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Creating and establishing a recovery-oriented clinical psychology provision across an acute care mental health pathway. Ethical obligation and clinical reality

机译:跨急性护理心理健康途径创建和建立以恢复为导向的临床心理服务。道德义务与临床现实

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Purpose - The purpose of this paper is to summarise the development of a recovery-oriented and socially inclusive acute care clinical psychology service in one of the NHS Trusts based in East Anglia. It demonstrates the service's compliance with relevant national policies and guidelines, and addresses some of the criticisms directed at acute mental health care in recent years. Both achievements and difficulties are reflected on. Design/methodology/approach - The paper employs an organisational development case example related to applicable clinical practice model, based on national guidelines and policies, in order to demonstrate that it is possible to develop and implement a recovery-oriented clinical psychology practice in acute inpatient mental health care. This is based on the authors, experiences as a public sector clinical psychologists specialising in complex, severe, and enduring mental health needs. Findings - Clinical psychologists may effectively contribute to the development of psychosocially informed and recovery-based multidisciplinary attitudes towards emotional difficulties of individuals admitted to psychiatric wards. Research limitations/implications - Future service development project of similar nature ought to implement standardised measures (e.g. ward atmosphere scales) to increase validity of findings. Practical implications - Despite limited, and continuously decreasing, resources in the NHS it appears possible to develop and establish a successful and objectively repiicable provision of recovery-based psychological services across an entire acute care mental health pathway. Social implications - Recovery-enhancing clinical psychology interventions should not be limited to those receiving care from community-based services only. Building psychologically informed understanding of mental health needs should be employed on inpatient wards too, in order to counterbalance the dominating biomedical models of mental illness. Originalityalue - Dissemination of examples of effective psychosocial practice in acute mental health settings appears largely underrepresented.
机译:目的-本文的目的是总结位于东安格利亚的NHS信托之一中面向恢复和具有社会包容性的急性护理临床心理学服务的发展。它证明了该服务符合相关的国家政策和准则,并解决了近年来针对急性精神卫生保健的一些批评。成就和困难都得到体现。设计/方法/方法-本文采用了基于国家准则和政策的,与适用的临床实践模型相关的组织发展案例示例,目的是证明可以在急性住院患者中制定和实施面向恢复的临床心理学实践心理保健。这是基于作者作为公共部门临床心理学家的经验,他们专门研究复杂,严重和持久的心理健康需求。调查结果-临床心理学家可以有效地发展出以心理社会知情和基于康复的多学科态度对待精神病房患者的情绪困难。研究的局限性/意义-类似性质的未来服务开发项目应实施标准化措施(例如病房大气尺度)以提高发现的有效性。实际意义-尽管NHS中的资源有限且不断减少,但似乎有可能在整个急性护理心理健康途径中开发和建立成功且客观可恢复的基于康复的心理服务。社会影响-增强康复的临床心理干预措施不应仅限于接受社区服务的患者。住院病房也应建立对心理健康需求的心理知情理解,以平衡精神疾病的主要生物医学模型。原创性/价值-在急性精神健康环境中传播有效的社会心理实践实例的人数似乎很少。

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