Experiences of Mental Health In patient Care Narratives From Service Users Carers and Professionals 1st Edition by Mark Hardcastle, David Kennard, Sheila Grandison, Leonard Fagin 0415410827 9780415410823

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ISBN 10: 0415410827

ISBN 13: 9780415410823

Author: Mark Hardcastle, David Kennard, Sheila Grandison, Leonard Fagin

Commended in the Mental Health category of the 2008 BMA Medical Book Competition. This book offers an insight into the experience of psychiatric in-patient care, from both a professional and a user perspective. The editors highlight the problems in creating therapeutic environments within settings which are often poorly resourced, crisis driven and risk aversive. The contributors argue that for change to occur there needs first of all to be a genuine appreciation of the experiences of those involved in the unpredictable, anxiety-arousing and sometimes threatening environment of the psychiatric ward. Each chapter comprises a personal account of in-patient care by those in the front line: people who have been admitted to a psychiatric ward; their relatives; or those that provide the care. These accounts are followed by two commentaries written from different perspectives, suggesting lessons that can be learnt to improve the quality of care. Experiences of Mental Health In-patient Care will be useful for all mental health professionals, including mental health nurses, psychiatrists, clinical psychologists, occupational therapists, arts therapists, social workers and trainees, as well as service users and carers organisations.

Experiences of Mental Health In patient Care Narratives From Service Users Carers and Professionals 1st Table of contents:

Section 1 Introduction
Chapter 1 What is the Book About?
How the Book is Organised

Chapter 2 A Brief Narrative History of In-Patient Care in the United Kingdom

Chapter 3 Recent Times

Section 2 Service Users’ Experiences
Chapter 4 Feeling Misunderstood
Commentaries: Trevor Turner (Consultant Psychiatrist)
What Are the Lessons to Be Learned?
Commentaries: Mark Hardcastle (Mental Health Nurse)
People
Buildings
Systems and Cultures

Chapter 5 Bored on the Ward
Commentaries: Len Bowers (Mental Health Nurse), Rachel Christian-Edwards (Occupational Therapist)
Questions and Issues for Discussion
Exercise

Chapter 6 Feeling Out of Control
Commentaries: Maria Cañete & Arturo Ezquerro (Group Analysts), Richard Morriss (Psychiatrist)
Questions and Issues for Discussion
Exercise

Chapter 7 Restraint: A Necessary Evil?
Commentaries: Kevin Gournay (Mental Health Nurse)
Power Imbalance
Trauma
Service User Involvement
Commentaries: Bill Turner (Mental Health Advocate)
Questions and Issues for Discussion
Exercise

Chapter 8 Feeling Alone: Experiences of a Female Teenager
Commentaries: Sarah Goodfellow (Mental Health Nurse), Trish Barry (Social Worker)
Safeguarding Children
Workforce Issues
Therapy
Questions and Issues for Discussion
Exercise

Chapter 9 Feeling Humiliated: Experiences of a Black Man
Commentaries: Leonard Fagin (Psychiatrist), Kamaldeep Bhui (Psychiatrist)
Discrimination
Stigma and Prejudice
Questions and Issues for Discussion
Exercise

Summary of the Main Issues in Section 2
Communication and Values
Practice
Environment

Section 3 Carers’ Experiences
Chapter 10 Why Us?
On Entering the Acute Adult Ward Aged 17
Guilt, Fear, Despair, Anger
In Conclusion
Feeling Invisible
Commentaries: Mike Shooter (Psychiatrist), Dr Gráinne Fadden (Clinical Psychologist)
Note

Chapter 11 No Sex Allowed
Commentaries: Lis Jones (Nurse), Jan Olav Johannessen (Psychiatrist)
Questions and Issues for Discussion
Exercise

Chapter 12 Frustrated and Angry
Commentaries: Susan Mitchell (Psychiatrist), Cliff Prior (CEO, Rethink)
Questions and Issues for Your Service
Exercise

Chapter 13 Feeling Grateful
Commentaries: Glenn Roberts (Psychiatrist), Simon Lawton-Smith (King’s Fund)
NHS Acute Care
The Rehabilitation Service
The Impact on Lorraine’s Family

Summary of the Main Issues in Section 3

Section 4 Mental Health Staff Experiences
Chapter 14 Feeling Helpless
Arriving, Learning the Rules, Becoming Overwhelmed, Losing Heart, Leaving
Commentaries: Leonard Fagin (Psychiatrist)
Ward Reviews, Supervision of Junior Doctors
Commentaries: Janey Antoniou (Service User)

Chapter 15 First Experience
Commentaries: Keith Coupland (Nurse), Leonard Fagin (Psychiatrist)
Questions for Your Service
Exercise

Chapter 16 Feeling Unprepared
Commentaries: Jenny McAleese (Independent Hospital CEO), Claire Ockwell (Service User)
Questions for Your Service
Exercise

Chapter 17 Mixed Feelings
Commentaries: Bill McGowan (Nurse Educationalist), Jen Kilyon (Carer)
Questions for Your Service
Exercise

Chapter 18 Feeling Marginal
Commentaries: Nigel Short (Service User), David Kennard (Clinical Psychologist)
Questions for Your Service
Exercise

Chapter 19 Feeling Apprehensive
Commentaries: Sheila Grandison (Art Psychotherapist), Ann Beales (Director of Service User Involvement, Together: Working for Well-Being)
Questions for Your Service
Exercise

Chapter 20 Taking Control
Commentaries: Dee Fagin (Nurse & Psychotherapist), Richard Duggins (Junior Doctor)
Strong Feelings in Staff
Summary

Chapter 21 Feeling Frustrated
Commentaries: Mark Hardcastle (Nurse), David Kennard (Clinical Psychologist)
Questions for Your Service
Exercise

Chapter 22 Taking It Personally
Commentaries: Judy Wilson (CEO), Paul Scally (Nursing Assistant)
Questions for Your Service
Exercise

Chapter 23 Finding Meaning
Commentaries: Cris Allen (Nurse), Thom Rudegair (Clinical Director)
Questions for Your Service
Exercise

Summary of the Main Issues in Section 4

Section 5 Afterword
Things You Can Do to Make In-Patient Care a Better Experience
Be Human, Be Yourself
Tell People What’s Going On and Why
Involve Patients and Relatives in Clinical Care Planning
Look After Yourself: The Value of Communication, Sharing, and Reflection Between Staff
Staff Need to Recover Too
Carrying Out Meaningful Practice Audits

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Tags: Mark Hardcastle, David Kennard, Sheila Grandison, Experiences