Article review: “A qualitative study of referral to community mental health teams in the UK: exploring the rhetoric and the reality” by Chew-Graham et al (2007)

Article review: “A qualitative study of referral to community mental health teams in the UK: exploring the rhetoric and the reality” by Chew-Graham et al (2007)

CMHTs (Community Mental Health Teams) provide specialist care to people experiencing mental health crises, as well as ongoing primary care support for people with chronic mental health conditions with the aim to prevent admittance to secondary or tertiary health care. Different professionals make up a CMHT but usually includes specialisms such as psychiatrists, psychologists, community psychiatric nurses, social workers, and occupational therapists.

This article examines the referral stage of the OT process: the attitudes of CMHTs receiving referrals, and the GPs who refer patients to them. The qualitative information was gathered via semi-structured interviews, referral meeting transcripts and questionnaires.

 

Problems with the referral process in CMHTs

Overall, Chew-Graham et al found a lack of consistency between CMHT teams, and referral criteria boundaries varied depending on the individual attitudes of CMHT team leaders. Referring GP’s knowledge of mental health issues and caution around risk also varied between individuals. Read more

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Sensory Integration theory

Sensory Integration theory

The theory of Sensory Integration (SI) proposed by Jean Ayres explains that how the senses are processed will affect other aspects of child development, such as social, emotional, physiological & neurological development. She hypothesised that motor learning was based on sequential developmental stages and could only be achieved if the necessary incoming sensations were received by the body.

piano playing otter
Auditory sensations: incoming

There are two main sensory processing pathways in the body, the Dorsal Column Medial Lemniscal pathway (DCML) and the Anterolateral system (AL). [AL is sometimes called the Spinothalmic pathway.] These transmit the  information received by the sensory systems from the body to the brain and vice versa. Read more

What does Evidence Based Practice mean to me now that I have studied it at MSc level?

What does Evidence Based Practice mean to me now that I have studied it at MSc level?

Since starting the research module on my course, I have gained an understanding of the need to be critical of the evidence itself!  And also how complicated the process of creating bias-free valid evidence is, and how many opportunities for bias there are in each study.

umm not sure otter

I have gained lots of skills around the methods for gathering and analysing data. I feel that I already had a fairly questioning thought process as default, but now I am able to articulate more clearly why something is biassed or can only be trusted so far.

I never thought I would have a blog or enjoy blogging as much as I do, so I am really grateful that I was forced to start as a result of my course.  Although it is nice to see other people reading the blog it is mainly an ‘online study notes’ tool that I use; it enables me to quickly search for topics, search for module content by date, and reminds me to cover all aspects of a topic, such as the need to create a blog entry for each OT model. It is proving to be a real motivating factor (organising my thoughts, finding an otter picture that represents the topic, seeing a pretty blog page at the end) and helps make what I have typed more memorable- as well easier to link ideas together. This is probably helped by needing to categorise and tag the blogs each time; by grouping ideas from different modules or timescales together it make it easier to see how they might all connect. I suppose I probably have more technical social media knowledge now as a result, although I don’t think I was terrible to begin.

Already both when reading articles and overall in life I find myself dialoguing with myself in my head about the possible devil’s advocate outcomes of an article or a situation. I guess this could be the start of reflection-in-action!