'Your personality is the intervention': a grounded theory of mental health nurses’ beliefs about hope and experiences of fostering hope within a secure setting

Hope is an important factor in psychological resilience and change, and recovery from mental health difficulties. Recently, there has been an increased focus on recovery-oriented practice within forensic mental health settings. Several policies include calls for mental health practitioners to inspire hope for recovery in the individuals they work with. However, there is little suggestion of how to implement such recommendations in practice or research exploring how staff foster hope in forensic settings. This study used grounded theory to explore nurses’ perspectives and experiences of hope within a medium secure setting. A model was developed from the data that integrated nurses’ beliefs about hope, practices to develop service users’ hope and the emotional impact of this work. The nurses’ values played a significant role in their work to develop hope. Recommendations are made to help manage the emotional impact and address challenges unique to fostering hope within forensic settings.     

Therapeutic engagement in medium-secure care: an interpretative phenomenological analysis of service users’ experiences

Service users (SUs) detained in forensic hospitals are usually required to engage in psychological therapies aimed at reducing mental distress and/or for preventing further offending. Poor therapeutic engagement (TE) can lead to adverse clinical outcomes and reoffending, at a cost to the individual, staff, the service provider, and the public. To understand what factors influence TE from a SUs’ perspective, the experiences of 10 male residents of a medium-secure hospital were explored. Using a service-user informed design, interpretative phenomenological analysis of interview data was completed. Four superordinate themes emerged: different worlds; what the individual brings; what the therapy entails; and control. Consideration of how these factors may be of use to professionals working in secure care settings is discussed in relation to existing theory and research.     

“Supporting me through emotional times,all different kinds of behaviour.” Forensic mental health service users understanding of positive behavioural support

This service evaluation project explored service users’ experiences of positive behavioural support (PBS) within a medium secure mental health service. Interpretative phenomenological analysis (IPA) was used to analyse interviews with ten service users. Four main themes emerged from the data: My plan; How I understand PBS; How PBS has helped me, the benefits; and Making the plan work. Overall, service users viewed their experience of having a PBS plan positively. They reflected that the plans offered staff greater understanding of their behaviours and needs, enabling them to receive appropriate support. Service users valued the experience of being involved in the process, offering important insights into their experiences. They also expressed frustrations about staff not following the plan and not understanding why they had a plan whilst others did not. Limitations of the study, clinical implications and ideas for future research have been discussed.     

Transfers from prison to hospital under Sections 47 and 48 of the Mental Health Act between 2011 and 2014

In England and Wales, prisoners with mental disorder of such severity as to warrant inpatient treatment may be transferred to hospital under the Mental Health Act. UK Government guidance recommends that this process should be completed within 14 days; however, evidence suggests that in many cases it can take much longer. This retrospective service evaluation of 64 male prisoners, who were transferred under Section 47 or Section 48, aimed to evaluate transfer durations. The mean time from referral to admission was 76 days. Prisoners with a psychotic disorder were admitted more quickly. Remand prisoners were admitted more quickly than sentenced prisoners. Findings suggest that, in the UK the transfer time of prisoners under Sections 47 and 48 of the Mental Health Act continues to far exceed the 14-day target which raises concern about equivalence of care for prisoners. Our findings support arguments for fundamental amendments to the admissions process.     

公安院校毕业生心理健康状况调查——以福建警察学院为例

采用SCL-90症状自评量表对我校568名专科毕业生进行测试,并与全国成人常模对照分析,我校毕业生心理健康状况总体良好,但有一部分学生存在心理问题;在男女毕业生中,女生的强迫症状、人际敏感、抑郁、焦虑、恐怖、精神病性因子均显著高于男生。加强对公安院校学生的心理健康教育工作刻不容缓。     

国际卫生法的新使命:全球公共健康治理

世界卫生组织在20世纪通过两个国际规章来控制疾病的跨国传播,本世纪通过了《国际卫生法规（2005）》与《烟草控制条约》。目前面临的最大挑战是能否处理好世界上最贫穷国家、地区和人民的公共健康问题,满足其基本生存需要。建议其与国际组织、国家、企业、基金、民间组织合作,达成全球公共健康框架公约,有效改善穷国的卫生条件,帮助他们进行能力和机构建设,这是世界卫生组织和国际卫生法在新的条件下必须承担的新使命和发展的新契机。     

突发公共卫生事件应急反应基础建设及其应急管理

我国正进入公共卫生危机高发期,加强公共卫生应急管理研究是当务之急。介绍了突发公共卫生事件应急反应系统建设研究中初步结果,包括突发事件主动监测、医疗物质储备、流行病学专家以及应急管理机制等。主动监测是早期发现和预警突发公共卫生事件的有效监测机制,包括医院病例监测、症状监测、药品和其他医用商品销售监测,中小学生缺课监测,动物死亡监测等。目前我国主动监测尚在研究中,储备是应急反应的必要基础,包括应急药品和物质储备、现场流行病学工作者和公共卫生实验室储备。应急反应系统组织结构和应急管理形式应在科学基础上,在法制保护下系统建立,并与国际接轨。此外,就公共卫生危机准备和处理提出了具体建议。     

北京市城镇医药卫生体制改革研究报告

现行医药卫生体制存在卫生资源不合理,医疗费用增长过快,公立医疗机构缺乏活力,卫生资源利用效率不高,药品监管工作亟待加强等问题,针对以上问题,本提出了我市城镇医药卫生体制改革的主要内容与原则建议。     

人民警察心理健康研究的新视角——心理弹性

心理弹性是个体在面临严重压力或逆境时,其心理功能没有受到损伤性影响,相反表现出良好发展的现象。人民警察因其职业特点,经常面临压力或逆境,对其进行心理弹性研究有重要意义。文章探讨了心理弹性对人民警察心理健康的必要性和影响行为的机制,并提出了人民警察心理弹性的培养措施。     

谈特警的心理健康

特警由于长期处于高风险、高压力、高应激的状态,其心理健康更容易受到较大的伤害。特警心理素质是特警所有素质技能的基础,是特警完成各项重要任务的基本保障。因此,特警心理健康直接关系到特警战斗力的最大发挥。但是目前还没有一个完整的训练理论体系,心理训练发展明显滞后。所以,特警心理健康训练学科发展迫在眉睫。文章结合特警工作的实际情况,对特警心理训练现状、特警心理训练的意义、影响特警心理的因素和对策作了探析。