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Module Title |
Context & concepts acute MH
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Module Code |
NS533
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School |
School of Nursing and Human Sciences
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Online Module Resources
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| Module Co-ordinator | Dr Mark Philbin | Office Number | H245b |
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Level |
5
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Credit Rating |
10
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Pre-requisite |
None
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Co-requisite |
None
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Module Aims
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To analyse the socio-political and structural influences on the evolution of acute adult mental health care and how services can be enhanced through organisational development and partnership working.
To critically analyse the factors that lead to the development of mental health difficulties and/or contact with mental health services.
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Learning Outcomes
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On successful completion of the module and following a period of personal study, students will be able to:
Review the emergence of acute mental health care, in relation to health and social care strategy/policy from a national/international perspective.
Critically appraise the role of acute mental health nursing within the historical evolution of national/ international mental health service models.
Offer a critical evaluation of the factors that lead people, their families and carers to access mental health services and social, legal, policy, structural influences on how acute services address their needs.
Critically analyse the bio/psycho/social theories involved in the development of mental health difficulties.
Critically review the effectiveness of contemporary approaches to diagnosis and classification of mental illness/disorders in relation to acute mental health care.
Examine the impact of mental health legislation on the role of acute mental health nursing and related ethical/effectiveness of care issues.
Critically analyse how the attitudes, values, perceptions and judgments of service users, professionals, policy makers and society in general can impact on the nature and quality of acute mental health care.
Critically review models of health service/care and how they impact on the scope of acute mental health nursing.
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Indicative Time Allowances
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Hours
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Lectures |
30
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Tutorials |
10
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Laboratories |
0
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Seminars |
10
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Independent Learning Time |
100
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Total |
150
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Placements |
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Assignments |
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NOTE
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Assume that a 10 credit module load represents approximately 150 hours' work, which includes all teaching, in-course assignments, laboratory work or other specialised training and an estimated private learning time associated with the module.
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Indicative Syllabus
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Throughout the module students will be expected to contextualise acute mental health care, within the existing sociopolitical climate of a) Ireland & international perspectives, b) international & national health and social care policy c) professionalisation of mental health care d) ethical & legal frameworks e) the recent health strategy in conjunction with associated strategy/policy emergence from statutory and voluntary agencies in Ireland and f). Historical influences on the evolution of services for acute mental health care and associated professional practices.
Students will explore the bio/psycho/social basis to people developing mental health difficulties, e.g. social determinants, epidemiology, health encounters, health & illness behaviour & biological disease.
Students will examine the expanding role of acute mental health care. E.g. Acute inpatient care, community mental health teams, dual diagnosis working, A&E mental health practitioners, psychiatric liaison, project working and practice development, homelessness interface work, crisis intervention, acute home treatment, day hospital care and primary health care team liaison/consultation. They will consider the extending/expanding /diminishing? role of nursing within these settings and the interrelationships between professional disciplines other agencies, users and their families/carers.
This module will examine the effectiveness and efficiency of existing acute mental health services on individuals, their families/carers and the wider community. This in relation to other options/models both nationally and internationally.
Students will become familiar with lifespan, cultural, socialisation issues in the context of acute mental health care. Such as marginalisation, stigma, deviance, gender imbalance, prejudice, sexuality, discrimination, ethnicity, identity, unicultural approaches to multicultural presentations, citizenship and the family. They will consider mental health service users within a range of representative perceptions, e.g. consumer/patient, prisoner/client.
Students will explore the manifestation of 'acute mental health difficulties' in relation to or in comparison to 'other' mental health or life difficulties and examine any particular emphasis for the role of acute mental health nursing. E.g. with; dual diagnosis (co existence of mental illness & substance misuse), acute psychosis or suicidal ideation/intent.
Students will review existing strategies for the individual, multidisciplinary and organisational management of acute mental health care and be encouraged to challenge existing status quo with appropriate analysis of potential improvement in the quality of care.
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| Assessment | | Continuous Assessment | 60% | Examination Weight | 40% |
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Indicative Reading List
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Essential:
Barker, & Davidson, 1998 Psychiatric nursing: Ethical strife London Arnold
Dept of Health, 1984 The Psychiatric Service: Planning for the Future DSO*
Report of the Commission on Nursing 1998: A blueprint for the future DSO*
Dept of Health & Children 1999 Report of the Inspector of Mental Hospitals DSO*
Dept of Health & Children 2001 Quality & Fairness: A Health System for You DSO*
Morrall, P 1998 Mental health nursing & social control London : Whurr Publishers
Report of the Commission on Nursing 1998 Management in the Health Services- The Role of the Nurse, "A report prepared for the Commission on Nursing" Dublin Government publication
Rutter, M, & Hay, D 1994 Development through life: A handbook for clinicians Oxford Blackwell Science
Supplementary:
American Psychiatric Association 1994 Diagnostic & Statistical Manual of Mental Disorders IV Washington: APA
Barker, P & Stevenson, C 2000 The construction of power & authority in psychiatry Oxford: Butterworth Heinemann
Bean, P 1993 Discharged from the Mental Hospital London MacMillan
Becker, T, Bauer, M, Rutz, W et al 2001 Psychiatric reform in Europe Acta Psychiatrica Scandinavica, Suppl No410, Vol 104
Bowlby, J 1969/1982 Attachment & loss New York: Basic Books
Bleach, A Ryan, P 1995 Community Support for Mental Health London Pavilion
Breakey, WR 1996 Integrated Mental Health Services: Modern Community Psychiatry USA: Oxford University Press
Cullen, P 2000 Refugees & asylum seekers inn Ireland Cork Cork University Press
Government of Ireland 1998 Working for health & well being: Strategy statement DSO*
Government of Ireland 2000 The National Health Promotion Strategy, 2000|2005 DSO*
Dept of Health 1994 Shaping a Healthier Future; a strategy for effective health care in the 1990's DSO*
Dept of Health 1996 National Alcohol Policy DSO*
Dept of Health & Children 1998 Report of the National Task Force on Suicide DSO*
Dept of Health & Children, 1998 Guidelines on Good Practice & Quality Assurance Mental Health Services, Dublin Cahill Printers
Dept of Health Standing Nursing & Midwifery Advisory Committee 1999 Mental Health Nursing: Addressing Acute Concerns HMSO: London
Dept of Health 1999 National Service Framework for Mental Health Modern Standards & Service Models London The Stationary Office
Eastern Health Board, 1997 Women's Health Dublin Cahill Printers
Eastern Health Board, 1999 Framework for a Primary Care Strategy Dublin Cahill Printers
Goodwin, S 1997 Comparative Mental Health Policy : From Institutional to Community Care London Sage
Hughes, Dand Allen, D 2002 Nursing & the Division of Labour in Healthcare UK Palgrave Macmillan
McKeown, K A 2000 Guide to what works in family support services for vulnerable families
Ogden, J 2000 Health psychology Buckingham Open University
Porter, S 1998 Social Theory & Nursing Practice UK Palgrave Macmillan
Robins, J, 2000 Nursing & Midwifery in Ireland in the late 20th Century Dublin An Bord Altranais
Rolfe, G & Fulbrook, P 1998 Advanced nursing practice Oxford: Butterworth Heinmann
Sainsbury Centre for Mental Health 1998 Acute Problems A survey of the quality of care in acute psychiatric wards London SCMH
Stroebe, W 2000 Social psychology & health Buckingham Open University Press
Sue, D 2001 Understanding abnormal psychology Boston Houghton Mifflin
World Health Organisation 1992 The ICD-IO classification of mental & behavioural disorders: Clinical descriptions & diagnostic guidelines ICD - IO Geneva: WHO
World Health Organisation 1998 Health 21- An introduction to the health for all policy framework for the WHO European Region Copenhagen WHO
World Federation for Mental Health 2001 Mental Health Services of the Community Vol 3 UK : Routledge
Journals:
Irish Journal of Applied Social Studies
Journal of Psychiatric & Mental Health Nursing
Journal of Advanced Nursing
International Journal of Nursing
Mental Health Practice
Psychiatric Nursing Research
*Dublin Stationary Office
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Programme or List of Programmes
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| GNSAMH | GDip Nursing - Acute Mental Health |
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