{"title":"More bad news for nursing?","authors":"M Clinton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 4","pages":"147-8"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032522","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}
{"title":"A response from Britain.","authors":"K Gournay","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 4","pages":"149-52"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032523","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}
R J Hafner, A Crago, D Christensen, B Lia, A Scarborough
{"title":"Training case managers in cognitive-behaviour therapy.","authors":"R J Hafner, A Crago, D Christensen, B Lia, A Scarborough","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Four case managers with a nursing background took part in a 26 week in-service programme aimed at developing basic skills in cognitive-behaviour therapy. The programme occupied about 5 hours each week and included directly supervised therapy with at least 4 patients having serious mental illness. Patients' symptoms improved significantly after an average of less than 12 one hour therapy sessions. After the programme, case managers began treating patients autonomously, although all recognised the need for some continuing supervision and the necessity of referring unusually complex or challenging cases to clinical psychologists or others highly skilled in the area.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 4","pages":"163-70"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032525","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}
{"title":"Seclusion or solitary confinement: therapeutic or punitive treatment?","authors":"G A Farrell, G Dares","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper is a review of the age-old problem of seclusion in relation to the prison practice of solitary confinement. The article challenges the stance that seclusion is a therapeutic intervention and it questions the idea that security is compromised when seclusion practices are reduced. The paper explores what appears to be semantic rather than fundamental differences between these two containment practices and suggests that staff attitudes, including a unit's culture, remain crucial factors in determining seclusion practices and not, as one might expect, patient behaviours. Alternatives to seclusion are explored.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 4","pages":"171-9"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032526","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}
{"title":"Tertiary psychiatric nursing graduates: something different or more of the same?","authors":"B Happell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nursing education was transferred to the tertiary sector as the result of perceived inadequacies of the hospital-based system. The degree to which tertiary-based psychiatric nursing education has, in Victoria, redressed these deficiencies is considered. This paper focuses upon research conducted with registered psychiatric nurses to ascertain their perception of the difference between tertiary and hospital-based psychiatric nursing graduates. The graduates were interviewed during their third year of study and again at the end of their first post-graduate year. The data collected from these interviews were supported by interviews with educators from the tertiary and hospital-based courses. The interview data as a whole emphasized characteristic differences between hospital and tertiary graduates and underlined the potential advantages of the tertiary course.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 3","pages":"112-9"},"PeriodicalIF":0.0,"publicationDate":"1996-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032518","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}
{"title":"What's happening with consumer participation?","authors":"E Berger, A Carter, D Casey, L Litchefield","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Consumer empowerment, both individually and within the service, is a growing trend in mental health. This trend is such that consumers are having more input into the service being provided. Shared control is a wave of the future, thereby increasing consumer empowerment not only within the service but within our own lives. The road is long and there are many bumps along the way for both the consumer and the health worker, yet the results of consumers leading quality lifestyles gives other consumers hope that they too can be capable of being active participants rather than relying on others to take care of them.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 3","pages":"131-5"},"PeriodicalIF":0.0,"publicationDate":"1996-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032520","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}
{"title":"Quality of life in the families of young people with intellectual disabilities.","authors":"G Browne, P Bramston","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper reports on an investigation into quality of life in the families of young people with intellectual disabilities. Quality of life is an emerging area of research in nursing, therefore some of the theoretical issues in definition and measurement of quality of life are discussed. These issues include objective and subjective dimensions, and the neglected issue of the importance of these dimensions. Families with a member with an intellectual disability were found to have lower objective and subjective quality of life scores but were no different from the control group on the importance dimension. This finding implies that they have similar aspirations to other families but are unable to satisfy these aspirations. Implications of the findings of the study for policy makers and service delivery agencies are discussed.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 3","pages":"120-30"},"PeriodicalIF":0.0,"publicationDate":"1996-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032519","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}
{"title":"Media coverage in the wake of tragedy.","authors":"M Clinton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 3","pages":"93-4"},"PeriodicalIF":0.0,"publicationDate":"1996-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032641","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}
{"title":"Cutting up: signifying the unspeakable.","authors":"M Crowe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article uses a feminist framework to explore women's self-injurious behaviour in response to abuse. It deals specifically with 'cutting up' as a response to physical or sexual abuse. The position pursued regards the body as an inscriptive surface that provides an interface between subject/object and explores how women may lack a means by which to signify to others what their experience means to them. The language available to women does not always provide an adequate means of self-expression. This inadequacy of language often leaves women with no option but the use of non-verbal corporeal inscription. It is proposed in this paper that 'cutting up' is a means of establishing a sense of self while perpetuating a sense of the body as a site for abuse. Discursive constructions of femininity and mental illness perpetuate both the abuse and what is being signified by the act of 'cutting up'. It is argued that this framework for understanding self-injurious behaviours will provide the mental health nurse with an approach to nursing interventions that acknowledges the woman's needs, while at the same time offering the opportunity to signify distress in a manner that does not perpetuate the body's role as an object of abuse.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 3","pages":"103-11"},"PeriodicalIF":0.0,"publicationDate":"1996-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032517","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}
{"title":"Issues in casemix funding for acute inpatient psychiatric services and their relevance to mental health nursing.","authors":"S Fanker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With increased recognition by government, health administrators, and clinicians of the need to simultaneously contain health expenditure, improve the productivity and efficiency of health services and maintain quality of patient care, applications of casemix funding have been advocated as an alternative means of financing acute hospital care. Currently in Australia, the Commonwealth's casemix development program is encouraging the States and Territories to participate in certain casemix initiatives. Acute psychiatric hospital care and treatment have been excluded from the initial stages of the implementation of casemix in recognition of a number of inherent obstacles or challenges affecting the utility and accuracy of casemix in funding the psychiatric sector. Despite anecdotal claims that the reduced length of stay that often occurs under casemix payment systems may negatively impact upon the quality of care and patient outcomes, to date little empirical research has been directed towards measuring the potential impact of psychiatric casemix on the quality of patient care. Psychiatry cannot afford to ignore the casemix debate on account of its current exclusion from the early phases of implementation. To do so is to run the risk of having casemix imposed at some later stage in the absence of consultation. In the meantime it is vital that mental health professionals, including nurses, participate in the development and implementation of casemix, and contribute to research aimed at increasing or maximizing the relevance of casemix to the funding of psychiatric services.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 3","pages":"95-102"},"PeriodicalIF":0.0,"publicationDate":"1996-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032642","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}