Experimental Staffing Models in Inpatient Acute Mental Health Services. A Longitudinal Comparative Study of Occupational Therapy Services

IF 0.6 Q4 PSYCHOLOGY, CLINICAL

European Journal of Mental Health Pub Date : 2023-01-01 DOI:10.5708/ejmh.18.2023.0006

Nina Phoenix, Julie Taylor

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引用次数: 0

Abstract

ntroduction: An NHS Mental Health Trust in England recently used an experimental staffing model by including Occupational Therapists (OT) in the staff numbers on ten working age adult acute inpatient wards. Aims: This study aims to compare different staffing models involving occupational therapists and make recommendations for preferred staffing models. Methods: This is a longitudinal comparative study of archived patient and multi-disciplinary electronic records and data collected from Kent and Medway NHS and Social Care Partnership Trust. Areas of analysis included quantitative data and qualitative coding and theming, covering the period February 2016-June 2019 during the experimental staffing model, and July 2019-March 2021, when the model ended and teams were Occupational Therapy-led. Full ethical approval and consent was gained in 2020 from the Trust and University to request and access data to complete this research. Results: This experimental staffing model resulted in less delivery of Occupational Therapy specific interventions, resulting in poorer retention rates and impacting on patient and student experiences. Since working in Occupational Therapy led teams, the quality of Occupational Therapy interventions, job retention, student experiences, patient care and safety have improved. Conclusions: The recommended staffing model for working age acute mental health wards has Occupational Therapists embedded in OT-led teams. Staffing tools need to be developed that involve Allied Health Professional leaders and this field needs more research.

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住院急症心理卫生服务的实验人员配置模式职业治疗服务的纵向比较研究

简介:NHS心理健康信托在英格兰最近使用了一个实验性的人员配置模型，包括职业治疗师(OT)在10个工作年龄的成人急性住院病房的工作人员数量。目的:本研究旨在比较不同的职业治疗师人员配备模式，并提出建议。方法:这是一项纵向比较研究，从肯特和梅德韦NHS和社会护理合作伙伴信托基金收集的存档患者和多学科电子记录和数据。分析领域包括定量数据、定性编码和主题，涵盖2016年2月至2019年6月期间的实验人员配备模型，以及2019年7月至2021年3月期间的模型结束，团队由职业治疗领导。2020年，信托和大学获得了完全的伦理批准和同意，可以请求和访问数据以完成这项研究。结果:这种实验性人员配置模式导致职业治疗特定干预措施的交付减少，导致保留率下降，影响患者和学生的体验。自从在职业治疗领导的团队中工作以来，职业治疗干预的质量、工作保留、学生体验、患者护理和安全都得到了改善。结论:工作年龄急性心理健康病房推荐的人员配置模式是将职业治疗师嵌入到门诊领导的团队中。需要开发人员配备工具，使联合健康专业领导者参与其中，这一领域需要更多的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Mental Health PSYCHOLOGY, CLINICAL-

CiteScore

0.70

自引率

14.30%

发文量

期刊介绍： The European Journal of Mental Health, an open-access, peer reviewed, interdisciplinary, professional journal concerned with mental health, personal well-being and its supporting ecosystems that acknowledge the importance of people’s interactions with their environments, established in 2006, is published on 280 pages per volume in English and German by the Semmelweis University Institute of Mental Health. The journal’s professional oversight is provided by the Editor-in-Chief and an international Editorial Board, assisted by an Advisory Board. The semiannual journal, with issues appearing in June and December, is published in Budapest. The journal aims at the dissemination of the latest scientific research on mental health and well-being in Europe. It seeks novel, integrative and comprehensive, applied as well as theoretical articles that are inspiring for professionals and practitioners with different fields of interest: social and natural sciences, humanities and different segments of mental health research and practice. The primary thematic focus of EJMH is the social-ecological antecedents of mental health and foundations of human well-being. Most specifically, the journal welcomes contributions that present high-quality, original research findings on well-being and mental health across the lifespan and in historical perspective.