Mental Health Nursing

238 Index
institutionalisation, 63–4, 82
Integrated Care Pathways, 112
barriers to use, 130–1
benefits, 120, 129
developing a pathway, 131–4
effectiveness in care delivery, 116, 121
monitoring progress, 117–19
organisational issues, 115–17, 121
professional issues, 113–15, 130
research, 112, 123
variance, 114, 120, 136–7
interpersonal relationships and mental
illness, 55–6, 70
interview in assessment, 14–15
joint funding and case management, 103
labelling, 201
levels of evidence, 192
measurement
in assessment, 19–23, 190
of behaviour, 22
instruments, 19–21, 37–8
limitations of, 23
of thoughts, 22–3
medical model, 20–1, 81
mental health and media, 55, 150
Mental Health Minimum Data Set, 33, 34
Mental Health Policy Implementation
Guide, 9, 111
mental illness
effects on friends and carers, 56, 69,
200, 204, 212
and employment, 53, 58–9, 60, 62, 70,
72, 202
modelling, 194
multiprofessional work, 10, 60, 67, 99, 114,
116–17, 122, 131, 151, 153–4, 170, 173
National Carers’ Strategy, 57, 67
National Electronic Library for Health, 121
National Service Framework for Mental
Health, 13, 29, 54, 57, 72, 82, 124,
145, 229
normalising in psychosis, 201
nurse behaviour therapist, 189
nurses avoiding contact with patients,
66, 79–81
observation
accountability, 175
alternatives, 177
in assessment, 15–18
inconsistent practices, 166, 167
observation cont.
key principles, 168–70
limitations of, 18–19, 168
management strategy, 149, 164
nurses’ experiences, 178
patients’ experiences, 175, 179
reporting, 18, 174
of thoughts, 16–17
planning care, 24–6
poor care environment, 63, 80
predicting risk see risk prediction
Programme of Assertive Community
Treatment (PACT), 101
psychiatric nurses as case managers,
94–5, 98–9
psychosocial management of violence, 156
re-engagement into social network, 70–3
relapse planning, 62, 84, 145, 204–5
rethink and families, 57
risk assessment, 13, 71, 123, 145, 147, 149,
150, 152, 153, 169, 173, 203
risk prediction, 36, 144
Sainsbury Centre for Mental Health Acute
Concerns, 199
schizophrenia
case management, 101–2
cognitive behaviour therapy, 187, 189,
193–5, 205–6
family influence on development see high
expressed emotion
medication, 219, 220
self-help, 62
self-injury, 149
service users
advocate, 65, 84
giving information, 83, 176
Severe Mental Illness, 33
outcome indicators, 41–2
shortfall of in-patient beds, 115
SNMAC 4-level classification of observation,
16, 163, 171
social contacts – maintaining following
admission, 70
social control, 61, 63, 79, 81, 119
Social Exclusion Unit, 53
social inclusion, 52–3
in acute settings, 60–73
social skills training, 193
Standing Nursing Midwifery Advisory
Committee (SNMAC), 147, 149, 155,
163, 164, 166, 185, 189
stress on acute wards, 203