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Deconstructing imposed recovery - clinical perceptions of the legal and administrative framework for managing restricted mental health patients - the experience of one hospital in the independent sector

机译:解构强制恢复-对管理精神健康受限患者的法律和行政框架的临床看法-独立部门中一家医院的经验

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Deconstructing imposed recovery - clinical perceptions of the legal and administrative framework for managing restricted mental health patients - the experience of one hospital in the independent sector Aims and objectives. This paper sets out to address the potentially important issue or issues relating to mental health professionals' views on the arrangements for the management of patients subject to a restricted hospital order. Background. Less-than-optimal outcomes and escalating costs for chronic conditions including mental illness have prompted calls for innovative approaches to chronic illness management in the context of forensic mental health. Design. Report of a survey. A grounded theory approach was used for both 'collecting' and 'analysing' the data. Method. A total of 14 mental health practitioners were interviewed regarding the legal and administrative framework for managing restricted patients and their use of a patient-centred care model to assist restricted patients with serious mental illness to identify their self-management needs. The research interviews were conducted between 2008 and 2009. Conclusions. 'Imposed' recovery and the systemic issues and the value assumptions that health professionals often bring to their interactions with clients need to be explored further. Not until we have serious debate about such issues as will health services fully translate the current rhetoric of collaborative partnership into reality for clinicians and the clients they serve. Relevance to clinical practice. Forensic practitioners must practice within a legal framework and carefully balance the needs and rights of patients against the need to protect the public from harm. Imposed recovery involves a high degree of skill and expertise in terms of risk assessment, risk decision-making and working interpro-fessionally and cooperatively with government agencies.
机译:解构强制恢复-对管理精神受限患者的法律和行政框架的临床看法-独立部门中一家医院的经验目的和目标。本文着眼于解决潜在的重要问题,这些问题涉及精神卫生专业人员对受医院限制令患者的管理安排的观点。背景。对于包括精神疾病在内的慢性疾病而言,结果欠佳和成本不断攀升,促使人们呼吁在法医精神健康的背景下采取创新方法来管理慢性疾病。设计。调查报告。扎实的理论方法用于“收集”和“分析”数据。方法。总共采访了14名精神卫生从业人员,以管理限制患者的法律和行政框架,以及他们使用以患者为中心的护理模式来协助患有严重精神疾病的限制患者确定其自我管理需求。研究访谈在2008年至2009年之间进行。结论。需要进一步探索“突发性”康复,卫生专业人员经常在与客户互动中带来的系统性问题和价值假设。直到我们对此类问题进行认真的辩论,医疗服务机构才能将当前的合作伙伴关系的言辞完全转化为临床医生及其服务客户的现实。与临床实践有关。法医从业人员必须在法律框架内进行练习,并在患者的需求和权利与保护公众免受伤害的需求之间谨慎权衡。强制恢复涉及风险评估,风险决策以及与政府机构进行专业间和合作方面的高度技能和专长。

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