发布求助
文献互助 智能选刊 最新文献

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE最新文献

筛选
英文 中文
Opportunities and challenges of joint crisis plans in mental healthcare: a qualitative interview study with mental health professionals. 精神卫生保健联合危机计划的机遇与挑战：一项针对精神卫生专业人员的定性访谈研究。
IF 2.5
IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-09-01 Epub Date: 2026-02-19 DOI: 10.1017/ipm.2026.10171
Astrid Gieselmann, Anna Werning, Sarah Potthoff, Jochen Vollmann, Matthé Scholten, Jakov Gather
{"title":"Opportunities and challenges of joint crisis plans in mental healthcare: a qualitative interview study with mental health professionals.","authors":"Astrid Gieselmann, Anna Werning, Sarah Potthoff, Jochen Vollmann, Matthé Scholten, Jakov Gather","doi":"10.1017/ipm.2026.10171","DOIUrl":"10.1017/ipm.2026.10171","url":null,"abstract":"<p><strong>Background: </strong>Psychiatric advance directives (PADs) and joint crisis plans (JCPs) are documents that allow users of mental health services to state their preferences for treatment for a future situation in which they are unable to give consent. In Germany, both PADs and JCPs are legally binding in the context of mental healthcare.</p><p><strong>Objectives: </strong>The objective of this study was to examine mental health professionals' views on PADs and JCPs, identify challenges in their application in clinical practice, and derive recommendations for their implementation.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with 14 mental health professionals with experience in JCPs in Germany. We analyzed the interviews following qualitative content analysis.</p><p><strong>Results: </strong>Participants identified several opportunities associated with JCPs, including strengthening the therapeutic relationship and building trust, promoting self-determination and participation, fostering therapeutic progress, reducing coercion, and enhancing the attitudes of mental health professionals. They also recognized a number of challenges, such as limited resources, insufficient knowledge and interest among service users, uncertainty and skepticism among mental health professionals, and the infrequent updating of JCPs. In addition, participants offered suggestions for improving the implementation of JCPs at both organizational and practical levels.</p><p><strong>Conclusions: </strong>Mental health professionals describe a variety of opportunities and challenges of JCPs in clinical practice. To address these challenges and enhance the implementation of JCPs, further research and targeted training for mental health professionals are needed, alongside the development of institution-specific policies.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"277-283"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Co-design of antipsychotic medicines information resources - making PROGRESS in shared decision-making. 抗精神病药物信息资源的协同设计——共同决策的进展。
IF 2.5
IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-09-01 Epub Date: 2026-04-22 DOI: 10.1017/ipm.2026.10193
Caroline Hynes-Ryan, Aoife Carolan, Michael John Norton, Siobhan Cussen, Stephen McWilliams, Laoise Renwick, Brian O'Donoghue, Dolores Keating
{"title":"Co-design of antipsychotic medicines information resources - making PROGRESS in shared decision-making.","authors":"Caroline Hynes-Ryan, Aoife Carolan, Michael John Norton, Siobhan Cussen, Stephen McWilliams, Laoise Renwick, Brian O'Donoghue, Dolores Keating","doi":"10.1017/ipm.2026.10193","DOIUrl":"10.1017/ipm.2026.10193","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to improve the shared decision-making process for those offered antipsychotic medicines by co-designing a suite of accurate and accessible medicines information video resources.</p><p><strong>Methods: </strong>We adopted the four core activities of the Double Diamond Design Thinking Model - Discover, Define, Develop, and Deliver. We first explored the full range of stakeholder needs including pharmacists, psychiatrists, nurses, and most importantly experts-by-experience, in relation to existing antipsychotic medicines information resources. Using a validated tool, we assessed the understandability and actionability of the manufacturer's patient information leaflets and digital resources accessed following an internet search. Using this information, we refined our insights into a clear problem statement and solution.</p><p><strong>Results: </strong>We identified gaps in readability, understandability, and actionability with existing antipsychotic medicines information resources. Consequently, we developed prototype information resources that we iteratively reviewed and validated along with our expert panel of key stakeholders. We uploaded our six antipsychotic medicines information videos to our digital platform where they can be freely accessed by those participating in shared decision-making.</p><p><strong>Conclusions: </strong>Our antipsychotic medicines information videos address an unmet need in the shared decision-making process. Using a human-centred and innovative approach, we prioritised input from key stakeholders to provide clear, accurate, and accessible information to support informed choices in psychosis recovery.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"323-332"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Co-decision-making in the assisted decision-making (Capacity) Act 2015: challenges and complexities. 2015年《辅助决策（能力）法》中的共同决策：挑战和复杂性。
IF 2.5
IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-09-01 Epub Date: 2025-10-21 DOI: 10.1017/ipm.2025.10096
Shaun T O'Keeffe
{"title":"Co-decision-making in the assisted decision-making (Capacity) Act 2015: challenges and complexities.","authors":"Shaun T O'Keeffe","doi":"10.1017/ipm.2025.10096","DOIUrl":"10.1017/ipm.2025.10096","url":null,"abstract":"<p><p>Co-decision-making is the middle of the three new tiers of support for those whose capacity is in question or lacking under the Assisted Decision-Making (Capacity) Act 2015. In co-decision-making, decision-making authority is shared jointly between the person and their chosen co-decision-maker. Co-decision-making is a new and challenging concept and the capacity test to be applied by healthcare professional assessors is complex. I suggest that thinking about the minimum requirements for joint decision-making and about the idea of 'partial capacity' are helpful in determining where co-decision-making fits on a capacity spectrum. Whatever the difficulties, co-decision-making is a core support arrangement in the new law, and there is a responsibility on all seeking to support a relevant person to work to ensure it is a viable and useful option.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"374-379"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145337764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The tides of change: advance healthcare directives and other law reform in Irish mental health care. 变革的浪潮：在爱尔兰精神卫生保健方面推进医疗保健指令和其他法律改革。
IF 2.5
IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-09-01 Epub Date: 2026-08-05 DOI: 10.1017/ipm.2026.10223
Nuala B Kane
{"title":"The tides of change: advance healthcare directives and other law reform in Irish mental health care.","authors":"Nuala B Kane","doi":"10.1017/ipm.2026.10223","DOIUrl":"10.1017/ipm.2026.10223","url":null,"abstract":"<p><p>This Editorial introduces the Special Issue on Advance Decision-Making, Law and Mental Health. This Special Issue presents a wide range of empirical studies and perspective pieces from Irish and international authors on advance healthcare directives and other reforms in mental health and capacity law. It aims to harness an interdisciplinary approach to enrich our understanding of new legislation and how it can shape mental health practice in a person-centred way, while also tackling thorny conceptual and practical challenges in this area.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"247-250"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges in decision-making capacity in the acute hospital setting: two years on from the implementation of the Assisted Decision-Making (Capacity) Act 2015. 急诊医院环境中决策能力的挑战：《2015年辅助决策（能力）法》实施两年以来。
IF 2.5
IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-09-01 Epub Date: 2025-10-10 DOI: 10.1017/ipm.2025.10118
Anne M Doherty, Paul R Matthews
{"title":"Challenges in decision-making capacity in the acute hospital setting: two years on from the implementation of the Assisted Decision-Making (Capacity) Act 2015.","authors":"Anne M Doherty, Paul R Matthews","doi":"10.1017/ipm.2025.10118","DOIUrl":"10.1017/ipm.2025.10118","url":null,"abstract":"<p><p>Two years on from the implementation of the Assisted Decision-Making (Capacity) Act (ADMCA) 2015, significant legal uncertainty persists in Ireland's acute hospitals for the care of people who lack capacity to consent to treatment. Consultation-liaison psychiatrists must navigate a legal landscape where clear lacunae have emerged in the regulation of frequently encountered clinical scenarios. We identify three of these - eating disorders requiring refeeding, refusal of life-saving treatment, and unsafe discharges - where neither the ADMCA nor the Mental Health Act 2001 provide legal authority to intervene. In such cases, the Inherent Jurisdiction of the High Court has become the default mechanism for authorising treatment or deprivation of liberty, raising serious concerns about proportionality, clinical delays and uncertainty, cost, and consistency. We also consider a fourth category of patients who require immediate life-saving treatment, and the legal status of Advance Healthcare Directives in this context. Many of the patients who fall into these categories will have an established or suspected mental illness requiring the clinical input of a consultation-liaison psychiatry team.We contrast Ireland's evolving capacity legislation with developments in England and Wales. Reflecting on these comparisons, we consider the proposed Protection of Liberty Safeguards may provide some clarification but also contain potential risks of becoming unwieldy and bureaucratic and still fail to provide a workable statutory basis for authorising medical <i>treatment</i> in acute hospital settings. A proportionate, patient-centred, and clinically usable legal framework remains urgently needed.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"369-373"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The application of mental health and mental capacity laws to suicide risk. 心理健康和心理能力法对自杀风险的适用。
IF 2.5
IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-09-01 Epub Date: 2026-01-13 DOI: 10.1017/ipm.2025.10167
Elizabeth Wicks
{"title":"The application of mental health and mental capacity laws to suicide risk.","authors":"Elizabeth Wicks","doi":"10.1017/ipm.2025.10167","DOIUrl":"10.1017/ipm.2025.10167","url":null,"abstract":"<p><p>In this article, I explore how the mental health and mental capacity laws in England and Wales can be used for suicide prevention. I criticise the use of compulsion for persons diagnosed with a mental disorder who nonetheless retain decision-making capacity and argue for a greater reliance upon capacity as a distinguisher between autonomous decision-making about the end of life and the risk to life posed by symptoms of mental illness. The label of 'suicide' is also criticised as an outdated legal notion carrying pejorative meaning. Although focused on the law in England and Wales, the arguments apply much more broadly to all jurisdictions seeking to reconcile the demands of respect for life and respect for autonomy.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"398-402"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Report from a conference on 'Advance Healthcare Directives in Mental Health - From Law to Practice'. 关于“精神健康的预先医疗指示——从法律到实践”会议的报告。
IF 2.5
IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-09-01 Epub Date: 2025-10-22 DOI: 10.1017/ipm.2025.10100
Nuala B Kane, Jennifer Allen
{"title":"Report from a conference on 'Advance Healthcare Directives in Mental Health - From Law to Practice'.","authors":"Nuala B Kane, Jennifer Allen","doi":"10.1017/ipm.2025.10100","DOIUrl":"10.1017/ipm.2025.10100","url":null,"abstract":"","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"410-411"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Mental Capacity Act (Northern Ireland) 2016 - progress so far. 2016年《精神能力法》（北爱尔兰）——迄今为止的进展。
IF 2.5
IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-09-01 Epub Date: 2025-10-06 DOI: 10.1017/ipm.2025.10099
Gerard Lynch, Patrick Hann, Adam Flynn
{"title":"The Mental Capacity Act (Northern Ireland) 2016 - progress so far.","authors":"Gerard Lynch, Patrick Hann, Adam Flynn","doi":"10.1017/ipm.2025.10099","DOIUrl":"10.1017/ipm.2025.10099","url":null,"abstract":"<p><p>The Northern Ireland Mental Capacity Act (MCA) fuses mental health and capacity legislation into a single legislative framework for involuntary treatment for all those aged 16 years and over. Impairment of decision-making capacity is a mandatory prerequisite for any interference in a person's autonomy without their consent. Such 'fusion' legislation, as described by Dawson and Szmukler (2008), has the potential to reduce discrimination in the law against psychiatric patients and would apply consistent ethical principles across medical law. This approach was recommended by the Bamford Review in 2007 and the MCA was passed by the Stormont Assembly in 2016. The legislation has not as yet been fully introduced and a phased implementation is being undertaken. This article describes progress so far and discusses measures that are required if the anticipated benefits of fusion legislation are to be realised.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"380-385"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advance healthcare directives - considerations from an Irish perspective. 预先保健指示——从爱尔兰的角度考虑。
IF 2.5
IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-09-01 Epub Date: 2026-04-23 DOI: 10.1017/ipm.2026.10191
Katherine Reidy, Emma Slattery
{"title":"Advance healthcare directives - considerations from an Irish perspective.","authors":"Katherine Reidy, Emma Slattery","doi":"10.1017/ipm.2026.10191","DOIUrl":"10.1017/ipm.2026.10191","url":null,"abstract":"<p><p>This article addresses, in an Irish context, some of the complexities associated with advance planning documents which have been discussed more broadly by Ruck Keene. While the Assisted Decision-Making (Capacity) Act 2015 is an important step forward in Irish law, there remain significant areas of uncertainty. In this regard, the article considers issues around the creation of advance planning documents and difficulties which may arise when they are intended to be activated and compares some of those difficulties with the law in England and Wales.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"354-358"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'Finally, I feel listened to': hearing the voices of those with mental health challenges - using WRAP to formulate an advance healthcare directive. “终于，我感到被倾听了”：听到那些有精神健康挑战的人的声音——使用WRAP制定预先医疗指示。
IF 2.5
IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-09-01 Epub Date: 2026-07-09 DOI: 10.1017/ipm.2026.10203
Michael John Norton
{"title":"'<i>Finally, I feel listened to</i>': hearing the voices of those with mental health challenges - using WRAP to formulate an advance healthcare directive.","authors":"Michael John Norton","doi":"10.1017/ipm.2026.10203","DOIUrl":"10.1017/ipm.2026.10203","url":null,"abstract":"<p><p>In recent years, mental health policy and legislation have changed dramatically, allowing for more human rights-based and recovery-orientated services to come into being. One example of this is the enactment of <i>The Assisted Decision Making (Capacity) Act 2015</i> which allowed for conversations to begin within mental health about respecting the wishes of the person, even when they are in crisis. Within health discourse, this can be achieved through the creation of an advance healthcare directive. However, to date, within mental health services, clinicians, and service users do not have a recognised template that can be adapted for this purpose when a service user loses capacity to make decisions about their own life and care they receive. This paper proposes that Wellness Recovery Action Planning (WRAP), and particularly the crisis and post-crisis planning section of the programme should be used as a potential structure for such advance healthcare directives to be formulated. This is potentially plausible due to how engrained WRAP is in Irish mental health services, the evidence base backing for WRAP as well as the ease of use of the initiative to support overall well-being. As such, this paper has laid out how such plans can be used as an advance healthcare directive in an Irish setting and is also likely to be applicable internationally.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"359-368"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信
小红书