Mental Health Nursing

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• giving patients information about their illness and treatment; • tailoring medication regimes to suit the patient; • use of compliance therapy techniques. The SNMAC (1999) report recognises the need for developing nurses’ skills in this area. However, to improve practice throughout the British NHS, and to move towards achieving the standards set within the NSF, training on these will also need to be provided. Annotated readings Medication management 231 Bazire, S. (2001) Psychotropic Drug Directory 2001. Wiltshire: Quay Books. Very useful information about psychotropic drugs. A must-have book, updated annually. Day, J.C., Wood, G., Dewey, M. and Bentall, R.P. (1995) ‘A self-rating scale for measuring neuroleptic side-effects. Validation in a group of schizophrenic patients’, British Journal of Psychiatry, 166: 650–3. Information about the LUNSERS. Gournay, K. and Gray, R. (2001) Should Mental Health Nurses Prescribe? London: Maudsley Publications. A discussion on mental health nurse prescribing. Copies are available from Sarah Smith, Division of Psychological Medicine, Institute of Psychiatry, De Crespigny Park, London SE5 8AF. Gray, R. (1999) ‘Antipsychotics, side-effects and effective management’, Mental Health Practice, 2 (7): 14–20. Some useful strategies for managing anti-psychotic side-effects. Haynes, R.B. Montague, P., Oliver, T. et al. (1999) Interventions for Helping Patients Follow Prescriptions for Medication (Cochrane Review). In: The Cochrane Library, Issue 4, Oxford: Update Software. Systematic review of compliance interventions. Kemp, R., Hayward, P., Applewhaite, G. et al. (1996) ‘Compliance therapy in psychoatic patients. Randomised controlled trial’, British Medical Journal, 312: 345–9. Kemp, R., Kirov, G., Everitt, P. et al. (1998) ‘Randomised controlled trial of compliance therapy. 18-month follow-up’, British Journal of Psychiatry, 172: 413–19. The compliance therapy trials. Macpherson, R., Jerrom, B. and Hughes, A. (1996) ‘A controlled study of education about drug treatment in schizophrenia’, British Journal of Psychiatry, 168: 709–17. Patient education trial.
232 Acute Mental Health Nursing Resource section Institute of Psychiatry website: www.iop.kcl.ac.uk Useful information and links to other websites. Compliance therapy manual Kemp, R., Hayward, P., David, A., (1997) Compliance Therapy Manual. London: Bethlem and Maudsley NHS Trust. Self-explanatory. Maudsley prescribing guidelines Taylor, D., McConnell, D., McConnell, H. et al. (1999) The Bethlem and Maudsley NHS Trust Prescribing Guidelines, 5th edn. London: Martin Dunitz. Widely used prescribing guidelines. South London and Maudsley NHS Trust drug information line: 020 7919 2999. If you have a question and no one knows the answer, call this number and they will do their best to help. Source of medication management training materials Dr Richard Gray, Health Services Research Department, Institute of Psychiatry, De Crespigny Park, London SE5 8AF E-mail: R.Gray@iop.kcl.ac.uk Information on the KGV Stuart Lancashire, Health Services Research Department, Institute of Psychiatry, De Crespigny Park, London SE5 8AF E-mail: S.Lancashire@iop.kcl.ac.uk KGV training videotapes Keith Coupland, Brownhill Centre, Swindon Road, Cheltenham GL51 9EZ E-mail: Keith@furlong.demon.co.uk References Adams, S.G. and Howe, J.T. (1993) ‘Predicting medication compliance in a psychotic population’, Journal of Nervous and Mental Disease, 181 (9): 558–60. Babiker, I.E. (1986) ‘Non-compliance in schizophrenia’, Psychiatric Developments, 4: 329–337.
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EDITED BY Marc Harrison David Howar
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Acute Mental Health Nursing From Ac
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Contents List of contributors vii F
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List of Contributors Ian Baguley qu
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List of Contributors ix background
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Foreword When I first started my ca
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An introduction to acute mental hea
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• Care management • Management
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organisations providing it. Followi
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works, and to be understanding of t
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Introduction ONE Acute psychiatric
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Assessment framework Acute psychiat
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Evidence suggests that the quality
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‘Can you tell me something about
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negative thoughts, anxiety may sugg
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attempting to observe behaviours th
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These scales are often used as ‘s
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thoughts as and when they occur. Th
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Acute psychiatric in-patient assess
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Acute psychiatric in-patient assess
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Introduction TWO Measuring health a
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Measuring health and social functio
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have timely, accurate and appropria
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easy to see why many staff have bec
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Acknowledgements Parts of this chap
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Introduction THREE Social inclusion
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Social inclusion and acute care 53
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Health Consortium (GPMH, 1989) desc
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professionals, belief in the value
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in relation to the people who are a
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networks that we can hope to help t
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ward, and activities that they can
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• Current adjustment: physical he
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Strategies for surviving acute care
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patients said they did not get enou
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involvement can certainly be approa
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to exert a measure of control or ch
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Case management: perspectives of th
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Introduction SIX Integrated care pa
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outcomes to help identify alternati
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services. Pre-formulation helps sec
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nature of pathway documentation can
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Integrated care pathways: the ‘ac
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11. Referred for neurology opinion
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36. 11 point assessment completed B
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Stage 13 Stage 14 Integrated care p
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evealed and analysed, and change of
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SEVEN Risk assessment and managemen
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Risk assessment and management in a
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Observation 163 of people who had c
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towards others. For nurses, having
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no evaluative work conducted to ass
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Observation 169 All local trusts an
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Table 8.1 Four levels of observatio
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most intensive level of observation
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Observation 175 (DoH, 1999a, 2001);
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strongly influenced by cultural iss
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who conducted the special observati
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Page 196 and 197: Observation 183 Bowers, L. and Park
Page 198 and 199: Introduction NINE Cognitive behavio
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Page 202 and 203: provided a great deal of hope for a
Page 204 and 205: Assessment of Need (Phelan et al.,
Page 206 and 207: 3. Changing cognitive processes. 4.
Page 208 and 209: hallucinations, which are so common
Page 210 and 211: nurse practitioner. Until very rece
Page 212 and 213: Psychosocial interventions 199 clie
Page 214 and 215: Psychosocial interventions 201 a fi
Page 216 and 217: levels of staff sickness. If workin
Page 218 and 219: Psychosocial interventions 205 for
Page 220 and 221: Problem list and assessment Psychos
Page 222 and 223: should be introduced until the pati
Page 224 and 225: Psychosocial interventions 211 rece
Page 226 and 227: Psychosocial interventions 213 Barr
Page 228 and 229: Psychosocial interventions 215 Barr
Page 230 and 231: Psychosocial interventions 217 Rix,
Page 232 and 233: emphasises the need for mental heal
Page 234 and 235: encountered with their use. Anti-ps
Page 236 and 237: can be almost exclusively attribute
Page 238 and 239: to establish a link between EPS and
Page 240 and 241: Interventions to enhance compliance
Page 242 and 243: The use of cognitive behavioural in
Page 246 and 247: Medication management 233 Bennett,
Page 248: Medication management 235 Meltzer,
Page 251 and 252: 238 Index institutionalisation, 63-
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Mental Health Nursing

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