International journal of mental health nursing最新文献

{"title":"Are Mental Health Crisis Assessment and Treatment Teams Getting Busier and Managing Increased Complexity?","authors":"Euan Donley","doi":"10.1111/inm.70368","DOIUrl":"https://doi.org/10.1111/inm.70368","url":null,"abstract":"<p><p>For several decades crisis assessment and treatment teams (CATTs) have been an integral part of community mental health treatment. Since their implementation, however, there has been a significant shift in demand and complexity for the general community requiring acute mental health response. This change coincides with a worldwide mental health workforce shortage and a need to utilise more novice clinicians. This study aimed to examine any change in workload and complexity for the population the CATTs support. A total of 100 files were audited over a 7-year period examining caseload and scenarios associated with complexity in health. After coding, a clinically inspired formula was developed utilising theoretical principles to produce a total complexity score and examine any changes. Findings reveal that caseloads have increased, along with the level of complexity according to the formula index and risk CATTs respond to. With the likely limitation of increased resources through additional mental health clinicians, organisations need to consider how to support emerging clinicians-and the senior clinicians who might support them-while balancing increased caseload and complexity. The use of specialist consultants and relevant training may ease this burden while supporting people experiencing a mental health crisis. The complexity index may also be a useful starting point for measuring CATT complexity.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 5","pages":"e70368"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120853","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":"Response to the Letter to the Editor: Methodological Concerns About a Mental Health Nursing Curriculum Redesign.","authors":"Jane Fisher, Simon Baverstock, Gareth Bell, Jayne Firestone, April Ingleby, Julie McCartney, Eve Potts, Diane Roberts, Michael Smith, Donna Steele","doi":"10.1111/inm.70352","DOIUrl":"https://doi.org/10.1111/inm.70352","url":null,"abstract":"","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 5","pages":"e70352"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140003","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":"Mental Health Care at the Borders of Youth, Trauma and Migration: An Exploratory Survey of Mental Health Practitioners.","authors":"Richard West, Wanyu Flora Yennyuy, Carmel Bond","doi":"10.1111/inm.70365","DOIUrl":"10.1111/inm.70365","url":null,"abstract":"<p><p>Young asylum seekers and refugees often present with complex mental health needs arising from forced migration, trauma and ongoing legal uncertainty. Existing evidence indicates that mental health practitioners frequently report lower confidence in assessment and intervention when working with asylum seekers and refugees; however, most research to date has focused on adult populations. An exploratory qualitative survey containing open-ended questions was distributed to mental health practitioners between 1 June and 1 September 2025. Interpretive description guided the inductive analysis of free-text responses from 116 UK practitioners, of whom over half reported low confidence in working with young asylum seekers and refugees. Three key themes were identified: development of professional confidence, cultural responsiveness and constrained agency. Despite a strong commitment to equitable care, low confidence hinders effective practice. Targeted training for mental health practitioners and protected supervision could enhance practitioner confidence and care quality.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 5","pages":"e70365"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community Mental Health Workers' Experiences of Care-Coordinating Hospital Discharge of Patients With Diagnosis of Mental Health Condition Into Community Mental Health Integrated Services in the Northwest of England.","authors":"Samuel Ndoro, Guillermo Perez Algorta, Caroline Swarbrick","doi":"10.1111/inm.70334","DOIUrl":"https://doi.org/10.1111/inm.70334","url":null,"abstract":"<p><p>The significance of community mental health workers in coordinating hospital discharge of patients with diagnosed mental health conditions is globally recognised, yet research on their experiences is scarce. This study contributes to knowledge through a qualitative empirical intrinsic case study of community mental health workers' experiences. This study aimed to explore community mental health workers' experiences of care-coordinating patients diagnosed with mental health conditions discharged from the hospital into community mental health integrated services. Guided by constructivist inquiry, the qualitative study focused on co-constructing meaning to understand community mental health workers' experiences in care coordination. Two theoretical lenses informed the study: Ecological Systems Theory, to understand multi-level influences, and Normalisation Process Theory, to explore how care coordination practices are embedded in discharge processes. Fourteen community mental health workers aged 18 and above were recruited from one NHS Trust in Northwest England from October 2021 to June 2022. Data were collected through semi-structured interviews, audio-recorded, transcribed verbatim, and analysed using reflective thematic analysis, generating themes and subthemes. Analysis identified 13 subthemes grouped into four major themes: (1) Experiences of collaborative working; (2) Challenges and enablers to care coordination; (3) Experiences of organisational system and culture; and (4) Community Mental Health Workers' personal experiences of professional growth. Findings highlight poor communication, staff shortages, high caseloads, limited community mental health services, and challenges in care coordination. The study provides valuable insights for improving community mental health workers' clinical practice and informs future research and policy development in community mental health care.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 5","pages":"e70334"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13628696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to 'De-Escalation in United Kingdom Inpatient Mental Health Care: A Structured Critical Narrative Synthesis of People, Capability and Context'.","authors":"","doi":"10.1111/inm.70376","DOIUrl":"https://doi.org/10.1111/inm.70376","url":null,"abstract":"","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 5","pages":"e70376"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129406","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":"De-Escalation in United Kingdom Inpatient Mental Health Care: A Structured Critical Narrative Synthesis of People, Capability and Context.","authors":"Ndukwe Walter Ugwuocha, Simon Neilson, Alexander Challinor, Chengeto Shoko, Deborah Aluh, Oladayo Bifarin","doi":"10.1111/inm.70364","DOIUrl":"10.1111/inm.70364","url":null,"abstract":"<p><p>Aggression and violence remain persistent challenges in inpatient mental health services, with significant implications for patient safety, staff wellbeing, therapeutic relationships and the continued use of restrictive practices. Although de-escalation is widely promoted as a first-line, non-coercive response to distress and behavioural escalation, its implementation remains inconsistent and the evidence base is fragmented across relational, educational, organisational and policy literatures. This paper reports a structured critical narrative synthesis of United Kingdom-relevant empirical, theoretical, policy and practice literature examining de-escalation, staff training, restrictive-practice reduction and organisational responses to aggression and violence in adult inpatient mental health care. Literature published between January 2014 and March 2024 was identified through searches of Scopus, CINAHL, PubMed/MEDLINE, ProQuest and Web of Science, supplemented by reference-list screening and targeted grey-literature searches. Sources were selected for their relevance to adult inpatient mental health settings and their contribution to understanding how de-escalation is enacted, supported and sustained. Given the heterogeneity of the evidence, design-appropriate appraisal principles informed by the Critical Appraisal Skills Programme and Mixed Methods Appraisal Tool were used to support interpretation. The synthesis identified three interdependent domains shaping de-escalation practice: People, Capability and Context (PCC). Therapeutic relationships, communication, emotional intelligence and service-user involvement underpinned early recognition of distress and relationally attuned responses. Workforce capability was strengthened through simulation, reflective learning, team rehearsal and practice-proximal evaluation. Organisational context, including staffing, leadership, ward environment, safety culture, equity safeguards and wider structural determinants, shaped whether de-escalation could be enacted consistently and safely. These findings generated the PCC framework as a practice-facing model that conceptualises de-escalation as an emergent practice arising from alignment between relational processes, workforce capability and organisational conditions. The framework offers a practical basis for guiding restrictive-practice reduction, quality improvement, equity-sensitive monitoring and future empirical research in inpatient mental health care.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 5","pages":"e70364"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13598621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to 'Mental Health Care at the Borders of Youth, Trauma and Migration: An Exploratory Survey of Mental Health Practitioners'.","authors":"","doi":"10.1111/inm.70378","DOIUrl":"https://doi.org/10.1111/inm.70378","url":null,"abstract":"","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 5","pages":"e70378"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172171","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":"Suicide in People With Co-occurring Substance Use and Mental Health Conditions: An Integrative Literature Review to Inform Risk Formulation in Mental Health Nursing.","authors":"Rebecca Marshall, Anita Green, Magdalena Zasada, Caroline Nicholson","doi":"10.1111/inm.70375","DOIUrl":"10.1111/inm.70375","url":null,"abstract":"<p><p>People with co-occurring substance use and mental health conditions experience disproportionately high levels of suicidal ideation, attempts and deaths compared with those with either condition alone, yet guidance for suicide risk formulation in this group is limited. This integrative literature review synthesised evidence on suicidality in adults with co-occurring conditions, identified risk and protective factors, and refined risk formulation approaches for mental health nursing. Using Whittemore and Knafl's methodology and Toronto and Remmington's stepwise guidance, CINAHL, Embase, Medline and PsycInfo were searched without date limits. Empirical studies of adults with co-occurring substance use and mental health conditions were included, alongside relevant grey literature; specialist populations (e.g., prison, veteran, neurological/developmental) were excluded. Thirty-three quantitative studies and six grey literature sources (total n = 39; 35 883 participants across 19 countries) were appraised using Critical Appraisal Skills Programme tools and the AACODS checklist. Co-occurring conditions were consistently associated with elevated suicidality, especially mood disorders, notably depression, combined with alcohol use disorder. Risk factors were mapped onto an extended 5Ps model: presenting, predisposing, precipitating, perpetuating and protective domains, with an additional Patient Experience domain to capture barriers to care, service dissatisfaction and stigma. Protective factors were comparatively scarce. Applying the Integrated Motivational-Volitional model highlighted psychological processes, including mental pain, perceived burdensomeness, impulsivity and access to means, that may contribute to suicidal behaviour. For mental health nurses and other mental health professionals, incorporating patient experience and IMV-informed processes into an extended 5Ps framework may support more thorough suicide risk formulation and the development of safety and treatment plans that promote safer, more equitable and integrated care for people with co-occurring conditions.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 5","pages":"e70375"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence in Mental Health Care: Implications for Psychiatric Mental Health Nursing-A Scoping Review.","authors":"Euna Si, Ki Han Kwon","doi":"10.1111/inm.70361","DOIUrl":"10.1111/inm.70361","url":null,"abstract":"<p><p>AI is increasingly being integrated into mental health support, with applications spanning chatbots, large language models, digital therapeutics and clinical decision-support systems. Although these technologies have demonstrated potential to improve access to care and support clinical practice, their implications for psychiatric mental health nursing (PMHN) remain insufficiently synthesized. This scoping review aimed to examine how AI is being applied in mental health care and to synthesize its implications for psychiatric mental health nursing practice and related nursing-relevant outcomes. A scoping review was conducted following established scoping review methodology and reported in accordance with the PRISMA Extension for Scoping Reviews (PRISMA-ScR). Searches were conducted across four databases for studies published between January 2022 and May 2026. A total of 42 sources of evidence met the inclusion criteria. Five overarching themes were identified: (1) AI-based psychosocial interventions and mental health care delivery; (2) suicide prevention and risk management; (3) therapeutic relationships and human-centred care; (4) ethics, safety and governance; and (5) nursing readiness, education and professional transformation. AI applications were associated with improved accessibility of mental health support, enhanced symptom management and more efficient risk assessment. However, concerns regarding privacy, algorithmic bias, transparency and the preservation of therapeutic relationships were consistently reported. AI demonstrates considerable potential to support care delivery, suicide prevention and clinical decision-making, yet raises important ethical, relational and professional challenges. AI should be viewed as a complementary tool that supports rather than replaces psychiatric mental health nursing practice. Educational programmes should strengthen AI literacy, digital ethics and critical appraisal skills to support safe and person-centred AI integration.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 5","pages":"e70361"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077033","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":"Reducing Caregiver Burden in First-Episode Psychosis: Effects of a Psychoeducational Pathway Led by an Advanced Practice Nurse-A Multicentre Stepped-Wedge Randomized Trial.","authors":"Damasceno Caroline, Haesebaert Julie, Subtil Fabien, Rey Romain, Haesebaert Frédéric","doi":"10.1111/inm.70373","DOIUrl":"10.1111/inm.70373","url":null,"abstract":"<p><p>Family caregivers play a pivotal role in the recovery of people experiencing first-episode psychosis (FEP). However, they may suffer from high levels of psychological distress and lack access to structured support. Although international recommendations highlight the need for psychoeducational interventions for caregivers, their implementation in France remains limited. This study aims to evaluate the impact of a structured, multicomponent support pathway, coordinated by advanced practice nurses (APNs), for family caregivers of people with FEP. This multicentre, stepped-wedge (cluster with sequential permutation) randomized controlled trial involves six centres specializing in FEP in France. The intervention includes an initial consultation conducted by an APN, a single-family psychoeducational programme (BREF) and a multifamily psychoeducational programme (PEPs Aidant). The primary outcome measure is the change in caregiver burden between 0 and 6 months. Secondary outcome measures include caregiver mood, self-efficacy and quality of life, as well as patient engagement and perception of recovery. A qualitative study will explore the processes and experiences related to the implementation of the intervention. The reporting of the study follows the SPIRIT guidelines. The intervention aims to reduce caregiver burden, improving their coping strategies and self-efficacy and strengthening patient engagement. The results should enable the development of evidence-based guidelines for structured caregiver support in FEP services. This project aims to provide families with support and a structured, coordinated care pathway led by advanced nurse practitioners with rigorous comparative evaluation and potential generalization to other FEP services. The present trial has been registered in the ClinicalTrials.gov database (NCT07041463) since 26 June 2025.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 5","pages":"e70373"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13656333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}