Reflections on policies & trends influencing Mental Health

Reflections on policies & trends influencing Mental Health

Reflections of influences on mental health placements: these were in Community Mental Health Teams (CMHT) and secure inpatient units.

Negative influences

  • 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.

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Creating a research proposal: deciding on the sample

Creating a research proposal: deciding on the sample

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
contact me otter
Free sample madam?

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Client-Centred Care & Ethical Dilemmas

Client-Centred Care & Ethical Dilemmas

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).

otter law
Source: http://www.rubberhedgehog.com

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

Menu: Conducting a literature review

Menu: Conducting a literature review

Clicking on the category to the right ‘How to conduct a literature review’ does bring up all blog posts related to doing a lit review, but there were getting to be too many to keep track of the order.Otter menu

So this is just a menu of all the blog posts related to writing a literature review, and also EBP in general, so they are in some kind of order and all in one place.

EBP:

What is Evidence Based Practice? Why does it matter in everyday life?

Barriers to Evidence Based Practice

Article review: “Evidence-based medicine: a movement in crisis?” by Greenhalgh et al (2014)

Conducting a literature review:

Conducting a literature review: Where do I look for evidence to use in my Evidence Based Practice?

Conducting a literature review: creating a good question

Conducting a literature review: How to accurately evaluate any evidence before basing your practice on it

Conducting a literature review: evaluating the quality of research methods used in an article “Comparison of a traditional and non-traditional residential care facility for persons living with dementia and the impact of the environment on occupational engagement” by Richards et al. (2015)

Protected: All aboot Statistics

Conducting a literature review: Quality reviewing a research article “Strategies used by older women with intellectual disability to create and maintain their social networks: An exploratory qualitative study” by Mackenzie & White (2015)