{"title":"Clozapine: exploring clients' experiences of treatment.","authors":"M McAllister, R Chatterton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper presents the results of a case study exploring the subjective experience of Clozapine treatment in 10 clients at a major Australian psychiatric hospital. Data were categorized into: subjective improvements, observed improvements, subjective expression of concerns, side effects, and goals for the future. Responses provide direction for individualized mental health nursing care. For example, rehabilitation is ideally focused on each person's needs and goals. Such needs can best be identified by ongoing exploration of subjective and objective information.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 3","pages":"136-42"},"PeriodicalIF":0.0,"publicationDate":"1996-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032521","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":"Family centred outreach for forensic psychiatry clients.","authors":"L James","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper will describe issues arising from a National Mental Health Project funded programme. This programme which is currently operating in Victoria, aims to provide assertive outreach support to the families of clients who have a psychiatric disability with a forensic history, and to the clients themselves. The support offered to families and clients by the Epistle Post Release Service was provided on the basis that patients with a major mental illness are prone to stress-related breakdown. By addressing their needs in a community setting, together with the provision of psychoeducation, emotional support and practical assistance, anxiety levels are diminished in both families and clients with the result that relapse and reoffending rates are reduced.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 2","pages":"63-8"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032637","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":"Who cares for the mentally ill? Theory and practice hours with a 'mental illness' focus in nursing curricula in Australian universities.","authors":"G A Farrell, J M Carr","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Should we be concerned about the amount of undergraduate and postgraduate theory and practice hours nurses undertake caring for people with mental illness? Information on mental health curricula was sought from all university schools of nursing in Australia. There was an 84% response rate. For undergraduate courses the findings indicated great variability among schools. In one school students had 30 hours theory and no practice hours, compared with another school's 128 hours of theory and 200 practice hours. Few courses were available at the postgraduate level and the content of these courses did not appear to reflect students' previous experience in mental health/psychiatric nursing. This implies that students could graduate with limited practical experience. Without a clearly articulated career pathway, based on nationally agreed practice and educational requirements, it is difficult to see how mental health/psychiatric nurses can continue to claim they belong to a professional specialist discipline.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 2","pages":"77-83"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032639","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":"Where's the person? Where's the patient?","authors":"S A Smoyak","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 2","pages":"51-2"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032635","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":"Community nursing issues in Maori mental health.","authors":"A Street, C Walsh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper derives from the first study of its kind to explore the issues and implications of a new role for mental health nurses at a time when the health care system in New Zealand was undergoing rapid changes and a new Mental Health (Compulsory Assessment and Treatment) Act 1992 had been implemented. This praxis research study utilized interviews and focus groups to address a range of issues in the practice of mental health nurses. This paper reports on the competing cultural perspectives in the nursing care provided to Maoris. This is an important issue for the community in bicultural New Zealand, and has clear relevance to mental health nursing in multicultural communities.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 2","pages":"54-62"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032636","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":"Establishing a therapeutic milieu with adolescents.","authors":"D Creedy, M Crowe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Adolescents with acute psychiatric illness need an environment that emphasizes containment, structure, support, involvement and validation. Within such an environment therapeutic relations based on collaboration can be developed. However, these relations require nursing actions that facilitate adolescents' acceptance of containment, their ability to form attachments and development of achievement. The proposed collaborative approach for nursing care positions the adolescent as an active participant in the treatment process. The collaborative approach encourages a sense of responsibility for self and enhances the adolescent's skills to cope with situations and relations that pose difficulties through the development of self-awareness and problem-solving abilities.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 2","pages":"84-9"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032640","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":"Child sexual abuse: working with survivors.","authors":"J Gillette","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper addresses child sexual abuse and its consequences for adult survivors. Research is presented which demonstrates the increased incidence of child sexual abuse in adult psychiatric populations and the relevance of child abuse for mental health nursing practice is explored. Discussion then focuses on the personal and interpersonal difficulties confronted by survivors of abuse. Strategies that mental health nurses can use when working with survivors on abuse issues are discussed.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 2","pages":"69-76"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032638","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":"No good news from the United Kingdom.","authors":"M Clinton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 2","pages":"49-50"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032634","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":"Focus group interviews as a tool for psychiatric nursing research.","authors":"B Happell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper explores the potential of focus group interviews in psychiatric nursing research. The main advantage of focus groups lies in allowing a larger number of participants to be included in the research, promoting greater discussion and idea generation than would be possible in individual interviews. However, as a research method the focus group is relatively unknown in psychiatric nursing and is therefore underutilized. The purpose of this article is to outline the potential advantages and disadvantages of focus groups as a research method. The process of focus group interviews is illustrated by the author's own experience with this method.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 1","pages":"40-4"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032633","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":"Rethinking acute inpatient care.","authors":"B Thomas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Significant opportunities now exist for the treatment and care of people with mental illness and a range of community facilities are often provided. However, the specific role of the psychiatric inpatient unit within a comprehensive mental health service continues to be a focus of debate. In England, the Department of Health's policy is that specialist psychiatric services should target their efforts toward severely mentally ill people to ensure that they receive the treatment, care and follow up that they need. The current use of beds by those with severe mental illness has recently been reviewed at the Bethlem Royal and Maudsley Hospitals by examining a sample of 1000 people admitted to six acute wards over a two year period. The results suggest that the majority of people are admitted to hospital appropriately. However, research on inpatient wards reveals that nurses are not coping effectively with the changing inpatient population. Patient care plans often reveal a lack of co-ordination and clinical focus. It is proposed that greater attention to the reasons for admission to hospital will highlight priorities for care, leading to more purposeful interventions and ultimately better use of resources.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 1","pages":"32-9"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032632","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}