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Mental Health Nursing

Mental Health Nursing

Stephan Kirby | Denis Hart | Dennis Cross | Gordon Mitchell


Additional Information

Book Details


Pre-registration nurse training across the UK is now competency based and this is the first mental health nursing text devoted to this approach. It explores the practical application of a competency based Exit Profile for mental health nursing students, which ensures that there is consistency in the essential knowledge, skills and attitudes that mental health nursing students will acquire by the end of their training programmes. This timely and contemporary text will be an essential resource for all Mental Health Branch nursing students.
'A good and interesting project.' - Oduth Chooramun, De Montfort University

'This book would be extremely useful for Clinical Practice Assessor...the authors are well qualified to write such a text...some excellent chapters proposed.' - Karina Lovell, University of Manchester

'I firmly believe this book will sell well.' - Jim Dooher, De Montfort University
STEPHAN D. KIRBY is Senior Lecturer (Forensic Health and Social Care) at the School of Health and Social Care, University of Teesside.

GORDON MITCHELL is Senior Lecturer at the School of Health and Social Care, University of Teesside.

DENNIS CROSS is Principal Lecturer (Mental Health) at the School of Health and Social Care, University of Teesside.

DENIS HART is Visiting Lecturer, at School of Health and Social Care, University of Teeside.

Table of Contents

Section Title Page Action Price
Cover Cover
Contents v
List of Figures xiv
List of Tables xv
List of Boxes xvi
Foreword xvii
Notes on the Contributors xx
Introduction xxviii
1 Developing a Competence-based 'Exit Profile' for Pre-registration Mental Health Nursing 3
Competencies for Entry to the Register 4
Conclusions 10
2 The Recognition of Inequality and the Need for Empowerment 13
Introduction 13
Prejudice and discrimination 14
3 How Can Nurses Meet the Needs of Mental Health Clients? 32
Introduction 32
How the study was organized 33
Data analysis 33
Findings and discussion 34
Conclusion (and implications of the study) 42
Note 43
4 User Perspective – The Good Psychiatric Nurse 46
5 Carer Issues in Mental Health 56
6 Working with People who have Special Needs and Disabilities and Mental Health Problems 66
Introduction 66
A critical review of definitions of special needs, disabilities and mental health and the limitations imposed by language 67
The social model of disability and its relevance to mental health nursing practice 68
The evolution of contemporary attitudes to people with disabilities 70
Conclusions 74
7 Common Mental Health Problems 79
Introduction 79
Normality and abnormality 80
Mental disorder, anti-social behaviour and the law 80
The role of mental health nurses 81
The classification of mental and behavioural disorders 81
Common mental health problems 82
Conclusions 92
8 Mental Health Promotion 95
Introduction 95
Defining mental health 96
What is meant by mental health promotion? 96
Mental health promotion and social exclusion 98
The relationship between mental health, wellness and mental illness 98
Education and training 100
Mental health promotion or mental health education? 103
Research and evaluation 104
Conclusion 105
9 A Positive Approach To Mental Health Nursing: Role, Values and Attitudes 107
What are the outcomes of mental health/psychiatric nursing? 108
Conclusion 115
10 Risk Prevention 119
Introduction 119
What is risk? 120
Risk assessment 120
Principles of risk assessment 122
Models of clinical risk assessment and predication 126
Risk management 126
The community safety agenda 128
Conclusion 129
11 Creating and Maintaining a Safe Environment 132
Dimensions of risk to self (suicide and self-injuriousness): what the boffins tell us 133
An environmental response 134
Dimensions of risk to others (dangerousness) 136
Conclusion 145
12 Interdisciplinary Approaches to Community Mental Health Practice 149
Introduction 149
Models of service provision 151
A framework for the delivery of secondary mental health care 158
Managing risk 160
Conclusion 160
13 Supporting People and their Families During Psychopharmacotherapy 164
Introduction 164
The challenge of serious mental illness 165
Informed consent and autonomy 165
Psychopharmacology and psychopharmacotherpy 167
Symptom monitoring and management tools 169
Monitoring negative effects 169
The working alliance 171
Psychoeducation 173
Strategies for improving medication compliance 173
Conclusion 175
14 Using Counselling in Mental Health Practice 178
Introduction 178
What is counselling – just tea and sympathy? 179
The core conditions 180
Counselling approaches 181
The process of counselling: beginning, sustaining and closing the therapeutic relationship 183
15 Some Brief Psychological Therapies 195
Introduction 195
The generation of hope 196
Empowering the client in the course of therapy 196
Brief psychological therapies and psychopharmacotherapy 198
Conclusion 207
16 Person-centred Approach to the Care of Older People With Mental Health Problems 209
Introduction 209
Person-centred care 210
The role of ageism 210
Common mental health problems 212
Care interventions 215
Personhood 222
Conclusion 223
17 Treating Post Traumatic Stress Disorder 226
Introduction 226
Historical perspective/changing attitudes 227
What constitutes a 'traumatic event'? 228
Different reactions to trauma experiences 231
Associated symptoms 231
Co-morbidity and associated problems 232
Prevalence rates 234
Assessment issues/approach 234
Assessment measures 234
Treatment approaches 235
Conclusion 236
18 Assessing and Engaging People with Personality Disorder 241
Introduction 241
Dilemmas in defining psychopathy and personality disorder 243
Classification and description – medical 244
Classification and description – psychological 246
A word on the judiciary and DSPD 251
Working with personality disordered clients 252
Dynamic issues and relationship as a therapeutic tool 253
Splitting and secrets 255
Rejection 256
Conclusion 258
19 The Influence of Dual Diagnoses 260
Introduction 260
Prevalence 262
Violence and offending 262
Motivation 264
Therapeutic strategies 264
Accurate assessment 268
Families and significant others 269
Conclusion 270
20 Psychosocial Interventions for People with Serious Mental Illness 273
Introduction 273
The role of engagement 274
Psychoeducation 274
Working with families 275
Individual approaches to psychotic phenomena 276
Cognitive–behavioural approaches to psychotic phenomena 280
Conclusion 285
21 Mental Health Nursing within Secure Conditions 290
Introduction 290
The forensic nursing role and the law 291
The General Duty of Care as applied to secure facilities 291
The General Duty of Care and forensic mental health nursing 293
Forensic nursing and ethics 294
The emerging role of the forensic mental health nurse 294
The public perception 296
Relationships 297
Ensuring care needs are met in secure facilities 299
Assessment of risk 300
Assessing patients' needs 301
Forensic mental health nurse competencies and education 301
Conclusion 302
22 Acute In-patient Setting 307
Introduction 307
The role of the newly qualified nurse in an acute in-patient setting 307
An example – practice development 308
Ongoing modernization and governance agendas 310
Models for mental disorder 311
Working with clients and their families within acute in-patient care 314
Conclusion 327
23 Assertive Community Treatment with People Experiencing Serious Mental Illness 335
Introduction 335
The historical perspective 336
Definition of ACT 337
The benefits of ACT 338
Model fidelity 341
Target client group 342
Evidence-based interventions in ACT 342
Ethical issues in ACT 344
Conclusion 346
24 Mental Health and Community Safety 349
Introduction 349
25 Legal and Professional Issues in Mental Health Nursing Practice 357
Introduction 357
Accountability 358
What is a duty of care? 358
Negligence 359
Consent 360
Competency 362
Who can give consent? 364
Mental Health Act (1983) 365
Psychiatry and criminal law 367
Sentencing mentally disordered offenders under the Mental Health Act (1983) 369
Conclusion 369
26 Management Issues in Practice 371
Introduction 371
Leading 374
Controlling 375
Recipient and user evaluation of services 378
Data collection and its uses 379
Conclusion 381
27 Facilitating Multi-disciplinary Relationships and Practice 383
Introduction 383
Multi-professional practice 384
Some suggestions for better multi-professional working 386
Self-presentation 387
Perception and attribution 389
Groups and teams 391
Using interpersonal skills effectively 395
28 The Evidence Base 400
Introduction 400
What is evidence-based practice? 401
What constitutes evidence? 404
Sources of evidence 409
How can EBP be incorporated into mental health nursing? 411
29 Learning: from Self-development to Competency 415
Introduction 415
Learning 417
Self-assessment 419
Self-development 419
The exit profile portfolio 422
Learning opportunities and practice skills 427
Learning opportunities and the learning experience 428
Learning opportunities and values 429
Learning opportunities and anti-discriminatory practice 430
Conclusion 430
30 A Framework for Success: A Student's Perspective 434
31 A Day in the Life of… 443
Working in Assertive Outreach 443
Introduction 443
Generic working 444
Assertive Outreach person specification 445
Communication and structuring the work 446
Engagement 446
Symptom management 448
Conclusion 449
Nursing Young People with Mental Health Problems 450
Introduction 450
Initial reflections 450
Basic principles 451
Implications for practice 454
Reflections of a Forensic Mental Health Nurse 456
Overview 464
Appendix: A Competence-based 'Exit Profile' for Pre-registration Mental Health Nursing 466
Index 477
A 477
B 478
C 478
D 480
E 481
F 481
G 482
H 482
I 482
J 483
K 483
L 483
M 483
N 484
O 484
P 485
Q 486
R 486
S 487
T 488
U 488
V 488
W 489
Y 489
Z 489