Reflections of influences on mental health placements: these were in Community Mental Health Teams (CMHT) and secure inpatient units.
- Politics removal of benefits
- reduction in PIP* for one lady with severe anxiety reduced her support and reduced access to the community as a result, she felt her MH was worsening
- What? middle aged man with EUPD & psychosis felt it was unfair the cuts to disabled benefits, when he was assessed for his PIP he felt because he could ‘function’ in the interview and speak coherently he was marked up in his ability whereas he felt he could not manage day to day. He said this reflected people often dismissing mental health because it cannot be seen and he looks ‘normal’.
- So what? He felt very angry about this and sometimes this was directed at any healthcare staff even those not responsible for benefits, such as when groups were cancelled due to staff shortages.
- Now what? Reflected at the time that it must be difficult to find an outlet for your frustration and anyone working for public sector could be a symbol of the government, remember to not take anger at service constraints personally.
The sample is the people you will experiment on in your research to obtain results. In an ideal world the study should examine an unbiased representative mini-chunk of the actual population, so that the results can easily be extrapolated and applied to the real world. To get your sample as close to the real world as possible, you must consider:
- sample size
- who should be in your sample?
- the ethics of all this experimenting on the poor sample people
Client-centred care (or patient-centred care or patient preference) is one of the core philosophies underpinning Occupational Therapy. In any modern healthcare practice, it also forms part of the Evidence Based Practice (EBP) equation:
Research + Clinician Expertise + Patient Preference = EBP
How much weight each part of the formula should contribute to the overall treatment ‘answer’ is not clear cut, and when an extreme weighting from one or another element is proposed, it causes ethical dilemmas. Ethical dilemmas cannot be solved alone, but through collaboration with colleagues and professional body standards (such as the RCOT).
I find myself almost never listening to Radio 1 anymore instead tuning in to BBC 6, BBC 2 and even 4… is this a reflection of becoming more interesting or more boring? Or that I need talk radio to keep me awake on the more frequent long car journeys I seem to do now? Either way, in the BBC 4 programme ‘Inside the Ethics Committee’ one episode discusses a woman who wants her leg amputated in order to forego any further knee surgeries. Read more