Mental Health Policy for Nurses

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Edited by: Ian Hulatt

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    About the Editor and Contributors

    Trevor Adams is a consultant in dementia care and presently is developing work on personalisation with dementia and the creation of dementia friendly communities. He holds a PhD in dementia care and has written extensively on dementia and contributed to conferences in the UK, Australia, Japan and Europe.

    Cris Allen has been a nurse in mental health and learning disability for 34 years. He has occupied a range of positions in practice and management, was for several years the Mental Health Adviser at the Royal College of Nursing of the United Kingdom and now works independently. Cris has written widely in the nursing and health press, often on policy issues, and has been the Consultant Editor of the journal Mental Health Practice for over a decade. He has always been interested in health and nursing policy, a subject that has caused him elation and frustration in equal measure.

    Lindsey Ambrose is a qualified lawyer and guidance professional, currently Equality, Diversity and Human Rights Lead at leading mental healthcare charity, St Andrew's, specialising in improving patient experience. In 2013 and 2014 Lindsey has led St Andrew's participation in the Stonewall UK Healthcare Equality Index, leading to ‘top performer’ rankings (3rd in 2014, 4th in 2013). Previously Lindsey's work at Northampton Borough Council (2004 to 2012) led to recognition including a National Diversity Award, through HRH Prince Charles's Mosaic Awards, praise from the Head of the Equality and Human Rights Commission, a special award from the Anne Frank Trust UK and awards from the Northants Children and Young People's Partnership. Lindsey has helped multi-million pound organisations improve the inclusivity and accessibility of their services and user experience. Born in the UK, Lindsey's interests in equality, diversity and human rights were particularly informed through childhood experience of horrific violence in Sri Lanka at the start of its civil war and being a young carer.

    Elizabeth Collier is a Registered Mental Health Nurse who is employed as a lecturer in mental health at the University of Salford in Greater Manchester. She has worked with older people in various clinical settings during her career and has particular interest in age discrimination and in people who have aged with on-going functional mental health problems. Her PhD focused on the life experiences of people who had aged to older age with mental health problems and how this had affected their achievements. Her academic and research interests also include dementia, being a member of the Higher Education Dementia Network and also the International Dementia Design network hosted at Salford university. She is involved in a European project, POSADEM to develop a pan-European Masters degree in dementia. She is an active member of the university service user and carer forum as well as being an honorary associate of blueSCI, a social, cultural and inclusion service in Trafford which operates within contemporary mental health recovery values.

    Ben Hannigan is a Reader in Mental Health Nursing in the School of Healthcare Sciences at Cardiff University. In his research into mental health systems he has addressed these interrelated areas: policy; service organisation and delivery; work, roles and values; the characteristics and wellbeing of the workforce; practitioner education; and the experiences of users. He has published widely in these areas in nursing, health and social scientific journals and in books. He blogs at http://benhannigan.com

    Ian Hulatt has been the mental health adviser in the nursing department at the Royal College of Nursing since 2004. Prior to this role he spent 20 years as a teacher of nurses at both undergraduate and post graduate levels. He undertook Thorn training at the Institute of Psychiatry and has maintained a keen interest in this area of practice ever since. His role at the RCN requires him to advise on mental health nursing policy and practice across the UK and whilst based in Wales he continues to travel the country in his work. Ian has engaged in many regional, national and international policy initiatives for the RCN and continues to be a passionate advocate for what he describes as the “craft” of mental health nursing.

    Ann Jackson's clinical background is in acute in-patient mental health care. She has 20 years’ experience working in practice development and research; working with teams as external facilitator to systematically review practice and integrate with best evidence and policy. From 1998, she was at the Royal College of Nursing and gained a wealth of experience working across national policy, research and practice agendas, primarily in mental health and social inclusion. Secondments to the Department of Health (Offender Health) and Leicestershire Partnership NHS Trust from 2005-2010 led to specific policy making and practice around women's mental health in the criminal justice system. From February 2012, she has been the Director of Nursing at St. Andrew's Healthcare, the largest UK charitable provider of specialist mental health services. She has particular interest in violence against women and mental health and equalities.

    Fiona Jones has lengthy experience of using mental health services and has latterly volunteered with EmPowerMe (formerly Lancashire Advocacy) a service user-led voluntary sector organisation. Recently she has taken up the position of research assistant working alongside colleagues at the University of Central Lancashire. Fiona is also active in the university's community engagement and service user involvement initiative, Comensus, making a significant contribution to teaching and learning. On the research front, she has helped plan and deliver a number of projects that have benefited enormously from her lived experience and unique skills. This work has included a study of involvement in secure services across Yorkshire and an appreciative inquiry project to develop recovery orientated practices with mental health inpatient teams on Merseyside. Current studies focus on recovery and involvement practices in a high secure setting and the experiences of relatives of forensic patients in Scotland.

    Cheryl Kipping began her career as a general nurse at Guy's Hospital before going on to train in mental health at the Maudsley. She has held clinical and managerial posts in the statutory and voluntary sectors, in mental health and addictions. Cheryl completed a social psychology degree at the London School of Economics, and a PhD at King's College, London. She has worked as a consultant nurse in dual diagnosis for 12 years. Cheryl has provided dual diagnosis expertise to a range of national advisory groups including the Department of Health and NICE. She has given conference presentations nationally and internationally, and published about dual diagnosis. Cheryl is a member of PROGRESS, the national consortium for consultant nurses in dual diagnosis.

    Tim McDougall is Nurse Consultant and Clinical Director for Tier 4 CAMHS and Trust-wide CAMHS at the Cheshire & Wirral NHS Foundation Trust. Tim has worked in a range of CAMHS settings including community child mental health teams, adolescent in-patient services and secure adolescent forensic services. With a National profile in CAMHS and, with over 100 book and journal publications, Tim has spoken at National and European conferences about the mental health of children and adolescents. Tim was formerly Nurse Advisor for CAMHS at the Department of Health in England and was a member of the National Advisory Council for Children's Mental Health and Psychological Wellbeing. Tim is currently Chair of the UK Nurse Consultants in CAMHS Forum and the Quality Network for Inpatient CAMHS (QNIC) Executive Committee. He has been involved in the development of NICE guidelines on Psychosis and Schizophrenia in Children and Young People and Bipolar Disorder in Children, Young People and Adults.

    Mick McKeown is a mental health nursing researcher in the School of Health at the University of Central Lancashire. He instigated the Comensus service user and carer involvement initiative at the university which has a growing reputation for extensive-ness and authenticity of involvement practices. Recent research has explored service user and staff alliances for involvement in secure services and appreciative inquiry with inpatient mental health teams. Mick edited the book Forensic mental health care: a case study approach (Churchill Livingstone) and co-ordinated the production of the collectively written text: Service user and carer involvement in education for health and social care (Wiley-Blackwell). Mick is a Unison activist and interested in democratic alliances with mental health service user/survivor movements. This intersects with efforts to ensure universities become assets in their local communities, to this end Mick supports an international network of scholars committed to ‘Mad Activism in the Academy’.

    Catherine McQuarrie has been a lecturer in mental health nursing at the University of Salford since 2006. Prior to this, she was a lecturer/practitioner, working as a Clinical Nurse Specialist with the Manchester, Bolton, Salford and Trafford Substance Misuse Directorate. She has worked in the field of substance misuse (alcohol and drug services) since 1995 and completed an MSc in Drug Use and Addictions in 2003 and an MSc in Public Health and Society in 2010. She has a strong interest in promoting mental health and social inclusion. Cath was jointly responsible for ‘A synthesis of grey literature around public health interventions and programmes’ for NHS North West taking editorial responsibility for mental health and well being. She has recently developed and delivered training to the Being Well Coaches in Salford, a new initiative in relation to working with people in relation to behaviour change.

    Peter Nolan was born in the West of Ireland and undertook mental health and general nurse training in London in the 1960s. He spent time in various posts including working as an Occupational Health Nurse in the Sahara Desert, as a journalist for the North African Radio Service based in Tripoli, Broadmoor Special Hospital, and subsequently as a Professor of Mental Health Nursing at the universities of Birmingham and Staffordshire. His research interests have included the changing face of mental health provision in the UK, Ireland, Sweden and the USA. He has had a long-standing interest in the relationship between spirituality and mental health and the extent to which some service users experience a ‘crisis of meaning’ in the modern world. He has published widely in the field of the history of mental health policies, institutions, interventions and the origins of various mental health disciplines. He is currently working on community care prior to the establishment of asylums.

    Karen M. Wright is a mental health nurse and academic. She is the principal lecturer and lead for mental health within the School of Health at the University of Central Lancashire (UCLan). Karen designed and delivered the first MSc in Personality Disorder in the UK and continues, as part of the course team, to deliver this programme to a range of healthcare professionals at UCLan. Karen originally trained as an RGN, specialising in cardio-thoracic surgery before moving to mental health in 1986. Since then she has worked in a range of clinical practice areas including acute in-patient services, community mental health, crisis intervention services and forensic services. She still works clinically within an in-patient service, on a weekly basis and sees this as vital to her role as an academic and researcher. Her most recent research activities have focussed on the therapeutic relationship, attitudes to violence and aggression, and service user involvement in forensic services.

    Norman Young became interested in mental health after studying biochemistry and psychology at Keele University. After graduating he moved to Cardiff and qualified as a mental health nurse in 1994. Norman soon wished to follow a clinical academic career focusing on psychosis. After gaining therapy skills in congnitive and behavioural psychotherapy he set up, with Ian Hulatt, the first Thorn course in Wales. After this he developed an educational programme in acute care and collaborated in setting up the national accreditation of inpatient services. He subsequently led quality improvement initiatives in inpatient care and patient safety. Norman currently works as a Nurse Consultant with Cardiff and Vale University Health Board and Cardiff University. Norman's current research interests are in organisational approaches to safety in mental health. Norman continues to provide care and treatment to people with psychosis and in involved in local and national improvement projects. Norman was a member of the NICE guideline development group for schizophrenia and psychosis in 2014.

    List of Acronyms

    AC

    Approved Clinician

    ADHD

    Attention Deficit Hyperactivity Disorder

    AIMS

    Accreditation of Acute Inpatient Mental Health Services

    AMHP

    approved mental health professional

    ANARP

    Alcohol Needs Assessment Research Project

    ANP

    Advanced Nurse Practitioner

    BBC

    British Broadcasting Corporation

    BME

    Black and Minority Ethnic

    BPS

    British Psychological Society

    CAB

    Citizen's Advice Bureau

    CAMHS

    Child and Adolescent Mental Health Services

    CAS

    Citizen's Advice Scotland

    CBT

    Cognitive Behavioural Therapy

    CHC

    Community Health Councils

    CHI

    Commission for Health Improvement

    CMHNs

    Community Mental Health Nurses

    CMHT

    Community Mental Health Centres and Teams

    CRHT

    Crisis Resolution and Home Treatment Teams

    COHSE

    Confederation of Health Service Employers

    CPA

    Care Programme Approach

    CQC

    Care Quality Commission

    CQUIN

    Commissioning for Quality and Innovation

    CSIP

    Care Services Improvement Partnership

    CRHT

    Crisis Resolution/Home Treatment

    CRU

    Civil Resettlement Units

    CTO

    Community Treatment Order

    DAT

    Drug Action Team

    DH

    Department of Health

    DHSS

    Department of Health and Social Services

    DHSSPS

    Department of Health, Social Services and Public Safety

    DoH

    Department of Health

    DRE

    Delivering Race Equality

    DSM

    Diagnostic and Statistical Manual of Mental Disorders

    DSPD

    Dangerous with Severe Personality Disorder

    DUCIE

    Developers of User and Carer Involvement in Education

    DWP

    Department for Work and Pensions

    EC

    European Commission

    EDHR

    Equalities, Diversity and Human Rights

    EHRC

    Equality and Human Rights Commission

    EU

    European Union

    GP

    General Practitioner

    HAS

    Health Advisory Service

    HEI

    Higher Education Institution

    HIV

    Human Immunodeficiency Virus

    HMSO

    Her Majesty's Stationery Office

    IAPT

    Improving Access to Psychological Therapies

    ICD

    International Classification of Diseases

    IPS

    Individual Placement and Support

    LIT

    Local Implementation Team

    LGBTQ

    Lesbian, Gay, Bisexual, Transgender and Questioning

    LSE

    London School of Economics

    MAPPA

    Multi-Agency Public Protection Arrangements

    MHA

    Mental Health Act

    MHA

    Mental Health Alliance

    MHAC

    Mental Health Act Commission

    MHHE

    Mental Health in Higher Education Network

    MHP

    Mental Health Practice

    MoC

    Models of Care

    MoCAM

    Models of Care for the Treatment of Alcohol Misuse

    MSc

    Master of Science

    NCSS

    National CAMHS Support Service

    NCI

    National Confidential Inquiry

    NCISH

    National Confidential Inquiry Reports into Suicide and Homicide by People with Mental Illness

    NDTi

    National Development Team for Inclusion

    NHS

    National Health Service

    NHSE

    National Health Service Executive

    NHSLA

    National Health Service Litigation Authority

    NICE

    National Institute for Clinical Excellence

    NIMHE

    National Institute of Mental Health for England

    NMHDU

    National Mental Health Development Unit

    NPSA

    National Patient Safety Agency

    NHS

    National Service Framework

    NSF-MH

    National Service Framework for Mental Health

    OCTET

    Oxford Community Treatment Order Evaluation Trial

    ONS

    Office for National Statistics

    PALS

    Patient Advice and Liaison Service

    PD

    Personality Disorder

    PMS

    Psychiatric Morbidity Survey

    PPI

    Patient and Public Involvement

    QNIC

    Quality Network for Inpatient CAMHS

    RCN

    Royal College of Nursing

    RCP

    Royal College of Psychiatrists

    RGN

    Registered General Nurse

    RMA

    Risk Management Authority

    SCIE

    Social Care Institute for Excellence

    SCMH

    Sainsbury Centre for Mental Health

    SEAL

    Social and Emotional Aspects of Learning

    SHC

    Scottish Health Council

    SNAP

    Scottish Needs Assessment Programme

    SRI

    Scottish Recovery Indicator

    STR

    Support, Time, Recovery

    SURGE

    Service Users in Research Group, England

    UCLAN

    University of Central Lancashire

    UK

    United Kingdom

    UKCC

    United Kingdom Central Council for Nursing, Midwifery and Health Visiting

    USA

    United States of America

    WAG

    Welsh Assembly Government

    WAT

    Workforce Action Team

    WHO

    World Health Organization


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