to develop and establish a successful and objectively replicable provision of recovery-based psychological services across an entire acute care mental health pathway. Social implications – Recovery-enhancing clinical psychology interventions should not be limited to those receiving care from community-based services only. Building psychologically informed understanding of mental health needs should be employed on inpatient wards too, in order to counterbalance the dominating biomedical models of mental illness. Originality\value – Dissemination of examples of effective psychosocial practice in acute mental health settings appears largely underrepresented.

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Comparison of staff attitudes and perceptions of psychological practice within inpatient and outpatient adult mental health services

Dimaro¹,

Brown²

2011

bpscpf

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Psychological states of mind in acute psychiatric inpatient settings: A model for making sense of the clinical work

Abstract: This article describes a model for making sense of service-users psychological needs as they progress through the inpatient system. The importance of containment* – for inpatients and staff alike is clarified.

Cited by 3 publications

References 4 publications

An inpatient Healthy Living Group

An inpatient Healthy Living Group

Creating and establishing a recovery-oriented clinical psychology provision across an acute care mental health pathway. Ethical obligation and clinical reality

Comparison of staff attitudes and perceptions of psychological practice within inpatient and outpatient adult mental health services

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