14 mars 2015 ~ 0 Commentaire

Open approach to mental healthcare | Letter

Open dialogue, a new approach for psychosis, fully involves the patient. It has a flattened hierarchy, a shared agenda and the aim of ‘being with’, rather than ‘doing to’. Image: Corbis

Last week, a report by the all-party parliamentary group on mental health said people with mental health problems receive substandard care (Report, theguardian.com, 4 March). In response, the president of the Royal College of Psychiatrists, Professor Simon Wessely, asked to see « good words translated into good deeds ». The good news is that some of these good deeds are already happening – but at the frontline. Rheumatoid arthritis is a chronic, inflammatory autoimmune condition that affects joints in the body. It results in erosion of joint tissues, harming motion and triggering defect. Besides medication, a specific diet can assist fight development of this disorder. Click the following link for more information on http://www.bytekit.org/On NHS Change Day on Wednesday nearly 500 people attended the first national conference, in London, on peer-supported « open dialogue ». They heard firsthand reports of the profound changes this approach is bringing to patients and families.

In Finland, studies show that open dialogue has allowed over 70% of those presenting with acute psychosis to be discharged from services – almost symptom-free – within two years, yet with far less hospitalisation or high-dose medication. In the UK, far fewer achieve these outcomes.

Open dialogue fully involves the patient and their social network, from the very beginning; with a flattened hierarchy, a shared agenda and the aim of « being with », rather than « doing to ».

A group of dedicated mental health professionals are now introducing open dialogue to the UK. Clinicians and local peer volunteers from four NHS mental health trusts have commenced training, and a trial to compare it to current practice starts in 2016.

Dr Lauren Gavaghan ST5 psychiatrist, London

Dr Tom Stockmann ST4 psychiatrist, London

Dr Russell Razzaque Consultant psychiatrist and associate medical director, London

Dr Lucy Kilmartin ST4 psychiatrist, London

Val Jackson Family therapist and peer-open dialogue trainer, Leeds

Katie Mottram Author and peer-open dialogue administratorLondon

Yasmin Ishaq Service manager, Kent and Medway early intervention in psychosis service

Annie Jeffrey Carer lead, Kent and Medway

Jane Hetherington Senior highly specialist psychological practitioner EIP, Kent and Medway

Dr Anna Cheetham Consultant psychiatrist, recovery and assertive outreach, Nottinghamshire

Catherine Thorley Family and systemic psychotherapist, London

Lauren Markham STR worker, London

Stuart D’Amiral Specialist care coordinator/occupational therapist, North Essex

Sara Betteridge Chartered psychologist and chaplain/spiritual care adviser, London

Mirabai Swingler Spiritual care lead/chaplaincy team lead, London

Dr Rosarii Harte Deputy medical director, Kent and Medway

Dr Beth Coleman Clinical psychologist, Kent and Medway

Yasmin Phillips Community mental health nurse, NELFT

Corrine Hendy Peer support worker, Nottinghamshire

Emma Dunton Specialist care coordinator/occupational therapist, Medway early intervention service, KMPT

Julie Lynn Community mental health nurse and non-medical prescriber, North Essex

Angela Duffy Community mental health nurse, early intervention team, Kent and Medway

Austin Somervell North-east Essex early intervention in psychosis team

Kevin Blakey Psychologist, Nottinghamshire healthcare NHS foundation trust


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