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Joy Duxbury and Brodie Paterson
Tackling the problem of aggression and violence in health care is high on the agenda for healthcare professionals. In an endeavour to protect both patients and staff alike when…
Abstract
Tackling the problem of aggression and violence in health care is high on the agenda for healthcare professionals. In an endeavour to protect both patients and staff alike when managing aggressive behaviour, the use of physical restraint is under scrutiny, particularly as a result of the reported deaths of a number of patients whilst being restrained. The challenges of employing this type of intervention, implications for safe and effective practices and the need for the suitable training of staff are explored in this paper.
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Mick McKeown, Steve Robertson, Zemikael Habte‐Mariam and Mark Stowell‐Smith
This paper reports on key findings from the practice survey wing of a broader knowledge review into mental health advocacy with African and Caribbean men funded by the Social Care…
Abstract
This paper reports on key findings from the practice survey wing of a broader knowledge review into mental health advocacy with African and Caribbean men funded by the Social Care Institute for Excellence (SCIE). Selected themes from the analysis are discussed in the light of theory regarding ethnicity, masculinity and mental health. Conclusions are drawn that suggest that understandings of mental health and advocacy within black communities are congruent with ideologies of holism, recovery and transformational goals for services and society at large. This is in contrast to experiences in mainstream mental health services which privilege a relatively narrow medical model and treatments that are emasculating. The empowerment and emancipatory potential wrapped up in both individual and collective notions of advocacy can be seen as one part of a resistance to oppressive practices and a means of reclaiming personal efficacy and potency by virtue of challenging emasculation in services.
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The draft Mental Health Bill 2004 proposes transfer of the main monitoring functions of the Mental Health Act Commission (MHAC) to the Healthcare Commission (or in practice…
Abstract
The draft Mental Health Bill 2004 proposes transfer of the main monitoring functions of the Mental Health Act Commission (MHAC) to the Healthcare Commission (or in practice whatever body succeeds the Healthcare Commission) with the abolition of the MHAC on implementation of the Bill when enacted. This paper describes the present role and remit of the Mental Health Act Commission, outlines the government's strategy on inspection and regulation and identifies the importance of protecting the rights of vulnerable adults and children with mental disorders. The reasons for retaining independent scrutiny and inspection of mental health services are explored and structures and mechanisms that might assist in achieving an effective regulatory environment are proposed.
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Gail Miller, Brodie Paterson, Richard Benson and Paul Rogers
Traditional methods of addressing workplace violence have relied almost solely on reactive measures. Methods of de‐escalation, strategies to calm the already distressed person…
Abstract
Traditional methods of addressing workplace violence have relied almost solely on reactive measures. Methods of de‐escalation, strategies to calm the already distressed person down by means of positive communication, or responding to an actual or potential act of violence by means of physical control have formed the focus of training initiatives provided for staff. This approach has suggested an acceptance of the premise that violence in certain services is an inevitable problem that must be managed. This paper proposes that many incidents can be prevented and outlines the emerging evidence to support a structured, holistic approach. Additionally, it provides an overview of the recent policy agenda, the evidence base and examples of some recent and ongoing development work that attempts to change practice.
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The Sainsbury Centre for Mental Health has recently published a briefing paper on employment support for people from black and minority ethnic (BME) communities who have mental…
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The Sainsbury Centre for Mental Health has recently published a briefing paper on employment support for people from black and minority ethnic (BME) communities who have mental health problems. The author of the paper, Patience Seebohm, summarises some key issues from the paper here.
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The London Borough of the Isle of Dogs provides the venue for the 14th Anglo Welsh Book Fair in its nouveau‐brutaliste Barbarian Centre. Soft music and a male stripper on the…
Abstract
The London Borough of the Isle of Dogs provides the venue for the 14th Anglo Welsh Book Fair in its nouveau‐brutaliste Barbarian Centre. Soft music and a male stripper on the Farago stand confirms that this event has now arrived on the international bookworm calendar.
Introduced by John H. Clark, the Map of Mental States is a geometrical model of a human mental life. In spite of its simplicity, it takes into account the most essential variables…
Abstract
Introduced by John H. Clark, the Map of Mental States is a geometrical model of a human mental life. In spite of its simplicity, it takes into account the most essential variables characterizing the mind. Deals with three important types of mental life which can be represented on the Map: mystical states, mental illnesses and drug states. The exact numerical positions of the states have been established on the Map, for the most known mystical path, for some mental illnesses and for two typical drugs. Rectilinear and curvilinear distances between corresponding states have been calculated and perspectives of such a study have been shown.
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The failings of “community care” in the late 1980s and early 1990s led to a number of inquiries. The purpose of this paper is to examine one of these key issues that is rarely if…
Abstract
Purpose
The failings of “community care” in the late 1980s and early 1990s led to a number of inquiries. The purpose of this paper is to examine one of these key issues that is rarely if ever at the forefront of the inquiry process – the experiences of young black men of African-Caribbean origin within mental health services and the Criminal Justice System (CJS).
Design/methodology/approach
It sets out to do this by exploring the way in which two inquiries, both from the early 1990s, approached the issues of race, racism and psychiatry. The two inquiries are the Ritchie Inquiry (1994) into the Care and Treatment of Christopher Clunis and Report of the Committee of Inquiry into the death of Orville Blackwood and a Review of the Deaths of Two Other African-Caribbean Patients (Prins, 1994). The Ritchie Inquiry was established following the murder of Jonathan Zito by Christopher Clunis. The Prins Inquiry examined the circumstances of the death of Orville Blackwood at Broadmoor Special Hospital.
Findings
These two inquiries are used as contrasting case studies as a means of examining the approaches to the questions of race and racism. However, the attitudes and approaches that the inquiries took to the issue of race are startlingly different. The Prins Inquiry takes a very clear position that racism was a feature of service provision whilst the Ritchie Inquiry is much more equivocal.
Originality/value
These issues remain relevant for current practice across mental health and CJS systems where young black men are still over-represented. The deaths of black men in mental health and CJS systems continue to scar these institutions and family continue to struggle for answers and justice.
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It's not enough to simply acquire alternative and small‐press materials. They must also be made easily accessible to library users by means of accurate, intelligible, and thorough…