Working With Serious Mental Illness

A Manual for Clinical Practice

3rd Edition - January 24, 2023
Authors: Catherine Gamble, Geoff Brennan
Language: English
Paperback ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 0 3 3 - 3
eBook ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 0 3 4 - 0

When working in the field of mental illness, the best evidence is people’s lived experience. The third edition of Working with Serious Mental Illness maintains its focus on resear… Read more

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When working in the field of mental illness, the best evidence is people’s lived experience. The third edition of Working with Serious Mental Illness maintains its focus on research data, but this is framed by patients’ personal perspectives to provide clear, practical advice for practitioners.

Aimed at nurses and healthcare practitioners working with mental illnesses such as severe depression, bi-polar disorder and psychosis, this book provides solutions for engaging and working with patients and their families. It vividly presents lived experience and the recommendations of patients, then proceeds through developing and implementing effective interventions and how to reflect on patient relationships to ensure sustained success.

Easy to read and packed full of practical tips and strategies, this is the ideal book for all healthcare practitioners working with patients with serious mental illness, their families and their carers. It will also be valuable reading for staff working in acute and community mental care settings who lack specialist training in serious mental health disorders, for nursing students, mental health nurses and general nurses working in mental health, primary care and community settings.

Cover Image
Title Page
Copyright
Table of Contents
Contributors
Preface
Acknowledgments
Section 1 Promoting Understanding
Chapter 1 The User’s Voice: What We Need to Hear
Andrew’s Experience
Hannah’s Experience
Confusion
Shame
Pain
Loss
Losses From the Mental Health System I Entered
Losses Due to the Diagnosis I Was Given
Losses Caused by My Mental Illness
References
Chapter 2 Social Participation
Social Participation
The Roots of Exclusion
Mobilising Participation
Challenging Negative Attitudes and Behaviours
What Can Mental Health Workers Do?
Systemic Change
The Role of Policy: To Support Participation
Conclusion
Further Reading
References
Chapter 3 Stress Vulnerability Model of Serious Mental Illness
Introduction
Components of Stress Vulnerability
Stress Vulnerability and Recovery
Coping and Prognosis
Conclusion
Further Reading
References
Chapter 4 Working With the Principles of Trauma-Informed Care
Overview
Introduction
Principles of a Trauma-Informed Approach
Core Principles of Trauma-Informed Care
Practitioner Dynamics and Owning the Challenge of Collaboration
Working With TIC
CASE 4.1 A Positive Recovery Journey
Conclusion
Annotated Reading
Further Reading
References
Chapter 5 Where Does PSI Fit With Recovery?
Introduction
What Are Psychosocial Interventions?
Principles of PSI
Conclusion
References
Section 2 Engaging, Assessing, and Agreeing Care
Chapter 6 Building Relationships
Introduction
Beginnings: Understanding Context and Perspective
Middles: The Abiding Qualities of Working With Others
The Importance of Self-Care
Conclusion
Further Reading
References
Chapter 7 Assessment in Practice: Diagnosis
Introduction
Attitudes and the Right Framework
Organisational Framework for Assessment: Lists, Form, Content
Diagnosis: The ‘Top-Down’ Approach
Conclusion
Further Reading
References
Chapter 8 Consolidating the Assessment Process
Introduction
The Semi-Structured Interview
Core Elements of the Information-Gathering Process
Further Reading
References
Chapter 9 Parity of Esteem
Introduction
What Every Health Professional Should Know
Parity of Esteem: The Scope and Scale of the Challenge
The Effective Delivery of Healthcare
Advocating for Equity in Healthcare: Reasonable Adjustment
Conclusion
Further Reading
References
Section 3 Engaging, Assessing, and Agreeing Care
Chapter 10 Modern Risk Management
Introduction
Political Backdrop to Risk Assessment
Modern Risk Assessment
Factors in Risk Assessment and Management
Assessing Risk
Risk Formulation
Conclusion
Other Resources
Further Reading
References
Chapter 11 Dealing With Voices and Strange Thoughts
Introduction
Adjusting the Therapeutic Approach to Suit People Who Experience Psychosis
Understanding and Addressing the Impact of Symptoms on the Therapeutic Relationship
Understanding Voices and Strange Thoughts in the Context of the Person’s Life History
Thorough Assessment and Limited Self-Monitoring
Developing a Shared Understanding of the Impact
Different Levels of Belief
Coping With Voices and Strange, Worrying Thoughts
Dealing With Strange, Worrying Beliefs
Control Over Voices
Conclusion
Further Reading
References
Chapter 12 Assisting the Person With Motivation
Introduction
What Are Negative Symptoms?
Promoting Motivation
Getting Back Into the Social World
Conclusion
Further Reading
References
Chapter 13 Assisting Families and Informal Carers
Introduction
What Constitutes a Family?
Engagement Process
Working With a Family: Evaluating the Process
Conclusion
Further Reading
References
Chapter 14 Assisting the Person With Drug and Alcohol Issues
Introduction
Underpinning Principles
Current and Recent Use
Interventions
Summary of Practical Strategies
Conclusion
Further Reading
Useful Links
References
Chapter 15 Working With Anger in the Context of Serious Mental Illness
Introduction
How Anger Is Identified and Understood
How Is Anger Usefully Defined?
What Makes People Angry?
What Makes People With a Mental Disorder Vulnerable to Lapses in Anger Control
How Anger Relates to Aggression
Strategies for Responding to Anger Safely in Mental Health Services
Conclusion
References
Chapter 16 Working With Complex Cases
Introduction
Part 1: Conceptual and Theoretical Viewpoints
Part 2: Clinical Issues
Conclusion
Further Reading
References
Chapter 17 Assisting the Person With Medication
Introduction
Antipsychotic Medications
Appropriateness: Aim, Objectives, and Need for Treatment
Effectiveness of Treatment
Safety
Interpreting Assessment Results
Patient-Centred Care
Conclusion
Further Reading
References
Chapter 18 Recovery: Assisting the Person to Stay Well
Introduction
What Is Recovery?
Principles Underlying the Recovery Philosophy
A Counterbalance: Criticism of Recovery
Macro to Micro: Reflecting on Recovery
Recovery Colleges
Making It Real
Conclusion
Further Reading
References
Section 4 Considerations for Effective Practice
Chapter 19 Understanding the Cultural Context
Introduction
Culture, Race, Ethnicity, and Identity
Health and Social Inequalities AmongstCommunities Who Are Marginalised
Conclusion
References
Chapter 20 Looking After Ourselves: Wellbeing, Resilience, and Self-help Strategies
Introduction
Burnout
Motivational Drivers and Unconscious Defences Against Anxiety
To Be One’s Own Nurse
Aspects of Wellbeing
Resilience and Coping
What Are the Implications for Professional Carers?
Practical Self-Help Strategies
Getting Back in the Driver’s Seat
Conclusion
References
Index

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Working With Serious Mental Illness

A Manual for Clinical Practice

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Catherine Gamble

Geoff Brennan