Mental health articles

OF mental health care and mentally ill

October, 2013

New ways of prescribing

Recent policy developments have enabled the introduction of new ways to prescribe medication, for example non-medical prescribing and patient group directions. Non-medical supplementary prescribing was introduced in 2003 and has been defi ned by the DH  as: ‘a voluntary prescribing partnership between an independent prescriber (doctor) and supplementary prescriber (nurse or pharmacist) to implement an […]

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Personal development and learning

Personal development and learning The continuous fl ow of evidence concerning the effi cacy of pharmacological interventions, new drugs and interventions regarding management, require mental health practitioners to be proactive in maintaining their knowledge and skills. Practitioners also need to be able to refl ect on their practice and values in dynamic and changing mental […]

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Promoting safety and positive risk taking

Promoting safety and positive risk taking Being honest with service users about not only the positive aspects of pharmacological treatment but also the negative, especially the most serious adverse effects, is a crucial part of enabling self-management and an important part in developing the therapeutic relationship. For a number of people the positive aspects of […]

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Making a difference in medication self-management

Making a difference in medication self-management The skills and interventions that enable service users to evaluate and develop skills in medication self-management have a wide evidence base. There are key skills, a range of strategies and interventions that are available to engage the person in developing a dialogue that facilitates the service user’s understanding and […]

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Providing service user centred care

Service user opinions regarding the place of medication in their mental health management can show wide variation dependent on the effectiveness of the medication, the benefi t the drugs confer and the person’s health beliefs. An additional dimension in this area is the extent to which a person wishes to be involved in his or […]

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Identifying people’s strengths and needs

  Enabling service users to become effective in managing their mental health and developing an understanding of the role that medication plays in this process depends on working with the person’s strengths and also his or her assets and supports. Skilled and timely assessments can identify areas that further empower service users to control their […]

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Promoting recovery

Recovery from mental illness is an individualised and personal journey that is dependent on a variety of factors, central to which is empowerment and self-determination. The attitudes and interaction style of mental health practitioners in this context has the aim of generating hope and an appreciation that developing a medication strategy which the person fi […]

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Challenging inequality

People can experience feelings of stigma from being prescribed and taking psychotropic medication. Furthermore, the side effects of medication can compromise a person’s social and vocational networks, for example Boumans et al.  found that the presence of orofacial dyskinesia had a negative effect in a work-related interview process. Mental health workers need to be mindful […]

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Respecting diversity

This is having the ability to deliver interventions which takes full account of the diverse nature of service users in terms of age, disability and gender, and demonstrating respect for their culture, spirituality and sexuality. Issues relating to race and culture are particularly relevant. ‘Black and minority ethnic patients have worse access to, experience of, […]

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Working in partnership

  This develops the focus of collaboration in care, engaging not only service users and their families in the process of management but those involved in the delivery of care, enabling clear and effective lines of communication and establishing clear understanding regarding the function of medication management. Service users and their families can have different […]

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